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Erschienen in: Wiener klinische Wochenschrift 3-4/2017

01.02.2017 | original article

Effect of electroacupuncture in patients with post-stroke motor aphasia

Neurolinguistic and neuroimaging characteristics

verfasst von: Jingling Chang, Hua Zhang, Zhongjian Tan, Juan Xiao, Shuren Li, Ying Gao

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 3-4/2017

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Summary

Background

In this study we investigated the neurolinguistic and neuroimaging characteristics of post-stroke motor aphasia patients. The effects of acupuncture on cortex activation by using magnetic resonance imaging (MRI) in patients with motor aphasia were also studied.

Methods

In this study 43 patients with motor aphasia after stroke were assessed according to Clinical Rehabilitation Research Center aphasia examination (CRRCAE) for linguistic evaluation and MRI and computed tomography (CT) were used for the analyses of brain lesions. The MRI imaging data were also examined using statistical parametric mapping (SPM8) software. Cortex activation images during acupuncture were analyzed using generalized linear model analysis.

Results

The results of MRI and CT showed diverse brain lesion regions of post-stroke motor aphasia including the cortex, subcortex and cortex together with the subcortex. The language-related brain areas are activated by acupuncture including frontal, temporal, parietal and occipital lobes as well as insula, precuneus and other wide range of brain function areas as shown by MRI.

Conclusions

Our study showed that the brain lesion regions in post-stroke motor aphasia were not completely consistent with the classical motor speech center. By using MRI our study results suggest that the formation of cognitive language may be involved with the cortical-subcortical functional networks. Acupuncture may be useful for treatment of motor aphasia after stroke.
Literatur
1.
Zurück zum Zitat Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull. 2009;92:7–32.CrossRefPubMed Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull. 2009;92:7–32.CrossRefPubMed
2.
Zurück zum Zitat Charidimou A, Kasselimis D, Varkanitsa M, Selai C, Potagas C, Evdokimidis I. Why is it difficult to predict language impairment and outcome in patients with aphasia after stroke? J Clin Neurol. 2014;10(2):75–83.CrossRefPubMedPubMedCentral Charidimou A, Kasselimis D, Varkanitsa M, Selai C, Potagas C, Evdokimidis I. Why is it difficult to predict language impairment and outcome in patients with aphasia after stroke? J Clin Neurol. 2014;10(2):75–83.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Björkdahl A, Sunnerhagen KS. Process skill rather than motor skill seems to be a predictor of costs for rehabilitation after a stroke in working age; a longitudinal study with a 1 year follow up post discharge. BMC Health Serv Res. 2007;7:209.CrossRefPubMedPubMedCentral Björkdahl A, Sunnerhagen KS. Process skill rather than motor skill seems to be a predictor of costs for rehabilitation after a stroke in working age; a longitudinal study with a 1 year follow up post discharge. BMC Health Serv Res. 2007;7:209.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Tao J, Fang Y, Wu Z, et al. Community-applied research of a traditional Chinese medicine rehabilitation scheme on Broca’s aphasia after stroke: study protocol for a randomized controlled trial. Trials. 2014;15:290.CrossRefPubMedPubMedCentral Tao J, Fang Y, Wu Z, et al. Community-applied research of a traditional Chinese medicine rehabilitation scheme on Broca’s aphasia after stroke: study protocol for a randomized controlled trial. Trials. 2014;15:290.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Sun Y, Xue SA, Zuo Z. Acupuncture therapy on apoplectic aphasia rehabilitation. J Tradit Chin Med. 2012;32(3):314–21.PubMed Sun Y, Xue SA, Zuo Z. Acupuncture therapy on apoplectic aphasia rehabilitation. J Tradit Chin Med. 2012;32(3):314–21.PubMed
6.
Zurück zum Zitat Li G, Yang ES. An fMRI study of acupuncture-induced brain activation of aphasia stroke patients. Complement Ther Med. 2011;19(Suppl 1):S49–S59.CrossRefPubMed Li G, Yang ES. An fMRI study of acupuncture-induced brain activation of aphasia stroke patients. Complement Ther Med. 2011;19(Suppl 1):S49–S59.CrossRefPubMed
7.
Zurück zum Zitat Goodlass H, Kaplan E. Boston diagnostic aphasia examination. In: Goodlass H, Kaplan E, editors. The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger; 1983. Goodlass H, Kaplan E. Boston diagnostic aphasia examination. In: Goodlass H, Kaplan E, editors. The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger; 1983.
8.
Zurück zum Zitat Zhang QS, Ji SR, Li SL, et al. Reliability and validity of Chinese rehabilitation research center standard aphasia examination. Chin J Rehabil Theory Pract. 2005;11:703–5. Zhang QS, Ji SR, Li SL, et al. Reliability and validity of Chinese rehabilitation research center standard aphasia examination. Chin J Rehabil Theory Pract. 2005;11:703–5.
10.
Zurück zum Zitat Willis M, Robertson N. Aphasia: early classification, evaluation of existing therapy, and novel therapeutics. J Neurol. 2012;259(11):2510–2.PubMed Willis M, Robertson N. Aphasia: early classification, evaluation of existing therapy, and novel therapeutics. J Neurol. 2012;259(11):2510–2.PubMed
11.
Zurück zum Zitat Starostzik C. After stroke and other brain lesions. Options in Aphasia. MMW Fortschr Med. 2013;155(8):18–20.CrossRefPubMed Starostzik C. After stroke and other brain lesions. Options in Aphasia. MMW Fortschr Med. 2013;155(8):18–20.CrossRefPubMed
12.
Zurück zum Zitat Friederici AD. The brain basis of language processing: from structure to function. Physiol Rev. 2011;91(4):1357–92.CrossRefPubMed Friederici AD. The brain basis of language processing: from structure to function. Physiol Rev. 2011;91(4):1357–92.CrossRefPubMed
13.
Zurück zum Zitat Hillis AE, Work M, Barker PB, Jacobs MA, Breese EL, Maurer K. Re-examining the brain regions crucial for orchestrating speech articulation. Brain. 2004;127(Pt 7):1479–87.CrossRefPubMed Hillis AE, Work M, Barker PB, Jacobs MA, Breese EL, Maurer K. Re-examining the brain regions crucial for orchestrating speech articulation. Brain. 2004;127(Pt 7):1479–87.CrossRefPubMed
14.
Zurück zum Zitat Flowers HL, Silver FL, Fang J, Rochon E, Martino R. The incidence, co-occurrence, and predictors of dysphagia, dysarthria, and aphasia after first-ever acute ischemic stroke. J Commun Disord. 2013;46(3):238–48.CrossRefPubMed Flowers HL, Silver FL, Fang J, Rochon E, Martino R. The incidence, co-occurrence, and predictors of dysphagia, dysarthria, and aphasia after first-ever acute ischemic stroke. J Commun Disord. 2013;46(3):238–48.CrossRefPubMed
15.
Zurück zum Zitat Kouider S, de Gardelle V, Dehaene S, Dupoux E, Pallier C. Cerebral bases of subliminal speech priming. Neuroimage. 2010;49(1):922–9.CrossRefPubMed Kouider S, de Gardelle V, Dehaene S, Dupoux E, Pallier C. Cerebral bases of subliminal speech priming. Neuroimage. 2010;49(1):922–9.CrossRefPubMed
16.
Zurück zum Zitat Kuljic-Obradovic DC. Subcortical aphasia: three different language disorder syndromes? Eur J Neurol. 2003;10(4):445–8.PubMed Kuljic-Obradovic DC. Subcortical aphasia: three different language disorder syndromes? Eur J Neurol. 2003;10(4):445–8.PubMed
17.
Zurück zum Zitat Dehaene S, Spelke E, Pinel P, Stanescu R, Tsivkin S. Sources of mathematical thinking: behavioral and brain-imaging evidence. Science. 1999;284(5416):970–4.CrossRefPubMed Dehaene S, Spelke E, Pinel P, Stanescu R, Tsivkin S. Sources of mathematical thinking: behavioral and brain-imaging evidence. Science. 1999;284(5416):970–4.CrossRefPubMed
18.
Zurück zum Zitat Henseler I, Regenbrecht F, Obrig H. Lesion correlates of patholinguistic profiles in chronic aphasia: comparisons of syndrome-, modality- and symptom-level assessment. Brain. 2014;137(Pt 3):918–30.CrossRefPubMed Henseler I, Regenbrecht F, Obrig H. Lesion correlates of patholinguistic profiles in chronic aphasia: comparisons of syndrome-, modality- and symptom-level assessment. Brain. 2014;137(Pt 3):918–30.CrossRefPubMed
19.
Zurück zum Zitat Qiu WQ, Claunch J, Kong J, et al. The effects of acupuncture on the brain networks for emotion and cognition: an observation of gender differences. Brain Res. 2010;1362:56–67.CrossRefPubMedPubMedCentral Qiu WQ, Claunch J, Kong J, et al. The effects of acupuncture on the brain networks for emotion and cognition: an observation of gender differences. Brain Res. 2010;1362:56–67.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Xiao J, Zhang H, Chang JL, et al. The effects of electro-acupuncture at HT5 and GB39 acupoints from functional magnetic resonance imaging evidence. Chin J Integr Med. 2015;30:1–9.CrossRef Xiao J, Zhang H, Chang JL, et al. The effects of electro-acupuncture at HT5 and GB39 acupoints from functional magnetic resonance imaging evidence. Chin J Integr Med. 2015;30:1–9.CrossRef
Metadaten
Titel
Effect of electroacupuncture in patients with post-stroke motor aphasia
Neurolinguistic and neuroimaging characteristics
verfasst von
Jingling Chang
Hua Zhang
Zhongjian Tan
Juan Xiao
Shuren Li
Ying Gao
Publikationsdatum
01.02.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 3-4/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-016-1070-1

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