Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke

2017 ◽  
Vol 15 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Ying-ying Teng
Keyword(s):  
Clinical Observation ◽  
Scalp Acupuncture ◽  
Cerebral Stroke ◽  
Broca's Aphasia ◽  
Speech Rehabilitation ◽  
Broca’S Aphasia

scholarly journals Cost-effectiveness of speech and language therapy plus scalp acupuncture versus speech and language therapy alone for community-based patients with Broca’s aphasia after stroke: a post hoc analysis of data from a randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e046609
Author(s):  
Zhizhen Liu ◽  
Jia Huang ◽  
Ying Xu ◽  
Jingsong Wu ◽  
Jing Tao ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Incremental Cost ◽  
Cost Effective ◽  
Scalp Acupuncture ◽  
Speech And Language ◽  
Language Therapy ◽  
Broca's Aphasia ◽  
Speech And Language Therapy ◽  
Broca’S Aphasia ◽  
Life Years

ObjectiveThis study aimed to assess the cost-effectiveness of combined scalp acupuncture therapy with speech and language therapy for patients with Broca’s aphasia after stroke.DesignA within-trial cost-effectiveness analysis.SettingsCommunity health centres.SubjectsA total of 203 participants with Broca’s aphasia after stroke who had been randomly assigned to receive scalp acupuncture with speech and language therapy (intervention) or speech and language therapy alone (control).InterventionBoth groups underwent speech and language therapy (30 min per day, 5 days a week, for 4 weeks), while the intervention group simultaneously received scalp acupuncture.Primary outcomesAll outcomes were collected at baseline, and after the 4-week intervention and 12-week follow-up. Cost-effectiveness measures included the Chinese Rehabilitation Research Center Standard Aphasia Examination (CRRCAE) and Boston Diagnostic Aphasia Examination (BDAE). Cost–utility was evaluated using quality-adjusted life-years (QALYs). Incremental cost-effectiveness ratios were expressed, and sensitivity analysis was conducted.ResultsThe total cost to deliver the intervention was €4001.72, whereas it was €4323.57 for the control group. The incremental cost-effectiveness ratios showed that the intervention was cost-effective (€495.1 per BDAE grade gained; €1.8 per CRRCAE score gained; €4597.1 per QALYs gained) relative to the control over the 12 weeks. The intervention had a 56.4% probability of being cost-effective at the ¥50 696 (€6905.87) Gross Domestic Product (GDP) per capita threshold. Sensitivity analyses confirmed the robustness of the results.ConclusionsCompared with speech and language therapy alone, the addition of scalp acupuncture was cost-effective in Chinese communities. As the costs of acupuncture services in China are likely to differ from other countries, these results should be carefully interpreted and remain to be confirmed in other populations.Trial registration numberChiCTR-TRC-13003703.

scholarly journals SURG-40. SURGICAL RESECTIONS IN BROCA’S AREA DO NOT LEAD TO BROCA’S APHASIA

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii212-ii212
Author(s):  
John Andrews ◽  
Nathan Cahn ◽  
Benjamin Speidel ◽  
Valerie Lu ◽  
Mitchel Berger ◽  
...  
Keyword(s):  
Inferior Frontal Gyrus ◽  
Brain Surgery ◽  
Broca’S Area ◽  
Broca's Area ◽  
Supramarginal Gyrus ◽  
Broca's Aphasia ◽  
Broca’S Aphasia ◽  
Language Evaluations ◽  
Lesion Symptom Mapping ◽  
Normal Speech

Abstract Brodmann’s areas 44/45 of the inferior frontal gyrus (IFG), are the seat of Broca’s area. The Western Aphasia Battery is a commonly used language battery that diagnoses aphasias based on fluency, comprehension, naming and repetition. Broca’s aphasia is defined as low fluency (0-4/10), retained comprehension (4-10/10), and variable deficits in repetition (0-7.9/10) and naming (0-8/10). The purpose of this study was to find anatomic areas associated with Broca’s aphasia. Patients who underwent resective brain surgery in the dominant hemisphere were evaluated with standardized language batteries pre-op, POD 2, and 1-month post-op. The resection cavities were outlined to construct 3D-volumes of interest. These were aligned using an affine transformation to MNI brain space. A voxel-based lesion-symptom mapping (VLSM) algorithm determined areas associated with Broca’s aphasia when incorporated into a resection. Post-op MRIs were reviewed blindly and percent involvement of pars orbitalis, triangularis and opercularis was recorded. 287 patients had pre-op and POD 2 language evaluations and 178 had 1 month post-op language evaluation. 82/287 patients had IFG involvement in resections. Only 5/82 IFG resections led to Broca’s aphasia. 11/16 patients with Broca’s aphasia at POD 2 had no involvement of IFG in resection. 35% of IFG resections were associated with non-specific dysnomia and 36% were normal. By one-month, 76% of patients had normal speech. 80% of patients with Broca’s aphasia at POD 2 improved to normal speech at 1-month, with 20% improved to non-specific dysnomia. The most highly correlated (P< 0.005) anatomic areas with Broca’s aphasia were juxta-sylvian pre- and post-central gyrus extending to supramarginal gyrus. While Broca’s area resections were rarely associated with Broca’s aphasia, juxta-sylvian pre- and post-central gyri extending to the supramarginal gyrus were statistically associated with Broca’s type aphasia when resected. These results have implications for planning resective brain surgery in these presumed eloquent brain areas.

scholarly journals Case with a Lesion involving Broca's Convolution without Broca's Aphasia

1872 ◽  
Vol 18 (81) ◽  
pp. 46-56 ◽  
Author(s):  
J. Batty Tuke ◽  
John Fraser
Keyword(s):  
Broca's Aphasia ◽  
Broca’S Aphasia

Cognitive penetrability of syntactic priming in Broca's aphasia.

1994 ◽  
Vol 8 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Kerry W. Kilborn ◽  
Angela D. Friederici
Keyword(s):  
Syntactic Priming ◽  
Broca's Aphasia ◽  
Cognitive Penetrability ◽  
Broca’S Aphasia

scholarly journals A pre‐history of the problem of Broca's aphasia

Aphasiology ◽  
2006 ◽  
Vol 20 (8) ◽  
pp. 792-810 ◽  
Author(s):  
Hugh Buckingham
Keyword(s):  
Broca's Aphasia ◽  
Broca’S Aphasia ◽  
History Of

Broca’s Aphasia

2018 ◽  
pp. 644-646
Author(s):  
Lyn S. Turkstra
Keyword(s):  
Broca's Aphasia ◽  
Broca’S Aphasia

Patterns of laryngeal apraxia in two patients with Broca's aphasia

1997 ◽  
Vol 11 (6) ◽  
pp. 429-442 ◽  
Author(s):  
Philip Hoole ◽  
Heidrun Schröter-Morasch ◽  
Wolfram Ziegler
Keyword(s):  
Broca's Aphasia ◽  
Broca’S Aphasia

scholarly journals Sentence production in rehabilitation of agrammatism: A case study

2014 ◽  
Vol 8 (3) ◽  
pp. 297-301 ◽  
Author(s):  
Marcela Lima Silagi ◽  
Fernanda Naito Hirata ◽  
Lúcia Iracema Zanotto de Mendonça
Keyword(s):  
Spontaneous Speech ◽  
Sentence Production ◽  
Broca's Aphasia ◽  
Broca’S Aphasia ◽  
Positive Results

Agrammatism is characterized by morphosyntactic deficits in production of sentences. Studies dealing with the treatment of these deficits are scarce and their results controversial. The present study describes the rehabilitation of a case diagnosed as chronic Broca's aphasia, with agrammatism, using a method directed to sentence structural deficits. The method aims to expand the grammatical repertoire by training production of sentences with support from contexts that stimulate actions and dialogues. The patient showed positive results on all types of sentences trained and generalized the gains to spontaneous speech. However, these benefits were not sustained in the long term.

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