Transcranial Magnetic Stimulation and Aphasia （经颅磁刺激和失语症）.pdfVIP

S26 SPECIAL COMMUNICATION Transcranial Magnetic Stimulation and Aphasia Rehabilitation Margaret A. Naeser, PhD, Paula I. Martin, BS, Michael Ho, PhD, Ethan Treglia, MS, CCC-SLP, Elina Kaplan, BS, Shahid Bashir, PhD, Alvaro Pascual-Leone, MD, PhD ABSTRACT. Naeser MA, Martin PI, Ho M, Treglia E, ment, and review a related functional magnetic resonance Kaplan E, Bashir S, Pascual-Leone A. Transcranial magnetic (fMRI) study. In part 2, we briefly review a case study where stimulation and aphasia rehabilitation. Arch Phys Med Rehabil TMS was combined with constraint-induced language therapy 2012;93(1 Suppl 1):S26-34. (CILT). In part 3, we conclude with a review of possible mechanisms underlying language improvement post-TMS. Repetitive transcranial magnetic stimulation (rTMS) has TMS is a noninvasive procedure that uses magnetic fields to been reported to improve naming in chronic stroke patients create electric currents in discrete brain areas.3,4 TMS involves with nonfluent aphasia since 2005. In part 1, we review the discharging a current through a coil of copper wire that is held rationale for applying slow, 1-Hz, rTMS to the undamaged over the subject’s scalp. The current pulse flowing through the right hemisphere in chronic nonfluent aphasia patients after a coil generates a rapidly fluctuating magnetic field that pene- left hemisphere stroke; and we present a transcranial magnetic trates the scalp and skull unimpeded, and induces a changing stimulation (TMS) protocol used with these patients that is electrical field in