Martínez SS, Fernández GB, Lombillo LLM, Rodríguez ML

Language: Spanish
References: 12
Page: 265-271
PDF size: 71.51 Kb.

ABSTRACT

Introduction: an observational and prospective study was carried out.
Objective: to evaluate motor and functional recovery in patients with aphasia secondary to a stroke, who were included in the Neurological Restoration Program of International Center of Neurological Restoration.
Methods: 132 patients were studied from 2007 to 2012; they were in treatment during 4 weeks and they were grouped according to the presence or absence of aphasia. Comparisons between both groups were carried out according to their motor and functional recovery by using Scandinavian Stroke Scale and Barthel Index respectively.
Results: significant differences were not found in the studied groups concerning age, sex, motor and functional initial conditions, evolution time and vascular risk factors. Motor recovery was significant in both groups (p=0,00), although motor recovery percent was higher in the patients with non aphasic stroke. Functional recovery was significant in both groups (p=0,00), a higher quality recovery was seen in non aphasic stroke patients, and improvement was identified in hand abilities (p=0,00) which was not significant in stroke with aphasia.
Conclusion: both groups were benefitted with the applied treatment, however, the aphasic patients experienced a lower motor and functional recovery, in comparison with the non aphasic patients.

REFERENCES

1. Rodríguez Mutuberría L, Álvarez González L, López Pérez M, Bender del Busto J, Fernández Martínez E, Martínez Segón S, et al. Efficacy and tolerance of a Neurologycal Restoration Program in stroke patients. Neuro Rehabilitation. 2011;29:381-91.

2. World Health Organization. Disability, including prevention, management and rehabilitation. [citado 29 En. 2010]. Disponible en: http://www.who.int/nmh/a5817/en/

3. Waldowski K, Seniów J, Lesniak M, Iwañski S, Cztonkowska A. Effect of low-frequency repetitive transcranial magnetic stimulation on naming abilities in early-stroke aphasic patients: a prospective, randomized, double-blind sham-controlled study. Scientific World Journal. 2012;518-68.

4. Basso A, Forbes M, Boller F. Rehabilitation of aphasia. Handb Clin Neurol. 2013;110:325-34.

5. Rodríguez Mutuberría L, Díaz Capote R. Beneficios del ejercicio físico terapéutico en pacientes con secuelas por enfermedad cerebrovascular. Rev Cubana Med. 2012;51(3):258-66. [citado 19 Ag. 2013] Disponible en: http://scielo.sld.cu/pdf/med/v51n3/med07312.pdf

6. Jorgensen HS. The Copenhagen Stroke Study experience. J Stroke Cerebrovasc Dis. 1996;6(1):5-16.

7. Hankey GJ, Spiesser J, Hakimi Z, Bego G, Carita P, Gabriel S. Rate, degree, and predictors of recovery from disability following ischemic stroke. Neurology. 8 May. 2007;68(19):1583-7.

8. Marangolo P, Cipollari S, Fiori V, Razzano C, Caltagirone C. Walking but not barking improves verb recovery: implications for action observation treatment in aphasia rehabilitation. PLoS One. 2012;7(6). [citado 19 Ag. 2013] Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3374821/pdf/pone.0038610.pdf

9. Schlaug G, Marchina S, Catherine Y, Wan CY. The use of non-invasive brain stimulation techniques to facilitate recovery from post-stroke aphasia. Neuropsychol Rev. Sep. 2011;21(3):288301.

10. Hankey GJ, Spiesser J, Hakimi Z, Bego G, Carita P, Gabriel S. Rate, degree, and predictors of recovery from disability following ischemic stroke. Neurology. 8 May. 2007;68(19):1583-7.

11. El Hachioui H, Lingsma HF, van de Sandt-Koenderman MW, Dippel DW, Koudstaal PJ, Visch-Brink EG. Long-term prognosis of aphasia after stroke. J Neurol Neurosurg Psychiatry. Mar. 2013;84(3):310-5.

12. Kadojiæ D, Bijeliæ BR, Radanoviæ R, Porobiæ M, Rimac J, Dikanoviæ M. Aphasia in patients with ischemic stroke. Acta Clin Croat. Jun. 2012;51(2):221-5.