[Dysphagia] off topic: aphasia

[bsonies at comcast.net (Barbara Sonies)]

Yes, it was started after some research on hemiparesis -constraint induced
movement  treatment in rehab medicine ( physical therapy). Not aware of use
for writing.
B Sonies


On 2/11/07 8:21 AM, "lobsterpam at aol.com" <lobsterpam at aol.com> wrote:

>  Constraint induced movement therapy! There are piles of articles on the
> approach for rehabilitation of affected limbs.
>  
>  The approach involves something like 6 hours a day of exercise to the
> affected limb with the unaffected limb being immobilized during waking hours.
> Interesting approach, but if done as per the protocol, it does pretty much
> remove the whole idea of learning adaptive means for ADLs.
>  
>  Here is something analogous (but only in terms of the intensive practice) for
> aphasia - and it focused on pragmatic manipulations without permitting any
> alternative types of responses to speech (so it didn't use writing). And
> there's free full text, which is always a wonderful thing.
>  http://stroke.ahajournals.org/cgi/reprint/32/7/1621
>  
>  Here's an abstract of a study showing evidence of cortical reorganization for
> motor functioning. Following THAT is an abstract providing evidence of
> cortical reorganization for language, but it wasn't facilitated through
> writing. 
>  
>   Functional MRI Evidence of Cortical Reorganization in Upper-Limb Stroke
> Hemiplegia Treated with Constraint-Induced Movement Therapy.
>  Research Article  American Journal of Physical Medicine & Rehabilitation.
> 80(1):4-12, January 2001.
>   Levy, Charles E. MD; Nichols, Deborah S. PhD; Schmalbrock, Petra M. PhD;
> Keller, Paul PhD +; Chakeres, Donald W. MD     Abstract:
>  Levy CE, Nichols DS, Schmalbrock PM, Keller P, Chakeres DW: Functional MRI
> evidence of cortical reorganization in upper-limb stroke hemiparesis treated
> with constraint-induced movement therapy. Am J Phys Med Rehabil 2001;80:4-12.
> Objective: The purpose of this pilot study was to test constraint-induced
> movement therapy for chronic upper-limb stroke hemiparesis and to investigate
> the neural correlates of recovery with functional magnetic resonance imaging
> (MRI) in two subjects. Both subjects had been discharged from traditional
> therapy because no further improvement was anticipated. Design:
> Constraint-induced movement therapy consisted of 6 hr of daily upper-limb
> training for 2 wk; a restrictive mitt was worn on the nonparetic limb during
> waking hours. Functional MRI was performed on a 1.5-T MRI with echo-planar
> imaging; at the same time, the subjects attempted sequential finger-tapping.
> Results: Compared with baseline, performance time improved an average of 24%
> immediately!
>   after training and also continued to improve up to 33% 3 mo after training.
> Lift, grip strength, and Motor Activity Log scores likewise improved.
> Initially, on functional MRI, subject 1 activated scattered regions in the
> ipsilateral posterior parietal and occipital cortices. Subject 2 showed almost
> no areas of significant activation. After training, subject 1 showed activity
> bordering the lesion, bilateral activation in the association motor cortices,
> and ipsilateral activation in the primary motor cortex. Subject 2 showed
> activation near the lesion site. Conclusion: Constraint-induced movement
> therapy produced significant functional improvement and resulted in plasticity
> as demonstrated by functional MRI.
>  
>    Language-related brain function during word repetition in post-stroke
> aphasics. 
>  BRAIN IMAGING  Neuroreport. 15(12):1891-1894, August 26, 2004.
>   Abo, Masahiro CA; Senoo, Atushi 1; Watanabe, Shu 1; Miyano, Satoshi; Doseki,
> Keiko; Sasaki, Nobuyuki; Kobayashi, Kazushige 2; Kikuchi, Yoshiaki 1;
> Yonemoto, Kyozo 1     Abstract:
>  We compared fMRI findings (using SPM99) obtained with repetition task in
> normal subjects with those of two patients with Broca's and Wernicke's aphasia
> who received speech therapy and showed complete recovery. Both aphasic
> patients with left hemisphere damage who showed complete recovery exhibited
> activation of only the compensatory area in the right hemisphere during the
> repetition task. Recovery from Broca's aphasia involves reorganization and
> neuromodulation between the external temporopolar area and the anterior
> superior temporal area of the superior temporal gyrus, putamen and the
> inferior frontal gyrus, while that from Wernicke's aphasia involves
> reorganization and neuromodulation between the superior temporal gyrus of the
> temporal region, the posterior supramarginal gyrus and inferior parietal
> lobule of the parietal region.
>  Pam Smith, Ph.D.
>  Bloomsburg University
>  Bloomsburg, PA
>     
>  -----Original Message-----
>  From: sorriso at adelphia.net
>  To: CASK51454 at aol.com
>  Cc: dysphagia at b9.com
>  Sent: Sun, 11 Feb 2007 6:54 AM
>  Subject: Re: [Dysphagia] off topic: aphasia
>  
>   I don't know of a therapy but the idea may come from the book, "Drawing on
> the 
> Right Side of the Brain" by Betty Edwards and the PT/OT technique of .... oh,
> what's it called? ... where the therapist immobilizes the good limb for use of
> the "bad."  I read a bit about this a few years ago (and obviously retained it
> quite well!).
> 
> Linda A. Zanchi, MA CCC-SLP
> 
> ---- CASK51454 at aol.com wrote:
>> Is anyone familiar with an aphasia therapy that advocates pts using their
>> left (or alternate) hand to practice writing to stimulate language on the
> right  
>> side of the brain?
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