{"title":"Synergistic effects of combined motor and language interventions on stroke rehabilitation: a holistic approach.","authors":"Reihaneh Saber-Moghadam, Afsaneh Zeinalzadeh, Jamshid Jamali, Mohammad Taghi Farzadfard, Davood Sobhani-Rad","doi":"10.3389/fnhum.2024.1454491","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stroke patients typically suffer from a range of symptoms, such as motor and language impairments, due to shared neural networks. The recovery process after stroke is intricate and requires a comprehensive approach. While previous studies have investigated the motor and language interventions independently, this study aimed to explore the relationship between these domains and compared the effectiveness of individual interventions versus their combined use.</p><p><strong>Methods: </strong>We divided 45 stroke patients into three groups: Speech and Language Therapy (SLT) group; Arm Ability Training (AAT) group; and consecutive combination of SLT and AAT group. Participants attended 40-min sessions three days a week for three weeks. Standardized assessments, including picture naming test, syntactic comprehension test, and Test d'Evaluation des Membres Supérieurs de Personnes Âgées (TEMPA) test, were conducted pre-and post-treatment and during the first and second weeks of the intervention.</p><p><strong>Results: </strong>Within-group comparisons demonstrated a significant enhancement in test scores for all groups post-intervention compared to pre-intervention (<i>p</i> < 0.05). Between-group comparisons revealed significant differences (<i>p</i> < 0.05) in performance on the picture naming test during the first week, the syntactic comprehension test in the second week, the functional rating subscale of Tempa test changes pre-and post-treatment and the first week, and the length of the time subscale of Tempa test improvements from pre-intervention to the first week.</p><p><strong>Conclusion: </strong>Findings underscored the mutual and synergistic benefits of integrating motor and language in stroke rehabilitation. While SLT and AAT were effective when applied independently, their combined application yielded superior outcomes, emphasizing the holistic advantages of integrating these interventions, as supported by existing literature on dual-task rehabilitation strategies.</p><p><strong>Clinical trial registration: </strong>https://irct.behdasht.gov.ir/search/result?query=IRCT20200114046134N1, IRCT20200114046134N1.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"18 ","pages":"1454491"},"PeriodicalIF":2.4000,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617182/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Human Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fnhum.2024.1454491","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Stroke patients typically suffer from a range of symptoms, such as motor and language impairments, due to shared neural networks. The recovery process after stroke is intricate and requires a comprehensive approach. While previous studies have investigated the motor and language interventions independently, this study aimed to explore the relationship between these domains and compared the effectiveness of individual interventions versus their combined use.
Methods: We divided 45 stroke patients into three groups: Speech and Language Therapy (SLT) group; Arm Ability Training (AAT) group; and consecutive combination of SLT and AAT group. Participants attended 40-min sessions three days a week for three weeks. Standardized assessments, including picture naming test, syntactic comprehension test, and Test d'Evaluation des Membres Supérieurs de Personnes Âgées (TEMPA) test, were conducted pre-and post-treatment and during the first and second weeks of the intervention.
Results: Within-group comparisons demonstrated a significant enhancement in test scores for all groups post-intervention compared to pre-intervention (p < 0.05). Between-group comparisons revealed significant differences (p < 0.05) in performance on the picture naming test during the first week, the syntactic comprehension test in the second week, the functional rating subscale of Tempa test changes pre-and post-treatment and the first week, and the length of the time subscale of Tempa test improvements from pre-intervention to the first week.
Conclusion: Findings underscored the mutual and synergistic benefits of integrating motor and language in stroke rehabilitation. While SLT and AAT were effective when applied independently, their combined application yielded superior outcomes, emphasizing the holistic advantages of integrating these interventions, as supported by existing literature on dual-task rehabilitation strategies.
期刊介绍：
Frontiers in Human Neuroscience is a first-tier electronic journal devoted to understanding the brain mechanisms supporting cognitive and social behavior in humans, and how these mechanisms might be altered in disease states. The last 25 years have seen an explosive growth in both the methods and the theoretical constructs available to study the human brain. Advances in electrophysiological, neuroimaging, neuropsychological, psychophysical, neuropharmacological and computational approaches have provided key insights into the mechanisms of a broad range of human behaviors in both health and disease. Work in human neuroscience ranges from the cognitive domain, including areas such as memory, attention, language and perception to the social domain, with this last subject addressing topics, such as interpersonal interactions, social discourse and emotional regulation. How these processes unfold during development, mature in adulthood and often decline in aging, and how they are altered in a host of developmental, neurological and psychiatric disorders, has become increasingly amenable to human neuroscience research approaches. Work in human neuroscience has influenced many areas of inquiry ranging from social and cognitive psychology to economics, law and public policy. Accordingly, our journal will provide a forum for human research spanning all areas of human cognitive, social, developmental and translational neuroscience using any research approach.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
