神经病学与神经康复学杂志2024，Vol.20Issue(4)：148-154,7.DOI:10.12022/jnnr.2024-0146
常规构音障碍训练联合重复经颅磁刺激治疗遗传性痉挛性截瘫的个案分析
A case study of speech and language therapy combined with repetitive transcranial magnetic stimulation in hereditary spastic paraplegia
戴柔草 1郑玉霞 1王凤爽 2杨红3
作者信息
- 1. 上海市第一康复医院,康复治疗中心,上海 200090
- 2. 上海市第一康复医院,脏器康复科,上海 200090
- 3. 上海市第一康复医院,神经康复三科,上海 200090
- 折叠
摘要
Abstract
Objective:To observe the efficacy of speech and language therapy in one case of hereditary spastic paraplegia(HSP).
Methods:A patient with HSP who participated in this study from November 2023 to December 2023 was treated with repetitive transcranial magnetic therapy(rTMS)combined with speech and language therapy.The pantient's improvement of dysarthria was assessed by Frenchay dysarthria assessment scale、maximal phonation time(MPT)、speech intelligibility and Oral-diadochokinesis(DDK).
Results:The total score of Frenchay dysarthria assessment scale was 95 before treatment and 113 after treatment.MPT was 4 seconds before treatment and 10 seconds after treatment.Speech intelligibility score was 86 points before treatment and 100 points after treatment.The sequential motion rates(SMR)in DDK before treatment were 4,and after treatment,the SMR was 9.
Conclusion:Patients with HSP who received rTMS and speech and language therapy promoted improvements in oral motor function,as well as a significant increase in the clarity of their consonants,suggesting that this protocol may improve dysarthria.关键词
遗传性痉挛性截瘫/重复经颅磁刺激/构音障碍训练/Frenchay构音障碍评定量表Key words
Hereditary spastic paraplegia/Repetitive transcranial magnetic therapy/Speech and language therapy/Frenchay dysarthria assessment scale引用本文复制引用
戴柔草,郑玉霞,王凤爽,杨红..常规构音障碍训练联合重复经颅磁刺激治疗遗传性痉挛性截瘫的个案分析[J].神经病学与神经康复学杂志,2024,20(4):148-154,7.
