Best Stroke Speech Rehabilitation Hospital in Mumbai
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Aphasia is a neurological condition characterized by difficulties in speaking or understanding speech. It often occurs as a consequence of a stroke, impacting a person’s ability to communicate effectively. The resulting speech deficits lead to significant disability, affecting daily life and placing an increased burden on both patients and their families.
Dedicated research efforts worldwide are focused on finding innovative methods to alleviate the suffering and disability caused by aphasia. One such promising approach is Transcranial Magnetic Stimulation (TMS). This novel and noninvasive method aim to modulate cortical excitability, offering potential benefits for individuals with aphasia.
TMS involves the use of low-energy magnetic stimulation targeted at specific areas of the brain through the skull. This painless technique has shown promising results in recent studies, making it a valuable avenue for further exploration in the management and treatment of aphasia. The goal is to enhance cortical excitability and improve language function in individuals affected by this challenging condition.
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Candidacy for TMS in Stroke Disabilities
Stroke often results in enduring language and speech deficits, presenting a range of challenges for individuals affected by this condition. The consequences may include:
- Mutism: Some patients may experience a complete inability to speak.
- Fluency Issues: Patients might struggle with fluent speech, exhibiting characteristics such as stuttering or misarticulation of words.
- Comprehension Difficulty: Despite normal hearing, individuals may find it challenging to comprehend sentences.
- Word Retrieval Issues: Difficulty in finding words, tangential speech, word-salads, or paraphrases may occur.
These challenges make individuals with post-stroke language deficits potential candidates for Transcranial Magnetic Stimulation (TMS). TMS is a noninvasive and painless method that modulates cortical excitability, offering hope for improving language and speech functions in such patients.
Importantly, TMS is considered for a wide range of patients, including those with concurrent conditions like pregnancy, hypertension, diabetes, thyroid disorders, kidney diseases, heart diseases, etc. Additionally, commonly used medical devices such as stents, pacemakers, coils, orthopedic implants, etc., are usually MRI compatible, minimizing interference with TMS procedures.
Present Literature
TMS has been researched around the world since about the 1980s. A substantial amount of literature has been published in peer-reviewed journals on TMS with positive outcomes and negligible adverse effects. Here, we highlight one of the significant studies on TMS focused on patients with aphasia.
An Italian study, involving five right-handed post-stroke patients, demonstrated significant improvement in naming abilities after TMS treatment. The findings from this study contribute to the growing body of evidence supporting the efficacy of TMS in addressing language deficits in individuals with aphasia.
Method
- TMS is a non-invasive form of neuromodulation that utilizes low-energy magnetic stimulation targeting specific brain areas through the skull. This is achieved using a specially designed coil integrated into a helmet.
- Upon the patient’s arrival, the nurse will gather a detailed medical history and provide updates to the doctor. Subsequently, the doctor will engage in a discussion with the patient to determine the most suitable treatment protocol. This involves specifying the duration of each session, the frequency of sessions per week, and the total number of sessions required.
- Once the protocol is finalized, it will be programmed into the computer system. Following this, an assessment will be conducted to establish the Motor Threshold (MT) by administering stimulation through the helmet.
- Based on the pre-established protocols, TMS will be administered to the patient. For post-stroke aphasia, approximately 16 sessions over a period of 4 weeks are typically required, with each session lasting around 15-20 minutes. Importantly, the procedure does not necessitate sedation or anesthesia, and patients are not required to fast before undergoing the treatment.
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Why Should You Choose Jaslok Hospital for TMS?
Jaslok Hospital & Research Centre stands as one of the oldest and most esteemed tertiary care, multi-specialty Trust hospitals in the country. The hospital is actively engaged in ongoing research activities across various fields in collaboration with institutions in India and abroad. Notably, the hospital houses a dedicated “Restorative and Regenerative Medicine” department, comprising consultants with over 20 years of experience in various fields.
In line with its commitment to cutting-edge technology, the department has acquired state-of-the-art equipment from the internationally reputed and trusted company “Brainsway.” This equipment includes the advanced technology of H1-7 coils, a departure from conventional coils. These coils enable the delivery of noninvasive deep Transcranial Magnetic Stimulation (TMS) with precision, maximizing therapeutic results.
This technology has received clearance from both the FDA and CE for the treatment of various neurological and psychiatric conditions. Notably, the advanced Deep TMS can reach specific target sites, such as the insula and cingulate gyrus, surpassing the limitations of conventional TMS that can only deliver to specific target sites.