Taking Sides: An Integrative Review of the Impact of Laterality and Polarity on Efficacy of Therapeutic Transcranial Direct Current Stimulation for Anomia in Chronic Poststroke Aphasia

Anomia is a frequent and persistent symptom of poststroke aphasia, resulting from damage to areas of the brain involved in language production. Cortical neuroplasticity plays a significant role in language recovery following stroke and can be facilitated by behavioral speech and language therapy. Re...

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Bibliographic Details
Published in:Journal of neural transplantation & plasticity 2016-01, Vol.2016 (2016), p.1-21
Main Authors: Sandars, Margaret, Woollams, Anna M., Cloutman, Lauren
Format: Article
Language:English
Subjects:
Anomia
Anomia - etiology
Anomia - physiopathology
Anomia - therapy
Aphasia
Aphasia - etiology
Aphasia - physiopathology
Aphasia - therapy
Brain
Brain - physiopathology
Brain damage
Brain research
Care and treatment
Combined Modality Therapy
Computational linguistics
Functional Laterality - physiology
Health aspects
Humans
Language
Language processing
Language therapy
Lateralization
Names
Naming
Natural language interfaces
Neural networks
Neuroplasticity
Phonetics
Phonology
Plasticity
Polarity
Researchers
Review
Semantics
Speech
Speech therapy
Speech Therapy - methods
Stroke
Stroke - complications
Stroke - physiopathology
Stroke - therapy
Transcranial direct current stimulation
Transcranial Direct Current Stimulation - methods
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Summary:Anomia is a frequent and persistent symptom of poststroke aphasia, resulting from damage to areas of the brain involved in language production. Cortical neuroplasticity plays a significant role in language recovery following stroke and can be facilitated by behavioral speech and language therapy. Recent research suggests that complementing therapy with neurostimulation techniques may enhance functional gains, even amongst those with chronic aphasia. The current review focuses on the use of transcranial Direct Current Stimulation (tDCS) as an adjunct to naming therapy for individuals with chronic poststroke aphasia. Our survey of the literature indicates that combining therapy with anodal (excitatory) stimulation to the left hemisphere and/or cathodal (inhibitory) stimulation to the right hemisphere can increase both naming accuracy and speed when compared to the effects of therapy alone. However, the benefits of tDCS as a complement to therapy have not been yet systematically investigated with respect to site and polarity of stimulation. Recommendations for future research to help determine optimal protocols for combined therapy and tDCS are outlined.
ISSN:2090-5904
0792-8483
1687-5443
DOI:10.1155/2016/8428256