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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Main Authors: Margaret Sandars, Lauren Cloutman, Anna M. Woollams
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/8428256
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author Margaret Sandars
Lauren Cloutman
Anna M. Woollams
author_facet Margaret Sandars
Lauren Cloutman
Anna M. Woollams
author_sort Margaret Sandars
collection DOAJ
description 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.
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spelling doaj-art-36be83d1abaf4434875ab692b3e620dc2025-02-03T06:07:53ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/84282568428256Taking Sides: An Integrative Review of the Impact of Laterality and Polarity on Efficacy of Therapeutic Transcranial Direct Current Stimulation for Anomia in Chronic Poststroke AphasiaMargaret Sandars0Lauren Cloutman1Anna M. Woollams2Neuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UKNeuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UKNeuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UKAnomia 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.http://dx.doi.org/10.1155/2016/8428256
spellingShingle Margaret Sandars
Lauren Cloutman
Anna M. Woollams
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
Neural Plasticity
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url http://dx.doi.org/10.1155/2016/8428256
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