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.
abstract: 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.
authors.affiliation: Neuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UK.
authors.forename: Margaret
authors.initials: M
authors.lastname: Sandars
authors.affiliation: Neuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UK.
authors.forename: Lauren
authors.initials: L
authors.lastname: Cloutman
authors.affiliation: Neuroscience and Aphasia Research Unit, School of Psychological Sciences, 3rd Floor, Zochonis Building, University of Manchester, Brunswick Street, Manchester M13 9PL, UK.
authors.forename: Anna M
authors.initials: AM
authors.lastname: Woollams
mesh_terms: D000849:Anomia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001037:Aphasia / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D001921:Brain / Q000503:physiopathology*; D003131:Combined Modality Therapy; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D013070:Speech Therapy / Q000379:methods*; D020521:Stroke / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D065908:Transcranial Direct Current Stimulation / Q000379:methods*
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