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Transcranial direct current stimulation in post-stroke sub-acute aphasia: study protocol for a randomized controlled trial

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Title
Transcranial direct current stimulation in post-stroke sub-acute aphasia: study protocol for a randomized controlled trial
Published in
Trials, August 2016
DOI 10.1186/s13063-016-1505-z
Pubmed ID
Authors

Kerstin Spielmann, W. Mieke E. van de Sandt-Koenderman, Majanka H. Heijenbrok-Kal, Gerard M. Ribbers

Abstract

Transcranial direct current stimulation (tDCS) is a promising new technique to optimize the effect of regular Speech and Language Therapy (SLT) in the context of aphasia rehabilitation. The present study focuses on the effect of tDCS provided during SLT in the sub-acute stage after stroke. The primary aim is to evaluate the potential effect of tDCS on language functioning, specifically on word-finding, as well as generalization effects to verbal communication. The secondary aim is to evaluate its effect on social participation and quality of life, and its cost-effectiveness. We strive to include 58 stroke patients with aphasia, enrolled in an inpatient or outpatient stroke rehabilitation program, in a multicenter, double-blind, randomized controlled trial with two parallel groups and 6 months' follow-up. Patients will participate in two separate intervention weeks, with a pause of 2 weeks in between, in the context of their regular aphasia rehabilitation program. The two intervention weeks comprise daily 45-minute sessions of word-finding therapy, combined with either anodal tDCS over the left inferior frontal gyrus (1 mA, 20 minutes; experimental condition) or sham-tDCS over the same region (control condition). The primary outcome measure is word-finding. Secondary outcome measures are verbal communication, social participation, quality of life, and cost-effectiveness of the intervention. Our results will contribute to the discussion on whether tDCS should be implemented in regular aphasia rehabilitation programs for the sub-acute post-stroke population in terms of (cost-)effectiveness. Nederlands Trail Register: NTR4364 . Registered on 21 February 2014.

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Geographical breakdown

Country Count As %
Portugal 1 <1%
Unknown 197 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 35 18%
Student > Master 31 16%
Student > Ph. D. Student 21 11%
Researcher 17 9%
Professor 7 4%
Other 30 15%
Unknown 57 29%
Readers by discipline Count As %
Medicine and Dentistry 36 18%
Nursing and Health Professions 30 15%
Psychology 18 9%
Neuroscience 17 9%
Linguistics 6 3%
Other 20 10%
Unknown 71 36%