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Are People With Poststroke Aphasia Receptive to Transcranial Direct Current Stimulation? A Survey.

E Susan Duncan1, Neila J Donovan1, Thanos Gentimis2

  • 1Department of Communication Sciences & Disorders, Louisiana State University, Baton Rouge.

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Most people with post-stroke aphasia are receptive to transcranial direct current stimulation (tDCS) if it can improve their condition. Many prefer more frequent home-based treatments, indicating potential for wider accessibility of this neurostimulation therapy.

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Area of Science:

  • Neuroscience
  • Speech and Language Pathology
  • Rehabilitation Medicine

Background:

  • Post-stroke aphasia significantly impacts communication abilities.
  • Transcranial direct current stimulation (tDCS) is an emerging neuromodulation technique with potential therapeutic benefits.
  • Understanding patient receptiveness is crucial for implementing new therapies.

Purpose of the Study:

  • To investigate the willingness of individuals with post-stroke aphasia to undergo transcranial direct current stimulation (tDCS).
  • To explore preferences regarding the treatment setting (in-clinic vs. home-based) and schedule for tDCS delivery.
  • To identify factors influencing receptiveness to tDCS among this population.

Main Methods:

  • An online survey was disseminated through various channels to reach individuals with aphasia.
  • The survey assessed awareness of tDCS, willingness to receive it, and preferences for treatment logistics.
  • Statistical analysis, including Fisher's exact test, was used to examine relationships between receptiveness and demographic/clinical factors.

Main Results:

  • 66% of respondents expressed willingness to receive tDCS if it could help their aphasia; only 6% were definitively unwilling.
  • Receptiveness was significantly associated with not currently working, openness to speech-language therapy, and acceptance of temporary risks.
  • A majority favored home-based treatment and more frequent sessions compared to clinic-based delivery, with many open to long-term use.

Conclusions:

  • This study suggests substantial receptiveness to tDCS among individuals with post-stroke aphasia, indicating potential for broader adoption.
  • Patient preferences lean towards home-based, frequent, and potentially long-term tDCS, highlighting the need for practical, person-centered research designs.
  • Future research should address limitations such as sample size and the need for comprehensive patient education to support informed decision-making.