Advance in Transcranial Direct Current Stimulation for Aphasic Rehabilitation (review)

  • ZHU Su-qiong ,
  • GU Jie-xin
Expand
  • School of Linguistic Sciences and Arts, Jiangsu Normal University, Xuzhou, Jiangsu 221009, China

Received date: 2017-10-30

  Revised date: 2017-12-27

  Online published: 2018-01-31

Supported by

National Social Science Fund of China (No. 12CYY021), National Social Science Fund of China (Major) (No. 10&ZD126) and Priority Academic Program Development of Jiangsu Higher Education Institutions & Research Bases of Philosophy and Social Sciences of Jiangsu Higher Education Institutions (Major) (No. 2012JDXM016)

Abstract

Transcranial direct current stimulation (tDCS) was applied in rehabilitation of aphasia effectively. Based on the three hypotheses on aphasic rehabilitation, it is needed to consider the stage, location and the extent of brain damage in the left hemisphere of aphasia patients. If the core language functional areas are not damaged, tDCS can be used to either activate the left hemisphere to enhance the activity of perilesional areas, or to inhibit the right hemisphere to weaken the inhibitory effect from the right one. In contrast, if the core language functional areas are damaged, tDCS should be used to activate the right hemisphere to compensate the left core language functional areas impaired. The integrity of white matter fiber tracts also affects the efficacy of tDCS. By exciting or inhibiting the cortex, tDCS can enhance the cerebral connectivity, and mediate its neural processing, to improve word-retrieval deficit, articulatory disturbance and discourse skill in daily living. The benefit from tDCS may be long-term and generalizated, which needs more researches.

Cite this article

ZHU Su-qiong , GU Jie-xin . Advance in Transcranial Direct Current Stimulation for Aphasic Rehabilitation (review)[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018 , 24(1) : 84 -89 . DOI: 10.3969/j.issn.1006-9771.2018.01.016

References

[1] Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation [J]. J Physiol, 2000, 527(3): 633-639.
[2] Baker JM, Rorden C, Fridriksson J. Using transcranial direct-current stimulation to treat stroke patients with aphasia [J]. Stroke, 2010, 41(6): 1229-1236.
[3] Liebetanz D, Nitsche MA, Tergau F, et al. Pharmacological approach to the mechanisms of transcranial DC-stimulation-induced after-effects of human motor cortex excitability [J]. Brain, 2002, 125(10): 2238-2247.
[4] Purpura DP, Mcmurtry JG. Intracellular activities and evoked potential changes during polarization of motor cortex [J]. J Neurophysiol, 1965, 28(28): 166-185.
[5] Hummel F, Celnik P, Giraux P, et al. Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke [J]. Brain, 2005, 128(3): 490-499.
[6] Boggio PS, Nunes A, Rigonatti SP, et al. Repeated sessions of noninvasive brain DC stimulation is associated with motor function improvement in stroke patients [J]. Restor Neurol Neuros, 2007, 25(2): 123-129.
[7] Monti A, Cogiamanian F, Marceglia S, et al. Improved naming after transcranial direct current stimulation in aphasia [J]. J Neurol Neurosurg Psychiatry, 2008, 79(4): 451-453.
[8] Hamilton RH, Chrysikou EG, Coslett B. Mechanisms of aphasia recovery after stroke and the role of noninvasive brain stimulation [J]. Brain Lang, 2011, 118(1): 40-50.
[9] Karbe H, Thiel A, Weber-Luxenburger G, et al. Reorganization of the cerebral cortex in post-stroke aphasia studied with positron emission tomography [J]. Neurology, 1998, 50(4): A321.
[10] Warburton E, Price CJ, Swinburn K, et al. Mechanisms of recovery from aphasia: evidence from positron emission tomography studies [J]. J Neurol Neurosurg Psychiatry, 1999, 66(2): 155-161.
[11] Heiss WD, Kessler J, Thiel A, et al. Differential capacity of left and right hemispheric areas for compensation of poststroke aphasia [J]. Ann Neurol, 1999, 45(4): 430-438.
[12] Musso M, Weiller C, Kiebel S, et al. Training-induced brain plasticity in aphasia [J]. Brain, 1999, 122(9): 1781-1790.
[13] Belin P, Van EP, Zilbovicius M, et al. Recovery from nonfluent aphasia after melodic intonation therapy: a PET study [J]. Neurology, 1996, 47(6): 1504-1511.
[14] Kinsbourne M. The mechanism of hemispheric control of the lateral gradient of attention [M]// Rabbit PMA, Dornic S. Attention and Performance. London: Academic Press, 1975: 81-97.
[15] Cook ND. Homotopic callosal inhibition [J]. Brain Lang, 1984, 23(1): 116-125.
[16] Postman-Caucheteux W, Birn R, Pursley R, et al. Single-trial fMRI shows contralesional activity linked to overt naming errors in chronic aphasic patients [J]. J Cogn Neurosci, 2010, 22(6): 1299-1318.
[17] Saur D, Lange R, Baumgaertner A, et al. Dynamics of language reorganization after stroke [J]. Brain, 2006, 129(6): 1371-1384.
[18] Heiss WD, Thiel A. A proposed regional hierarchy in recovery of post-stroke aphasia [J]. Brain Lang, 2006, 98(1): 118-123.
[19] 钱龙,吴东宇. 经颅直流电刺激在脑损伤临床中的应用[J]. 中国康复医学杂志, 2011,26(9): 878-881.
[20] 高素荣. 失语症[M]. 2版. 北京:北京大学医学出版社, 2006: 26.
[21] Fridriksson J, Richardson JD, Baker JM, et al. Transcranial direct current stimulation improves naming reaction time in fluent aphasia: a double-blind, sham-controlled study [J]. Stroke, 2011, 42(3): 819-821.
[22] Fiori V, Coccia M, Marinelli CV, et al. Transcranial direct current stimulation improves word retrieval in healthy and nonfluent aphasic subjects [J]. J Cogn Neurosci, 2011,23(9): 2309-2323.
[23] Wu D, Wang J, Yuan Y. Effects of transcranial direct current stimulation on naming and cortical excitability in stroke patients with aphasia [J]. Neurosci Lett, 2015, 589(2): 115-120.
[24] 槐雅萍,左秀芹,尹昱,等. 经颅直流电刺激对脑卒中患者失语症恢复的影响[J]. 中国康复理论与实践, 2016, 22(10): 1137-1140.
[25] 徐丹,陶陶,张继荣,等. 阳极经颅直流电刺激治疗脑梗死后失语症疗效的Meta分析[J]. 中华物理医学与康复杂志, 2017, 39(8): 625-630.
[26] Darkow R, Martin A, Würtz A, et al. Transcranial direct current stimulation effects on neural processing in post-stroke aphasia [J]. Hum Brain Mapp, 2016, 38(3): 1518-1531.
[27] Campana S, Caltagirone C, Marangolo P. Combining voxel-based lesion-symptom mapping (VLSM) with A-tDCS language treatment: predicting outcome of recovery in nonfluent chronic aphasia [J]. Brain Stimul, 2015, 8(4): 769-776.
[28] Flöel A, Meinzer M, Kirstein R, et al. Short-term anomia training and electrical brain stimulation [J]. Stroke, 2011, 42(7): 2065-2067.
[29] Vines BW, Norton AC, Schlaug G. Non-Invasive brain stimulation enhances the effects of melodic intonation therapy [J]. Front Psychol, 2011,2: 1-10.
[30] Kang EK, Kim YK, Sohn HM, et al. Improved picture naming in aphasia patients treated with cathodal tDCS to inhibit the right Broca's homologue area [J]. Restor Neurol Neuros, 2011,29(3): 141-152.
[31] 汪洁,吴东宇,宋为群,等. 双额叶在线经颅直流电刺激对失语症图命名的作用[J]. 中国康复医学杂志, 2014, 29(1): 31-35.
[32] Rosso C, Perlbarg V, Valabregue R, et al. Broca's area damage is necessary but not sufficient to induce after-effects of cathodal tDCS on the unaffected hemisphere in post-stroke aphasia [J]. Brain Stimul, 2014, 7(5): 627-635.
[33] 乐秋海,舒华. 弥散张量成像在语言认知神经科学研究中的应用[J]. 心理科学进展, 2010, 18(9): 1369-1376.
[34] Yeol LS, Hee-Jung C, Jae YK, et al. Effects of dual transcranial direct current stimulation for aphasia in chronic stroke patients [J]. Ann Rehabil Med, 2013, 37(5): 603-610.
[35] Marangolo P, Marinelli CV, Bonifazi S, et al. Electrical stimulation over the left inferior frontal gyrus (IFG) determines long-term effects in the recovery of speech apraxia in three chronic aphasics [J]. Behav Brain Res, 2011,225(2): 498-504.
[36] Marangolo P, Fiori V, Cipollari S, et al. Bihemispheric stimulation over left and right inferior frontal region enhances recovery from apraxia of speech in chronic aphasia [J]. Eur J Neurosci, 2013, 38(9): 3370-3377.
[37] Marangolo P, Fiori V, Sabatini U, et al. Bilateral transcranial direct current stimulation language treatment enhances functional connectivity in the left hemisphere: preliminary data from aphasia [J]. J Cogn Neurosci, 2016, 28(5): 724-738.
[38] Marangolo P, Fiori V, Calpagnano MA, et al. tDCS over the left inferior frontal cortex improves speech production in aphasia [J]. Front Hum Neurosci, 2013, 7: 539.
[39] Marangolo P, Fiori V, Campana S, et al. Something to talk about: enhancement of linguistic cohesion through tDCS in chronic nonfluent aphasia [J]. Neuropsychologia, 2014, 53(1): 246-256.
[40] 张芹,江钟立,方欣,等. 词联导航训练法联合经颅直流电刺激改善失语症言语流畅度及命名能力的临床观察[J]. 中国康复医学杂志, 2017, 32(8): 879-884.
[41] You DS, Kim DY, Min HC, et al. Cathodal transcranial direct current stimulation of the right Wernicke's area improves comprehension in subacute stroke patients [J]. Brain Lang, 2011, 119(1): 1-5.
[42] Vestito L, Rosellini S, Mantero M, et al. Long-term effects of transcranial direct-current stimulation in chronic post-stroke aphasia: a pilot study [J]. Front Hum Neurosci, 2014, 8: 1-7.
[43] Manenti R, Petesi M, Brambilla M, et al. Efficacy of semantic-phonological treatment combined with tDCS for verb retrieval in a patient with aphasia [J]. Neurocase, 2015, 21(1): 109-119.
[44] Dickey M, Yoo H. Acquisition versus generalization in sentence production treatment in aphasia: dose-response relationships [J]. Procedia, 2013, 94: 281-282.
[45] de Aguiar V, Bastiaanse R, Capasso R, et al. Can tDCS enhance item-specific effects and generalization after linguistically motivated aphasia therapy for verbs? [J]. Front Behav Neurosci, 2015, 9(190): 1-17.
Outlines

/