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Transcranial Direct Current Stimulation (tDCS) to Enhance Treatment Effects in Aphasia
Since 2008 several small studies have shown an additional effect of tDCS, a non-invasive method to stimulate the brain by modifying cortical excitability, on language functioning when applied during aphasia therapy in chronic stroke patients. In our poster, we present this new technique and we describe the design of our ongoing effect study in sub-acute stroke patients. Furthermore, we investigate tDCS-induced neural reorganization of language.
Source: Archives of Physical Medicine and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Kerstin Spielmann, Mieke W.M.E. van de Sandt-Koenderman, Gerard M. Ribbers Source Type: research

Guide to Living With Aphasia
After stroke and other injuries, people often have difficulty with communication. Aphasia—defined as difficulty with communication—affects about 1 million people in the United States. It may occur as a partial or total loss of the ability to talk, to understand what people say, and/or to read or write. For example, you may not be able to retrieve from your memory the names of particular objects or may not be able to put words together into sentences. More often, many aspects of communication are affected at the same time. People with aphasia still have the same level of intelligence that they did before the stroke; aph...
Source: Archives of Physical Medicine and Rehabilitation - July 31, 2013 Category: Rehabilitation Tags: Organization News Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

Role of Aphasia in Discharge Location After Stroke
Conclusions: Cases with deficits in auditory comprehension, reading comprehension, and oral spelling to dictation had increased odds of being discharged to settings other than home. Early evaluation of these language deficits and prompt treatment may allow patients who would otherwise be discharged to an institution to go home. Further research is needed to design and evaluate individualized treatment protocols and their effect on discharge recommendations.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2012 Category: Rehabilitation Authors: Marlís González-Fernández, Asare B. Christian, Cameron Davis, Argye E. Hillis Tags: Original Articles Source Type: research

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