Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults

Background: The use of transcranial direct-current stimulation (tDCS) for therapeutic and neurorehabilitation purposes has become increasingly popular in recent years. Previous research has found that anodal tDCS may enhance naming ability and verbal fluency in healthy participants. However, the eff...

Full description

Bibliographic Details
Main Authors: Shereen J. Matar, Isaac O. Sorinola, Caroline Newton, Marousa Pavlou
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2020.00935/full
_version_ 1818846535557840896
author Shereen J. Matar
Isaac O. Sorinola
Caroline Newton
Marousa Pavlou
author_facet Shereen J. Matar
Isaac O. Sorinola
Caroline Newton
Marousa Pavlou
author_sort Shereen J. Matar
collection DOAJ
description Background: The use of transcranial direct-current stimulation (tDCS) for therapeutic and neurorehabilitation purposes has become increasingly popular in recent years. Previous research has found that anodal tDCS may enhance naming ability and verbal fluency in healthy participants. However, the effect of tDCS on more functional, higher level language skills such as discourse production has yet to be understood.Aims: The present study aimed to investigate in healthy, older adults (a) the effect of anodal tDCS on discourse production vs. sham stimulation and (b) optimal electrode placement for tDCS to target language improvement at the discourse level.Methods: Fourteen healthy, older right-handed participants took part in this sham controlled, repeated measures pilot study. Each participant experienced three different experimental conditions; anodal tDCS on the left inferior frontal gyrus (IFG), anodal tDCS on the right IFG and sham stimulation while performing a story telling task. Significant changes in language performance before and after each condition were examined in three discourse production tasks: recount, procedural and narrative.Results: Left and right IFG conditions showed a greater number of significant within-group improvements (p < 0.05) in discourse production compared to sham with 6/12 for left IFG, 4/12 for right IFG and 2/12 for sham. There were no significant differences noted between tDCS conditions. No relationship was noted between language performance and physical activity, age, or gender.Conclusions: This study suggests that anodal tDCS may significantly improve discourse production in healthy, older adults. In line with previous tDCS language studies, the left IFG is highlighted as an optimal stimulation site for the modulation of language in healthy speakers. The findings support further exploration of tDCS as a rehabilitative tool for higher-level language skills in persons with aphasia.
first_indexed 2024-12-19T05:47:06Z
format Article
id doaj.art-26056604e64947508c2755dad66ba6ea
institution Directory Open Access Journal
issn 1664-2295
language English
last_indexed 2024-12-19T05:47:06Z
publishDate 2020-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj.art-26056604e64947508c2755dad66ba6ea2022-12-21T20:33:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-08-011110.3389/fneur.2020.00935553098Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older AdultsShereen J. Matar0Isaac O. Sorinola1Caroline Newton2Marousa Pavlou3Centre for Human & Applied Physiological Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United KingdomDepartment of Public Health Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United KingdomDivision of Psychology & Language Sciences, Faculty of Brain Sciences, University College London, London, United KingdomCentre for Human & Applied Physiological Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United KingdomBackground: The use of transcranial direct-current stimulation (tDCS) for therapeutic and neurorehabilitation purposes has become increasingly popular in recent years. Previous research has found that anodal tDCS may enhance naming ability and verbal fluency in healthy participants. However, the effect of tDCS on more functional, higher level language skills such as discourse production has yet to be understood.Aims: The present study aimed to investigate in healthy, older adults (a) the effect of anodal tDCS on discourse production vs. sham stimulation and (b) optimal electrode placement for tDCS to target language improvement at the discourse level.Methods: Fourteen healthy, older right-handed participants took part in this sham controlled, repeated measures pilot study. Each participant experienced three different experimental conditions; anodal tDCS on the left inferior frontal gyrus (IFG), anodal tDCS on the right IFG and sham stimulation while performing a story telling task. Significant changes in language performance before and after each condition were examined in three discourse production tasks: recount, procedural and narrative.Results: Left and right IFG conditions showed a greater number of significant within-group improvements (p < 0.05) in discourse production compared to sham with 6/12 for left IFG, 4/12 for right IFG and 2/12 for sham. There were no significant differences noted between tDCS conditions. No relationship was noted between language performance and physical activity, age, or gender.Conclusions: This study suggests that anodal tDCS may significantly improve discourse production in healthy, older adults. In line with previous tDCS language studies, the left IFG is highlighted as an optimal stimulation site for the modulation of language in healthy speakers. The findings support further exploration of tDCS as a rehabilitative tool for higher-level language skills in persons with aphasia.https://www.frontiersin.org/article/10.3389/fneur.2020.00935/fulllanguagetDCSneurorehabilitationdiscourseaphasia
spellingShingle Shereen J. Matar
Isaac O. Sorinola
Caroline Newton
Marousa Pavlou
Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
Frontiers in Neurology
language
tDCS
neurorehabilitation
discourse
aphasia
title Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
title_full Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
title_fullStr Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
title_full_unstemmed Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
title_short Transcranial Direct-Current Stimulation May Improve Discourse Production in Healthy Older Adults
title_sort transcranial direct current stimulation may improve discourse production in healthy older adults
topic language
tDCS
neurorehabilitation
discourse
aphasia
url https://www.frontiersin.org/article/10.3389/fneur.2020.00935/full
work_keys_str_mv AT shereenjmatar transcranialdirectcurrentstimulationmayimprovediscourseproductioninhealthyolderadults
AT isaacosorinola transcranialdirectcurrentstimulationmayimprovediscourseproductioninhealthyolderadults
AT carolinenewton transcranialdirectcurrentstimulationmayimprovediscourseproductioninhealthyolderadults
AT marousapavlou transcranialdirectcurrentstimulationmayimprovediscourseproductioninhealthyolderadults