KNOWLEDGE AND AWARENESS OF SPEECH LANGUAGE PATHOLOGISTS AND NEUROLOGISTS REGARDING NON-INVASIVE BRAIN STIMULATION FOR LANGUAGE RECOVERY IN PAKISTAN

Main Article Content

Hiba Maqsood
Hafsa Noreen
Fazaila Ehsan
Tayyaba Usman
Nimra Zulfiqar
Sibgha Shafique

Keywords

Language recovery, Neurologists, Non-Invasive Brain Stimulation, Speech-Language Pathologists

Abstract

Background and Objective: Communication problems are quite commonly observed after a stroke. Usually, Speech and Language Therapy is the most commonly utilized therapy for acquired communication disorders like aphasia. However, in recent times, neuromodulation techniques like Non-Invasive Brain Stimulation (NIBS) to improve the effects of Speech and Language Therapy are also being widely investigated. The objective of this study was to assess the knowledge and awareness of Speech-Language Pathologists (SLPs) and Neurologists regarding NIBS for Language Recovery in Pakistan.


Methods: A cross-sectional study design was used in which 157 Speech-Language Pathologists and 54 Neurologists participated. Data was collected by a self-designed questionnaire that was developed with the help of expert opinion and a literature review. The data was analyzed using standard SPSS software Version 21.0.


Results: The results indicated that 104 Speech-Language Pathologists and 34 Neurologists agreed that the NIBS technique is pain-free and safe for the population with Speech-Language Pathologists having a higher mean score of 2.31. 95 Speech-Language Pathologists and 31 Neurologists believe that this technique plays a part in language recovery for a Person with Aphasia (PWA) with Neurologists having a higher mean score of 2.41.


Interpretation and Conclusion: It was concluded that knowledge regarding two major non-invasive procedures that are transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) and the part that they play in language rehabilitation is limited. However, the majority of both professionals agree that this technique plays a part in language rehabilitation for individuals who have aphasia.

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References

1. Bhattacharya A, Mrudula K, Sreepada SS, Sathyaprabha TN, Pal PK, Chen R, et al. An overview of noninvasive brain stimulation: basic principles and clinical applications. Canadian Journal of Neurological Sciences. 2022;49(4):479-92.
2. Albizu A, Indahlastari A, Woods AJ. Non-invasive Brain Stimulation. In: Gu D, Dupre ME, editors. Encyclopedia of Gerontology and Population Aging. Cham: Springer International Publishing; 2019. p. 1-8.
3. Hartwigsen G. The neurophysiology of language: Insights from non-invasive brain stimulation in the healthy human brain. Brain and Language. 2015;148:81-94.
4. Vosskuhl J, Strüber D, Herrmann CS. Non-invasive brain stimulation: a paradigm shift in understanding brain oscillations. Frontiers in human neuroscience. 2018;12:211.
5. Liu X, Qiu F, Hou L, Wang X. Review of noninvasive or minimally invasive deep brain stimulation. Frontiers in Behavioral Neuroscience. 2022;15:820017.
6. Antal A, Luber B, Brem A-K, Bikson M, Brunoni AR, Kadosh RC, et al. Non-invasive brain stimulation and neuroenhancement. Clinical neurophysiology practice. 2022.
7. Polanía R, Nitsche MA, Ruff CC. Studying and modifying brain function with non-invasive brain stimulation. Nature neuroscience. 2018;21(2):174-87.
8. Finisguerra A, Borgatti R, Urgesi C. Non-invasive brain stimulation for the rehabilitation of children and adolescents with neurodevelopmental disorders: a systematic review. Frontiers in psychology. 2019;10:135.
9. Norise C, Hamilton RH. Non-invasive brain stimulation in the treatment of post-stroke and neurodegenerative aphasia: parallels, differences, and lessons learned. Frontiers in Human Neuroscience. 2017;10:675.
10. Boes AD, Kelly MS, Trapp NT, Stern AP, Press DZ, Pascual-Leone A. Noninvasive brain stimulation: challenges and opportunities for a new clinical specialty. The Journal of Neuropsychiatry and clinical neurosciences. 2018;30(3):173-9.
11. Somaa F. Non-invasive Brain Stimulation Post Stroke. Sanchetee P, editor2022.
12. Georgiou AM, Kambanaros M. The effectiveness of transcranial magnetic stimulation (TMS) paradigms as treatment options for recovery of language deficits in chronic poststroke aphasia. Behavioural Neurology. 2022;2022.
13. Ashaie SA, Engel S, Cherney LR. Timing of transcranial direct current stimulation (tDCS) combined with speech and language therapy (SLT) for aphasia: study protocol for a randomized controlled trial. Trials. 2022;23(1):1-10.
14. Lin B-F, Yeh S-C, Kao Y-CJ, Lu C-F, Tsai P-Y. Functional remodeling associated with language recovery after repetitive transcranial magnetic stimulation in chronic aphasic stroke. Frontiers in Neurology. 2022;13:809843.
15. Soliman RK, Tax CM, Abo-Elfetoh N, Karim AA, Youssef A, Kamal D, et al. Effects of tDCS on Language Recovery in Post-Stroke Aphasia: A Pilot Study Investigating Clinical Parameters and White Matter Change with Diffusion Imaging. Brain Sciences. 2021;11(10):1277.
16. Gholami M, Pourbaghi N, Taghvatalab S. A meta-analysis of the effects of repetitive transcranial magnetic stimulation on aphasia rehabilitation in stroke patients. Neurology Asia. 2021;26(3).
17. Fridriksson J, Hillis AE. Current approaches to the treatment of post-stroke aphasia. Journal of stroke. 2021;23(2):183-201.
18. Georgiou AM, Phinikettos I, Giasafaki C, Kambanaros M. Can transcranial magnetic stimulation (TMS) facilitate language recovery in chronic global aphasia post-stroke? Evidence from a case study. Journal of Neurolinguistics. 2020;55:100907.
19. Sample Size Calculator 2023 [http://www.raosoft.com/samplesize.html.], accessed on August 20, 2023.
20. Sample Size Calculator 2023 [Available from: http://www.raosoft.com/samplesize.html.], accessed on August 20, 2023.
21. Kesikburun S. Non-invasive brain stimulation in rehabilitation. Turkish Journal of Physical Medicine and Rehabilitation. 2022;68(1):1.
22. Hillis A. Neuromodulation for post-stroke aphasia. Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation. 2023;16(1):155-6.
23. Ren C-L, Zhang G-F, Xia N, Jin C-H, Zhang X-H, Hao J-F, et al. Effect of low-frequency rTMS on aphasia in stroke patients: a meta-analysis of randomized controlled trials. PloS one. 2014;9(7):e102557.
24. Rothwell J. Transcranial brain stimulation: past and future. Brain and Neuroscience Advances. 2018;2:2398212818818070.
25. Thiel A, Hartmann A, Rubi-Fessen I, Anglade C, Kracht L, Weiduschat N, et al. Effects of noninvasive brain stimulation on language networks and recovery in early poststroke aphasia. Stroke. 2013;44(8):2240-6.