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Study aim
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Determining the effect of bihemispheric transcranial direct current stimulation on the verbal function of patients with post-stroke Broca's aphasia during the subacute phase
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Design
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A parallel, randomized, double-blinded, clinical trial with a control group
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Settings and conduct
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Considering the interhemispheric inhibition and neuroplastic changes, the aim of this study is to increase the neuronal excitability of the lesioned hemisphere and decrease it in the contralesional hemisphere, using tDCS. This trial will be performed in the neurology ward of Poursina Hospital, in Rasht, Iran.
Thirty patients with post-stroke Broca's aphasia will be enrolled and randomly divided into 2 groups, receiving eighter active or Sham tDCS.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Incidence of aphasia after ischemic stroke, right-handed, literate (able to read and speak in Persian), able to tolerate the treatment process, P-WAB-1 score less than 92, suffering from aphasia based on P-WAB-1 criteria
Exclusion criteria: hemorrhagic stroke, tdcs contraindications; metal implants, heart pacemaker, Epilepsy, seizures, taking psychoactive drugs, mental illnesses, pregnancy, brain tumors
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Intervention groups
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- Active tDCS (transcranial direct current stimulation)
bihemispheric tDCS with 2 mA intensity will be applied for 20 minutes. Anodal stimulation will be applied to the left hemisphere F5 region.
- Sham tDCS
Both electrodes will be placed as in active group. Current will be applied for 3o seconds (10 seconds ramp-up, 10 seconds 2 mA and 10 seconds ramp-down). The electrodes remain in place for 20 minutes but no current will be applied to asses the placebo effect.
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Main outcome variables
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Improvement of verbal function based on P-WAB-1 score.