脑卒中后失语症患者对经颅直流电刺激的接受度如何？一项调查。
Are People With Poststroke Aphasia Receptive to Transcranial Direct Current Stimulation? A Survey.
机构信息
Department of Communication Sciences & Disorders, Louisiana State University, Baton Rouge.
Department of Experimental Statistics, Louisiana State University, Baton Rouge.
出版信息
Am J Speech Lang Pathol. 2022 May 10;31(3):1383-1393. doi: 10.1044/2022_AJSLP-21-00190. Epub 2022 Apr 21.
PURPOSE
The objective of this study was to explore receptiveness of people with poststroke aphasia to receiving transcranial direct current stimulation (tDCS), including preferences for the treatment setting and schedule of tDCS delivery.
METHOD
An online survey was distributed via e-mail, flyers, social media, and online newsletters to reach people with aphasia. Fisher's exact test examined the relationship of self-reported tDCS receptiveness to demographic, clinical, and other factors.
RESULTS
Fifty-seven surveys were returned, and 50 complete surveys were analyzed. Twenty-eight percent of respondents had previously heard of tDCS. Sixty-six percent reported they would receive tDCS if it could help their aphasia, and only 6% reported that they definitely would not. There were statistically significant relationships between being receptive to tDCS and (a) not currently working, (b) being receptive to speech-language therapy, and (c) greater acceptance of potential temporary risks associated with tDCS. Most individuals (73%) who would consider tDCS were equivalently open to receiving it in the clinic or at home, yet the majority (64%) were open to more frequent sessions at home than in the clinic. Most respondents indicated that they would consider having tDCS "forever if it helped" (clinic: 51%; home: 68%).
CONCLUSIONS
This is the first study to query individuals with aphasia about their receptiveness to tDCS outside the context of an intervention study. Responses suggest that a large majority of people with poststroke aphasia might be open to receiving tDCS if it can ameliorate their aphasia. Limitations include the small sample size, which does not adequately represent the broader population of people with aphasia, and that the survey did not provide the level of tDCS education crucial to inform shared decision making and person-centered care. However, future work may benefit from considering the practical implications of research designs (e.g., high intensity treatment outside the home) that may not, in application, be widely acceptable to primary stakeholders.
SUPPLEMENTAL MATERIAL
目的
本研究旨在探讨卒中后失语症患者对经颅直流电刺激（tDCS）的接受程度，包括对治疗环境和 tDCS 传递方案的偏好。
方法
通过电子邮件、传单、社交媒体和在线通讯向失语症患者分发在线调查。Fisher 确切检验分析了自我报告的 tDCS 接受程度与人口统计学、临床和其他因素的关系。
结果
共回收 57 份调查问卷，其中 50 份完整调查问卷被纳入分析。28%的受访者之前听说过 tDCS。66%的受访者表示，如果 tDCS 能帮助他们治疗失语症，他们会接受 tDCS，只有 6%的受访者表示他们肯定不会接受。对 tDCS 的接受程度与（a）未就业、（b）接受言语语言治疗以及（c）对 tDCS 相关潜在临时风险的更大接受程度之间存在显著关系。大多数（73%）愿意考虑 tDCS 的个体对在诊所或家中接受治疗持同等开放态度，但大多数（64%）对在家中接受更频繁的治疗持开放态度。大多数受访者表示，如果 tDCS“有助于”，他们会考虑“永远接受”（诊所：51%；家庭：68%）。
结论
这是首次在干预研究之外询问失语症患者对 tDCS 的接受程度的研究。研究结果表明，大多数卒中后失语症患者如果 tDCS 可以改善他们的失语症，他们可能会接受 tDCS。研究的局限性包括样本量小，无法充分代表更广泛的失语症患者群体，以及调查没有提供对知情决策和以患者为中心的护理至关重要的 tDCS 教育水平。然而，未来的工作可能会受益于考虑研究设计的实际影响（例如，家庭以外的高强度治疗），这些设计在实际应用中可能不会被主要利益相关者广泛接受。
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