Evidence map›Paper›PMID 36912144›Full record

Trial reportStroke2023

Transcranial Direct-Current Stimulation in Subacute Aphasia: A Randomized Controlled Trial.

Melissa D Stockbridge, Jordan Elm, Bonnie L Breining, Donna C Tippett, Rajani Sebastian, Christy Cassarly, Abeba Teklehaimanot, Leigh Ann Spell, Shannon M Sheppard, Emilia Vitti and 6 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02674490 (Effects of Transcranial Direct Current Stimulation), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02674490 nacompletednot on this map

Effects of Transcranial Direct Current Stimulation (tDCS) Plus Language Therapy for Naming in Subacute Left Hemisphere Stroke

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2022Enrolled58ConditionsStrokeArmsA-tDCS (1 mA), SALT, Sham
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. tDCS and Speech Therapy in Aphasia Treatment: A Multicenter Comparative Study of Efficacy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Lipid metabolism, microglia, and stroke.Neural regeneration research · 2026
    Article
  10. Acute-Phase Machine Learning Prediction of 12-Month Aphasia and Discourse Recovery.medRxiv : the preprint server for health sciences · 2026
    Article
  11. Article
  12. Review
  13. Cognitive Functions Supporting Learning Over Time in Naming Treatment for Aphasia.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  14. Advances in Neuromodulation Techniques for Aphasia Rehabilitation: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Advances in Stroke Neurorehabilitation.Journal of clinical medicine · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 3 countries.

Melissa D StockbridgeDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0001-9069-1236
Jordan ElmDepartment of Public Health Science, Medical University of South Carolina, Charleston (J.E., C.C., A.T.).ORCID 0000-0002-4893-8474
Bonnie L BreiningDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0001-7197-6164
Donna C TippettDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0001-9485-9745
Rajani SebastianDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0002-1733-6964
Christy CassarlyDepartment of Public Health Science, Medical University of South Carolina, Charleston (J.E., C.C., A.T.).ORCID 0000-0002-0304-9833
Abeba TeklehaimanotDepartment of Public Health Science, Medical University of South Carolina, Charleston (J.E., C.C., A.T.).ORCID 0000-0002-8355-1347
Leigh Ann SpellDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia (L.A.S., L.M.K., J.F.).ORCID 0000-0002-6472-4249
Shannon M SheppardDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0003-4053-8617
Emilia VittiDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).
Kristina RuchDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).
Emily B GoldbergDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0002-2865-7667
Catherine KellyDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0003-0739-3380
Lynsey M KeatorDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia (L.A.S., L.M.K., J.F.).ORCID 0000-0002-9064-6950
Julius FridrikssonDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia (L.A.S., L.M.K., J.F.).
Argye E HillisDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD (M.D.S., B.L.B., D.C.T., R.S., S.M.S., E.V., K.R., E.B.G., C.K., A.E.H.).ORCID 0000-0002-5192-1171
Johns Hopkins University · USMedical University of South Carolina · USUniversity of South Carolina · US

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BONILHA, LEONARDO F · 2016 to 2025
$25.0M
Neural Basis of Lexical Deficits in Hyperacute StrokeR01DC005375 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI Argye E. Hillis · 2002 to 2026
$11.8M
Trans-cranial Direct Current Stimulation to Treat Aphasia: Phase II TrialU01DC011739 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2012 to 2016
$4.4M
The Neural Basis of Impaired Affective Prosody in Alzheimer's Disease and Frontotemporal DegenerationR01DC015466 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI HILLIS, ARGYE E. · 2017 to 2021
$3.5M
State of the Art 3T Research ScannerS10OD021648 · OD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2016 to 2016
$2.0M
NIDCD NIH HHS P50 DC014664NIDCD NIH HHS R01 DC005375NIDCD NIH HHS R01 DC015466NIDCD NIH HHS U01 DC011739NIH HHS S10 OD021648
6 · The paper itself

Abstract

backgroundTranscranial direct-current stimulation (tDCS) is a promising adjunct to therapy for chronic aphasia.

methodsThis single-center, randomized, double-blind, sham-controlled efficacy trial tested the hypothesis that anodal tDCS augments language therapy in subacute aphasia. Secondarily, we compared the effect of tDCS on discourse measures and quality of life and compared the effects on naming to previous findings in chronic stroke. Right-handed English speakers with aphasia <3 months after left hemisphere ischemic stroke were included, unless they had prior neurological or psychiatric disease or injury or were taking certain medications (34 excluded; final sample, 58). Participants were randomized 1:1, controlling for age, aphasia type, and severity, to receive 20 minutes of tDCS (1 mA) or sham-tDCS in addition to fifteen 45-minute sessions of naming treatment (plus standard care). The primary outcome variable was change in naming accuracy of untrained pictures pretreatment to 1-week posttreatment.

resultsBaseline characteristics were similar between the tDCS (N=30) and sham (N=28) groups: patients were 65 years old, 53% male, and 2 months from stroke onset on average. In intent-to-treat analysis, the adjusted mean change from baseline to 1-week posttreatment in picture naming was 22.3 (95% CI, 13.5-31.2) for tDCS and 18.5 (9.6-27.4) for sham and was not significantly different. Content and efficiency of picture description improved more with tDCS than sham. Groups did not differ in quality of life improvement. No patients were withdrawn due to adverse events.

conclusionstDCS did not improve recovery of picture naming but did improve recovery of discourse. Discourse skills are critical to participation. Future research should examine tDCS in a larger sample with richer functional outcomes. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT02674490.

Indexed as

AphasiaStrokeStroke RehabilitationTranscranial Direct Current StimulationAgedDouble-Blind MethodFemaleHumansMaleQuality of Lifeaphasiaelectrical stimulationischemic strokelanguagequality of life

Identifiers

PMID36912144
PMCPMC10050116
OpenAlexW4324017369

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.