Dear Users
This afternoon (YNiC open plan from 4.30 pm) there will be two internal
project proposal presentations:
1) Gary Lewis
"Neuroanatomical correlates of social attitudes and personality"
2) Beth Jefferies and Glyn Hallam
"Rehabilitation of comprehension deficits after stroke"
Abstract
"Direct current stimulation (tDCS) shows great promise as a method of
stroke rehabilitation yet most research to date has focused on the motor
domain. This project examines the remediation of multimodal
comprehension impairments in aphasia using tDCS and cognitive training,
building on our recent findings that such patients retain their
conceptual knowledge but have difficulty shaping semantic retrieval
according to the current goals or context. This motivates the use of
training tasks designed to increase the flexibility of semantic
processing, combined with tDCS to encourage reorganisation of brain
function.
There are two phases to the project:
(i) We will explore the impact of a single session of anodal or sham
tDCS on a semantic classification task (deciding which words could
belong with a thematic category, such as 'picnic'). We will adjust the
speed of presentation for each individual such that accuracy is around
70%, providing good sensitivity to any effects of stimulation. Before
taking part, participants will have an fMRI session to acquire a full
structural scan, DTI data and fMRI of a sentence listening paradigm
using ISSS. This will allow us to place the electrode over structurally
intact and (potentially) functioning brain tissue. In subsequent
investigations, we could explore the effect of single-shot tDCS on the
data fMRI (by comparing activity following sham and anodal stimulation
outside the scanner) and/or compare different electrode sites (i.e.,
targeting perilesional tissue in left prefrontal cortex vs.
functionally-connected regions in pMTG).
(ii) We then plan a larger scale tDCS study using a cross-over design to
compare the effect of (i) training with anodal stimulation and (ii)
training with sham. We will use a double-baseline method to ensure
participants show stable performance before each intervention. The order
of the interventions will be counterbalanced, and comparison between the
stable baseline and sham+training will allow us to evaluate the effect
of cognitive training alone, in the absence of tDCS.
This project will establish: (1) the locations and protocols for tDCS
that are most effective for improving comprehension, (2) whether the
positive effects of tDCS can be bolstered by concurrent cognitive
training, (3) if the benefits of tDCS plus training on one task will
generalise to other control-demanding tasks, (4) the duration of tDCS
effects via a six-month follow-up study, and (5) the relationship
between lesion location and semantic/executive control impairment, via
analyses of behavioural and MRI data in a large cohort of stroke
survivors. These studies will develop and evaluate an alternative
therapeutic approach to comprehension deficits, with the potential to
benefit many stroke survivors."
Everyone is welcome to attend and refreshments will be provided afterwards.
Best wishes
Rebecca
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Dr. Rebecca E. Millman
Science Liaison Officer
York Neuroimaging Centre
The Biocentre
York Science Park
Heslington
YO10 5DG
Tel: +44 (0) 1904 567614
Fax: +44 (0) 1904 435356
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