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@ARTICLE{Rysop:280253,
author = {Rysop, Anna Uta and Grewe, Tanja and Breitenstein, Caterina
and Binkofski, Ferdinand and Roheger, Mandy and Unger, Nina
and Flöel, Agnes and Meinzer, Marcus},
title = {{F}easibility of {H}ome-{B}ased {T}ranscranial {D}irect
{C}urrent {S}timulation with {T}elerehabilitation in
{P}rimary {P}rogressive {A}phasia-{A} {C}ase {S}eries.},
journal = {Brain Sciences},
volume = {15},
number = {7},
issn = {2076-3425},
address = {Basel},
publisher = {MDPI AG},
reportid = {DZNE-2025-00931},
pages = {742},
year = {2025},
abstract = {Background: Primary progressive aphasia (PPA) is a
neurodegenerative disease characterised by progressive
impairment of speech and language abilities. Intensive
speech and language teletherapy combined with remotely
supervised, self-administered transcranial direct current
stimulation (tDCS) may be suited to remove barriers to
accessing potentially effective treatments, but there is
only limited evidence on the feasibility of this combined
approach. Methods: This pilot case series investigated the
feasibility, tolerability and preliminary efficacy of a
novel telerehabilitation programme combined with home-based,
self-administered tDCS for people with primary progressive
aphasia (pwPPA). The intervention programme was co-developed
with pwPPA and their caregivers, to reflect their priorities
regarding treatment content and outcomes (i.e., naming,
functional communication). Results: Two pwPPA successfully
completed the telerehabilitation intervention with daily
naming training and communicative-pragmatic therapy paired
with tDCS, over 10 consecutive workdays. Caregivers assisted
in the setup of equipment required for teletherapy and
home-based tDCS. Participants successfully completed the
programme with a $95\%$ completion rate. Home-based tDCS was
well tolerated. Both participants showed improvements in
naming and communication, suggesting preliminary efficacy of
the intervention. Conclusions: Overall, this study
demonstrates the feasibility and potential benefit of a
novel, easily accessible and patient-relevant
telerehabilitation intervention for pwPPA, which requires
confirmation in a future larger-scale exploratory trial.},
keywords = {feasibility (Other) / home-based transcranial direct
current stimulation (Other) / primary progressive aphasia
(Other) / safety (Other) / telerehabilitation (Other) /
tolerability (Other)},
cin = {AG Flöel},
ddc = {570},
cid = {I:(DE-2719)5000081},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40722333},
pmc = {pmc:PMC12293336},
doi = {10.3390/brainsci15070742},
url = {https://pub.dzne.de/record/280253},
}