Changing Their Minds: Enhancing Poststroke Occupational Performance Using Transcranial Direct Current Stimulation

Heather T. PetersDivision of Occupational Therapy, The Ohio State University, Columbus, Ohio, USA;B.R.A.I.N. Laboratory (Better Rehabilitation and Assessment for Improved Neuro-recovery), Ohio State University, Columbus, Ohio, USACorrespondence[email protected]

Lorie RichardsOccupational Therapy, University of Utah, Salt Lake City, Utah, USA

Brittani A. BasobasDivision of Occupational Therapy, The Ohio State University, Columbus, Ohio, USA;B.R.A.I.N. Laboratory (Better Rehabilitation and Assessment for Improved Neuro-recovery), Ohio State University, Columbus, Ohio, USA

Julie M. FaietaDivision of Occupational Therapy, The Ohio State University, Columbus, Ohio, USA;B.R.A.I.N. Laboratory (Better Rehabilitation and Assessment for Improved Neuro-recovery), Ohio State University, Columbus, Ohio, USA

Stephen J. PageDivision of Occupational Therapy, The Ohio State University, Columbus, Ohio, USA;B.R.A.I.N. Laboratory (Better Rehabilitation and Assessment for Improved Neuro-recovery), Ohio State University, Columbus, Ohio, USA

ABSTRACT

Stroke remains a leading cause of disability, with survivors experiencing long-term decrements in independence and quality of life. Occupational therapists (OTs) employ numerous neurorehabilitative treatment approaches to remediate impairments that are impeding performance. OTs also use physical agent modalities to facilitate increased participation and success in therapy. One such modality is transcranial direct current stimulation (tDCS), a form a noninvasive brain stimulation that can be overlaid onto task practice and delivers a constant, low intensity current into the brain. tDCS is safe, portable, and efficacious in remediating a variety of deficits, yet is not consistently incorporated into clinical practice. The authors discuss the mechanisms, safety, evidence, and potential applications of tDCS to enhance outcomes for this growing population.

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