Jeon Seo Young, Han Soo Jeong
Department of Rehabilitation Medicine, School of Medicine, Ewha Womans University, Seoul 158-710, Korea.
Ann Rehabil Med. 2012 Oct;36(5):585-95. doi: 10.5535/arm.2012.36.5.585. Epub 2012 Oct 31.
OBJECTIVE: To investigate the effects of transcranial direct current stimulation (tDCS) applied over the prefrontal cortex on the improvement of verbal, visuospatial working memory and naming in healthy adults. METHOD: Thirty two healthy adults (15 males and 17 females, mean age 37.3±13.0 years) were enrolled in this study. The subjects were divided into four groups randomly. They underwent sham or anodal tDCS over the left or right prefrontal cortex, for 20 minutes at a direct current of 1 mA. Before and immediately after tDCS, the subjects performed the Korean version of the mini-mental state exam (K-MMSE) and stroop test (color/word/interference) for the screening of cognitive function. For working memory and language evaluation, the digit span test (forward/backward), the visuospatial attention test in computer assisted cognitive program (CogPack®) and the Korean-Boston Naming Test (K-BNT) were assessed before tDCS, immediately after tDCS, and 2 weeks after tDCS. RESULTS: The stroop test (word/interference), backward digit span test and K-BNT were improved in the left prefrontal tDCS group compared with that of the sham group (p<0.05). The stroop test (interference) and visuospatial attention test were in the right prefrontal tDCS group compared with that of the sham group (p<0.05). Their improvement lasted for 2 weeks after stimulation. CONCLUSION: tDCS can induce verbal working memory improvement and naming facilitation by stimulating the left prefrontal cortex. It can also improve the visuospatial working memory by stimulating the right prefrontal cortex. Further studies which are lesion and symptom specific tDCS treatment for rehabilitation of stroke can be carried out.
目的:探讨经颅直流电刺激(tDCS)作用于前额叶皮质对健康成年人言语、视觉空间工作记忆及命名能力改善的影响。 方法:32名健康成年人(15名男性和17名女性,平均年龄37.3±13.0岁)纳入本研究。受试者被随机分为四组。他们在左侧或右侧前额叶皮质接受假刺激或阳极tDCS,以1 mA的直流电刺激20分钟。在tDCS之前和之后即刻,受试者进行韩国版简易精神状态检查(K-MMSE)和斯特鲁普测试(颜色/单词/干扰)以筛查认知功能。对于工作记忆和语言评估,在tDCS之前、之后即刻以及tDCS后2周评估数字广度测试(顺背/倒背)、计算机辅助认知程序(CogPack®)中的视觉空间注意力测试以及韩国波士顿命名测试(K-BNT)。 结果:与假刺激组相比,左侧前额叶tDCS组的斯特鲁普测试(单词/干扰)、倒背数字广度测试和K-BNT有所改善(p<0.05)。与假刺激组相比,右侧前额叶tDCS组的斯特鲁普测试(干扰)和视觉空间注意力测试有所改善(p<0.05)。刺激后其改善持续2周。 结论:tDCS通过刺激左侧前额叶皮质可诱导言语工作记忆改善和命名促进。它还可通过刺激右侧前额叶皮质改善视觉空间工作记忆。可开展针对中风康复的病变和症状特异性tDCS治疗的进一步研究。
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