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Transcranial direct current stimulation can enhance working memory in Huntington's disease.

作者信息

Eddy Clare M, Shapiro Kimron, Clouter Andrew, Hansen Peter C, Rickards Hugh E

机构信息

National Centre for Mental Health, BSMHFT, Birmingham and College of Medical and Dental Sciences, University of Birmingham, UK.

School of Psychology, College of Life and Environmental Sciences, University of Birmingham, UK.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2017 Jul 3;77:75-82. doi: 10.1016/j.pnpbp.2017.04.002. Epub 2017 Apr 5.


DOI:10.1016/j.pnpbp.2017.04.002
PMID:28390970
Abstract

UNLABELLED: Transcranial direct current stimulation (tDCS) combined with a cognitive task can enhance targeted aspects of cognitive functioning in clinical populations. The movement disorder Huntington's disease (HD) is associated with progressive cognitive impairment. Deficits in working memory (WM) can be apparent early in the disease and impact functional capacity. We investigated whether tDCS combined with cognitive training could improve WM in patients with HD, and if baseline clinical or cognitive measures may predict efficacy. Twenty participants with HD completed this crossover trial, undergoing 1.5mA anodal tDCS over left dorsolateral prefrontal cortex and sham stimulation on separate visits. Participants and assessor were blinded to condition order, which was randomised across participants. All participants completed baseline clinical and cognitive assessments. Pre- and post-stimulation tasks included digit reordering, computerised n-back tests and a Stroop task. During 15min of tDCS/sham stimulation, participants practiced 1- and 2-back WM tasks. Participants exhibited an increase in WM span on the digit re-ordering span task from pre- to post-stimulation after tDCS, but not after sham stimulation. Gains in WM were positively related to motor symptom ratings and negatively associated with verbal fluency scores. Patients with more severe motor symptoms showed greatest improvement, suggesting that motor symptom ratings may help identify patients who are most likely to benefit from tDCS. CONCLUSIONS: Dorsolateral prefrontal tDCS appears well tolerated in HD and enhances WM span compared to sham stimulation. Our findings strongly encourage further investigation of the extent to which tDCS combined with cognitive training could enhance everyday function in HD. ClinicalTrials.gov; NCT02216474 Brain stimulation in Movement Disorders; https://clinicaltrials.gov/ct2/show/NCT02216474.

摘要

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引用本文的文献

[1]
Evidence-Based Review on Symptomatic Management of Huntington's Disease.

J Mov Disord. 2024-10

[2]
Clinical neurophysiology in the treatment of movement disorders: IFCN handbook chapter.

Clin Neurophysiol. 2024-8

[3]
The Role of Innovation Technology in the Rehabilitation of Patients Affected by Huntington's Disease: A Scoping Review.

Biomedicines. 2023-12-22

[4]
Non-Invasive Neuromodulation Methods to Alleviate Symptoms of Huntington's Disease: A Systematic Review of the Literature.

J Clin Med. 2023-3-2

[5]
New Methods, Old Brains-A Systematic Review on the Effects of tDCS on the Cognition of Elderly People.

Front Hum Neurosci. 2021-10-27

[6]
Transcranial magnetic stimulation in animal models of neurodegeneration.

Neural Regen Res. 2022-2

[7]
Cerebellar Direct Current Stimulation (ctDCS) in the Treatment of Huntington's Disease: A Pilot Study and a Short Review of the Literature.

Front Neurol. 2020-12-3

[8]
Investigating the effects of tDCS on Visual Orientation Discrimination Task Performance: 'The possible influence of placebo'.

J Cogn Enhanc. 2020-9

[9]
Non-invasive Transcranial Electrical Stimulation in Movement Disorders.

Front Neurosci. 2020-6-5

[10]
Transcranial direct-current stimulation combined with attention increases cortical excitability and improves motor learning in healthy volunteers.

J Neuroeng Rehabil. 2020-2-19

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