The University of Queensland.
Charité University Medicine, Berlin, Germany.
J Cogn Neurosci. 2017 Nov;29(11):1817-1828. doi: 10.1162/jocn_a_01166. Epub 2017 Jul 14.
Transcranial direct current stimulation (tDCS) may be a viable tool to improve motor and cognitive function in advanced age. However, although a number of studies have demonstrated improved cognitive performance in older adults, other studies have failed to show restorative effects. The neural effects of beneficial stimulation response in both age groups is lacking. In the current study, tDCS was administered during simultaneous fMRI in 42 healthy young and older participants. Semantic word generation and motor speech baseline tasks were used to investigate behavioral and neural effects of uni- and bihemispheric motor cortex tDCS in a three-way, crossover, sham tDCS controlled design. Independent components analysis assessed differences in task-related activity between the two age groups and tDCS effects at the network level. We also explored whether laterality of language network organization was effected by tDCS. Behaviorally, both active tDCS conditions significantly improved semantic word retrieval performance in young and older adults and were comparable between groups and stimulation conditions. Network-level tDCS effects were identified in the ventral and dorsal anterior cingulate networks in the combined sample during semantic fluency and motor speech tasks. In addition, a shift toward enhanced left laterality was identified in the older adults for both active stimulation conditions. Thus, tDCS results in common network-level modulations and behavioral improvements for both age groups, with an additional effect of increasing left laterality in older adults.
经颅直流电刺激(tDCS)可能是一种改善高龄人群运动和认知功能的有效工具。然而,尽管许多研究表明 tDCS 可改善老年人的认知表现,但其他研究并未显示出恢复作用。在这两个年龄组中,有益刺激反应的神经效应尚不清楚。在目前的研究中,在 42 名健康的年轻和老年参与者进行功能磁共振成像的同时给予 tDCS。使用语义词汇生成和运动言语基线任务,在三向、交叉、假 tDCS 对照设计中,研究单、双半球运动皮层 tDCS 对行为和神经的影响。独立成分分析评估了两个年龄组之间与任务相关的活动差异以及网络水平的 tDCS 效应。我们还探讨了语言网络组织的偏侧性是否受 tDCS 的影响。行为上,两种主动 tDCS 条件均显著改善了年轻和老年成年人的语义词汇检索表现,且组间和刺激条件之间具有可比性。在联合样本中,在语义流畅性和运动言语任务期间,在腹侧和背侧前扣带网络中识别到网络水平的 tDCS 效应。此外,对于两种主动刺激条件,老年人的左侧偏侧性均增强。因此,tDCS 可引起两个年龄组的共同网络水平调节和行为改善,并且在老年人中还会增加左侧偏侧性。
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