Department of Developmental Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain.
Department of Methodology, Faculty of Psychology, University of Valencia, Valencia, Spain.
J Alzheimers Dis. 2023;96(4):1685-1693. doi: 10.3233/JAD-230826.
Alzheimer's disease (AD) stands as the prevailing type of dementia, marked by gradual memory loss and cognitive decline. Transcranial direct current stimulation (tDCS) is a non-invasive method used to regulate cortical brain function and has been explored as a potential treatment for cognitive impairment.
This study aimed to compare the effects of daily home-based active or sham tDCS on cognitive function in patients with early-stage AD and its follow-up after one month.
The study involved a randomized, blinded, and controlled-placebo design, with 18 participants enrolled. The primary outcome measures were general cognitive function, immediate, and delayed recall, and executive function. Participants included in the study were randomly assigned to the anodal and sham tDCS groups. Participants were assessed before and after the intervention and one month after the end of treatment. The home-based intervention was applied for 5 consecutive days, daily.
The results showed a significant interaction between the active and sham groups; in particular, improvements in MMSE scores, immediate memory and delayed recall were observed at one-month follow-up in the active group.
The positive effects of tDCS on cognitive function in AD patients observed suggest that tDCS may induce long-term neuroplastic changes, leading to sustained improvements in cognitive abilities.
阿尔茨海默病(AD)是最常见的痴呆类型,其特征是逐渐出现记忆丧失和认知能力下降。经颅直流电刺激(tDCS)是一种非侵入性方法,用于调节皮质脑功能,已被探索作为认知障碍的潜在治疗方法。
本研究旨在比较每日家庭使用主动或假 tDCS 对早期 AD 患者认知功能的影响及其一个月后的随访。
该研究采用随机、双盲、安慰剂对照设计,纳入 18 名参与者。主要结局指标为一般认知功能、即刻和延迟回忆以及执行功能。研究参与者被随机分配到阳极和假 tDCS 组。参与者在干预前后以及治疗结束后一个月进行评估。家庭干预每天进行 5 天连续治疗。
结果显示主动和假组之间存在显著的交互作用;特别是在主动组中,在一个月的随访时观察到 MMSE 评分、即刻记忆和延迟回忆的改善。
tDCS 对 AD 患者认知功能的积极影响表明,tDCS 可能诱导长期的神经可塑性变化,从而持续改善认知能力。