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原发性进行性失语症的家庭经颅直流电刺激:一项试点研究。

Home-Based Transcranial Direct Current Stimulation in Primary Progressive Aphasia: A Pilot Study.

作者信息

Neophytou Kyriaki, Williamson Kelly, Herrmann Olivia, Afthinos Alexandros, Gallegos Jessica, Martin Nadine, Tippett Donna C, Tsapkini Kyrana

机构信息

Department of Neurology, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Phipps 488, Baltimore, MD 21287, USA.

Cooper Medical School of Rowan University, Rowan University, 401 Broadway, Camden, NJ 08103, USA.

出版信息

Brain Sci. 2024 Apr 17;14(4):391. doi: 10.3390/brainsci14040391.


DOI:10.3390/brainsci14040391
PMID:38672040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11048435/
Abstract

BACKGROUND: This study aims to determine (a) if home-based anodal transcranial direct current stimulation (a-tDCS) delivered to the left supramarginal gyrus (SMG) coupled with verbal short-term memory/working memory (vSTM/WM) treatment ("RAM", short for "Repeat After Me") is more effective than sham-tDCS in improving vSTM/WM in patients with primary progressive aphasia (PPA), and (b) whether tDCS effects generalize to other language and cognitive abilities. METHODS: Seven PPA participants received home-based a-tDCS and sham-tDCS coupled with RAM treatment in separate conditions in a double-blind design. The treatment task required participants to repeat word spans comprising semantically and phonologically unrelated words in the same and reverse order. The evaluation of treatment effects was carried out using the same tasks as in the treatment but with different items (near-transfer effects) and tasks that were not directly related to the treatment (far-transfer effects). RESULTS: A-tDCS showed (a) a significant effect in improving vSTM abilities, measured by word span backward, and (b) a generalization of this effect to other language abilities, namely, spelling (both real words and pseudowords) and learning (retention and delayed recall). CONCLUSIONS: These preliminary results indicate that vSTM/WM intervention can improve performance in trained vSTM/WM tasks in patients with PPA, especially when augmented with home-based tDCS over the left SMG.

摘要

背景:本研究旨在确定:(a) 对左侧缘上回 (SMG) 进行家庭式阳极性经颅直流电刺激 (a-tDCS) 并结合言语短期记忆/工作记忆 (vSTM/WM) 治疗(“跟我重复”,简称“RAM”)在改善原发性进行性失语 (PPA) 患者的 vSTM/WM 方面是否比假刺激更有效;以及 (b) tDCS 的效果是否能推广到其他语言和认知能力。 方法:7 名 PPA 参与者在双盲设计下,于不同条件下接受家庭式 a-tDCS 和假刺激,并结合 RAM 治疗。治疗任务要求参与者以相同和相反的顺序重复由语义和语音不相关的单词组成的单词跨度。使用与治疗相同但项目不同的任务(近迁移效应)以及与治疗无直接关联的任务(远迁移效应)来评估治疗效果。 结果:a-tDCS 显示:(a) 在通过倒序单词跨度测量的改善 vSTM 能力方面有显著效果;以及 (b) 这种效果推广到了其他语言能力,即拼写(真实单词和假单词)和学习(记忆和延迟回忆)。 结论:这些初步结果表明,vSTM/WM 干预可以改善 PPA 患者在训练过的 vSTM/WM 任务中的表现,尤其是在左侧 SMG 进行家庭式 tDCS 增强时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/658d/11048435/ddec864a4815/brainsci-14-00391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/658d/11048435/ddec864a4815/brainsci-14-00391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/658d/11048435/ddec864a4815/brainsci-14-00391-g001.jpg

相似文献

[1]
Home-Based Transcranial Direct Current Stimulation in Primary Progressive Aphasia: A Pilot Study.

Brain Sci. 2024-4-17

[2]
Cognitive and language performance predicts effects of spelling intervention and tDCS in Primary Progressive Aphasia.

Cortex. 2020-3

[3]
Non-pharmacological interventions for improving language and communication in people with primary progressive aphasia.

Cochrane Database Syst Rev. 2024-5-29

[4]
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Mol Autism. 2017-7-28

[5]
Transcranial Direct Current Stimulation Paired With Verb Network Strengthening Treatment Improves Verb Naming in Primary Progressive Aphasia: A Case Series.

Am J Speech Lang Pathol. 2022-7-12

[6]
Written Verb Naming Improves After tDCS Over the Left IFG in Primary Progressive Aphasia.

Front Psychol. 2019-6-12

[7]
Augmentation of spelling therapy with transcranial direct current stimulation in primary progressive aphasia: Preliminary results and challenges.

Aphasiology. 2014

[8]
Brain volumes as predictors of tDCS effects in primary progressive aphasia.

Brain Lang. 2019-11-5

[9]
Impact of phonological awareness intervention combined with transcranial direct current stimulation on rapid automatized naming and verbal short term memory in developmental dyslexia: a randomized controlled trial.

Disabil Rehabil. 2025-2-4

[10]
White Matter Integrity Predicts Electrical Stimulation (tDCS) and Language Therapy Effects in Primary Progressive Aphasia.

Neurorehabil Neural Repair. 2021-1

引用本文的文献

[1]
Protocol for a multisite study on the efficacy of transcranial direct current stimulation as an adjuvant to naming and spelling therapy in the treatment of oral and written naming in individuals with primary progressive aphasia.

Front Hum Neurosci. 2025-9-2

[2]
A multi-modal approach for the treatment of non-fluent/agrammatic variant of Primary Progressive Aphasia.

Brain Commun. 2025-9-3

[3]
Efficacy of Transcranial Magnetic Stimulation and Transcranial Direct-Current Stimulation in Primary Progressive Aphasia Treatment: A Review.

Brain Sci. 2025-8-5

[4]
Feasibility of Home-Based Transcranial Direct Current Stimulation with Telerehabilitation in Primary Progressive Aphasia-A Case Series.

Brain Sci. 2025-7-10

[5]
Feasibility of home-based transcranial direct current stimulation combined with personalized word retrieval for improving naming in primary progressive aphasia.

Front Neurol. 2025-2-11

本文引用的文献

[1]
Open Brain AI and language assessment.

Front Hum Neurosci. 2024-8-6

[2]
Case report: the effects of cerebellar tDCS in bilingual post-stroke aphasia.

Front Hum Neurosci. 2023-7-20

[3]
Specificity in Generalization Effects of Transcranial Direct Current Stimulation Over the Left Inferior Frontal Gyrus in Primary Progressive Aphasia.

Neuromodulation. 2023-6

[4]
Treatment of the Linguistic and Temporal Components of Lexical Activation to Improve Word Retrieval in Aphasia.

Front Rehabil Sci. 2022-2-28

[5]
A Systematic Review of Transcranial Direct Current Stimulation in Primary Progressive Aphasia: Methodological Considerations.

Front Aging Neurosci. 2021-10-7

[6]
Personalized Repetitive Transcranial Magnetic Stimulation for Primary Progressive Aphasia.

J Alzheimers Dis. 2021

[7]
Distinct Neural Substrates Support Phonological and Orthographic Working Memory: Implications for Theories of Working Memory.

Front Neurol. 2021-8-4

[8]
Selective Functional Network Changes Following tDCS-Augmented Language Treatment in Primary Progressive Aphasia.

Front Aging Neurosci. 2021-7-12

[9]
White Matter Integrity Predicts Electrical Stimulation (tDCS) and Language Therapy Effects in Primary Progressive Aphasia.

Neurorehabil Neural Repair. 2021-1

[10]
A Tool for Automatic Scoring of Spelling Performance.

J Speech Lang Hear Res. 2020-12-14

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