Neophytou Kyriaki, Williamson Kelly, Herrmann Olivia, Afthinos Alexandros, Gallegos Jessica, Martin Nadine, Tippett Donna C, Tsapkini Kyrana
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.
Brain Sci. 2024 Apr 17;14(4):391. doi: 10.3390/brainsci14040391.
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.
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。
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