Long-lasting improvements in episodic memory among subjects with mild cognitive impairment who received transcranial direct current stimulation combined with cognitive treatment and telerehabilitation: a multicentre, randomized, active-controlled study

Autor: Rosa Manenti, Francesca Baglio, Ilaria Pagnoni, Elena Gobbi, Elena Campana, Cristina Alaimo, Federica Rossetto, Sonia Di Tella, Chiara Pagliari, Andrea Geviti, Natale Salvatore Bonfiglio, Rocco Salvatore Calabrò, Vincenzo Cimino, Giuliano Binetti, Angelo Quartarone, Placido Bramanti, Stefano F. Cappa, Paolo Maria Rossini, Maria Cotelli
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Aging Neuroscience, Vol 16 (2024)
Druh dokumentu: article
ISSN: 1663-4365
DOI: 10.3389/fnagi.2024.1414593
Popis: BackgroundIn recent years, an increasing number of studies have examined the potential efficacy of cognitive training procedures in individuals with normal ageing and mild cognitive impairment (MCI).ObjectiveThe aims of this study were to (i) evaluate the efficacy of the cognitive Virtual Reality Rehabilitation System (VRRS) combined with anodal transcranial direct current stimulation (tDCS) applied to the left dorsolateral prefrontal cortex compared to placebo tDCS stimulation combined with VRRS and (ii) to determine how to prolong the beneficial effects of the treatment. A total of 109 subjects with MCI were assigned to 1 of 5 study groups in a randomized controlled trial design: (a) face-to-face (FTF) VRRS during anodal tDCS followed by cognitive telerehabilitation (TR) (clinic-atDCS-VRRS+Tele@H-VRRS); (b) FTF VRRS during placebo tDCS followed by TR (clinic-ptDCS-VRRS+Tele@H-VRRS); (c) FTF VRRS followed by cognitive TR (clinic-VRRS+Tele@H-VRRS); (d) FTF VRRS followed by at-home unstructured cognitive stimulation (clinic-VRRS+@H-UCS); and (e) FTF cognitive treatment as usual (clinic-TAU).ResultsAn improvement in episodic memory was observed after the end of clinic-atDCS-VRRS (p
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