Effect of Anodal Transcranial Direct Current Stimulation at the Right Dorsolateral Prefrontal Cortex on the Cognitive Function in Patients With Mild Cognitive Impairment: A Randomized Double-Blind Controlled Trial
Abstract
OBJECTIVES Study the effect of anodal transcranial direct stimulation (atDCS) of the right dorsolateral prefrontal cortex (DLPFC) on cognitive function and side effects in patients with mild cognitive impairment (MCI). STUDY DESIGN Experimental double-blind randomized, sham-controlled trial SETTING: Department of Rehabilitation Medicine, Tertiary Hospital SUBJECTS: Volunteers with MCI METHODS: Participants (45) who met the inclusion criteria were randomly allocated by block randomization into two groups. The atDCS group (23 participants) were stimulated at 2 mA for 20 min with the anode on the right DLPFC and cathode on the left supraorbital area. The control group (22 participants) received placebo stimulation. Baseline cognitive function was assessed by the Cambridge Neuropsychological Test Automated Battery (CANTAB) test. Participants were treated three times per week for four weeks (12 sessions). Cognitive function and side effects were assessed immediately after the first stimulation, the last session and 4 weeks post-treatment. RESULTS CANTAB results revealed a significant improvement in the accuracy of the visual sustained attention (VSA) in the atDCS group at all three time points, the spatial working memory (SWM) and visual memory (VM) immediately after the first stimulation and a decreased VM reaction time after 12 sessions. Long lasting effect on VSA and VM were found 4 weeks post-treatment. CONCLUSION Anodal tDCS over the right DLPFC enhanced the VSA, SWM and VM a…
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Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiglioni, L., Wahlund, L. ‐., Nordberg, A., Bäckman, L., Albert, M., Almkvist, O., et al. (2004) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2004.01380.x · Cited by 4,946 · see citing works
Gandiga, P., Hummel, F., & Cohen, L. (2006) · Clinical Neurophysiology · doi:10.1016/j.clinph.2005.12.003 · Cited by 1,721 · see citing works
Hemispheric encoding/retrieval asymmetry in episodic memory: positron emission tomography findings.
Tulving, E., Kapur, S., Craik, F. I. M., Moscovitch, M., & Houle, S. (1994) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.91.6.2016 · Cited by 1,597 · see citing works
Safety of Transcranial Direct Current Stimulation: Evidence Based Update 2016
Bikson, M., Grossman, P., Thomas, C., Zannou, A. L., Jiang, J., Adnan, T., Mourdoukoutas, A. P., Kronberg, G., Truong, D. Q., Boggio, P. S., et al. (2016) · Brain stimulation · doi:10.1016/j.brs.2016.06.004 · Cited by 1,418 · see citing works
Safety aspects of transcranial direct current stimulation concerning healthy subjects and patients
Poreisz, C., Boros, K., Antal, A., & Paulus, W. (2007) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2007.01.004 · Cited by 1,097 · see citing works
Robbins, T. W., James, M., Owen, A. M., Sahakian, B. J., McInnes, L., & Rabbitt, P. (1994) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000106735 · Cited by 1,078 · see citing works
Portet, F. (2006) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.2005.085332 · Cited by 652 · see citing works
Transcranial direct current stimulation – update 2011
Nitsche, M. A., & Paulus, W. (2011) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-2011-0618 · Cited by 544 · see citing works
Transcranial direct current stimulation improves recognition memory in Alzheimer disease
Ferrucci, R., Mameli, F., Guidi, I., Mrakic‐Sposta, S., Vergari, M., Marceglia, S. R. F., Cogiamanian, F. M., Barbieri, S., Scarpini, E. A., & Priori, A. (2008) · Neurology · doi:10.1212/01.wnl.0000317060.43722.a3 · Cited by 457 · see citing works
Effects of transcranial direct current stimulation (tDCS) on human regional cerebral blood flow
Zheng, X., Alsop, D. C., & Schlaug, G. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.06.018 · Cited by 368 · see citing works
Hsu, W., Ku, Y., Zanto, T. P., & Gazzaley, A. H. (2015) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2015.04.016 · Cited by 333 · see citing works
Prolonged visual memory enhancement after direct current stimulation in Alzheimer’s disease
Boggio, P. S., Ferrucci, R., Mameli, F., Martins, D., Martins, O., Vergari, M., Tadini, L., Scarpini, E., Fregni, F., & Priori, A. (2012) · Brain stimulation · doi:10.1016/j.brs.2011.06.006 · Cited by 315 · see citing works
Krause, B., Márquez-Ruiz, J., & Kadosh, R. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00602 · Cited by 272 · see citing works
Martin, D. M., Liu, R., Alonzo, A., Green, M. J., & Loo, C. K. A. (2014) · Experimental Brain Research · doi:10.1007/s00221-014-4022-x · Cited by 257 · see citing works
The Uncertain Outcome of Prefrontal tDCS
Tremblay, S., Lepage, J., Latulipe-Loiselle, A., Fregni, F., Pascual‐Leone, Á., & Théoret, H. (2014) · Brain stimulation · doi:10.1016/j.brs.2014.10.003 · Cited by 239 · see citing works
Treatment for mild cognitive impairment: systematic review
Cooper, C., Li, R., Lyketsos, C. G., & Livingston, G. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.127811 · Cited by 229 · see citing works
Martin, D. M., Liu, R., Alonzo, A., Green, M., Player, M. J., Sachdev, P., & Loo, C. K. (2013) · International Journal of Neuropsychopharmacology · doi:10.1017/s1461145713000539 · Cited by 218 · see citing works
Non-invasive brain stimulation in neurorehabilitation: local and distant effects for motor recovery
Liew, S., Santarnecchi, E., Buch, E. R., & Cohen, L. G. (2014) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2014.00378 · Cited by 209 · see citing works
Rapp, M. A., & Reischies, F. M. (2005) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200502000-00007 · Cited by 206 · see citing works
Palm, U., Reisinger, E., Keeser, D., Kuo, M., Pogarell, O. M., Leicht, G., Mulert, C., Nitsche, M. A., & Padberg, F. (2013) · Brain stimulation · doi:10.1016/j.brs.2013.01.005 · Cited by 204 · see citing works
Meinzer, M., Lindenberg, R., Phan, M. T., Ulm, L., Volk, C., & Flöel, A. (2015) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2014.07.159 · Cited by 187 · see citing works
Conversion to dementia from mild cognitive disorder
Tschanz, J. T., Welsh-Bohmer, K. A., Lyketsos, C. G., Corcoran, C. M., Green, R. C., Hayden, K. M., Norton, M. C., Zandi, P. P., Toone, L., West, N. A., et al. (2006) · Neurology · doi:10.1212/01.wnl.0000224748.48011.84 · Cited by 181 · see citing works
Cho, S. S., Ko, J. H., Pellecchia, G., Van Eimeren, T., Cilia, R., & Strafella, A. P. (2010) · Brain Stimulation · doi:10.1016/j.brs.2009.10.002 · Cited by 179 · see citing works
Elder, G. J., & Taylor, J. (2014) · Alzheimer s Research & Therapy · doi:10.1186/s13195-014-0074-1 · Cited by 165 · see citing works
Ghanavati, E., Salehinejad, M. A., Nejati, V., & Nitsche, M. A. (2019) · Scientific Reports · doi:10.1038/s41598-019-40273-7 · Cited by 98 · see citing works
Turi, Z., Csifcsák, G., Boayue, N. M., Aslaksen, P. M., Antal, A., Paulus, W., Groot, J. M., Hawkins, G. E., Forstmann, B. U., Opitz, A., et al. (2019) · European Journal of Neuroscience · doi:10.1111/ejn.14403 · Cited by 97 · see citing works
Wallace, D. R., Cooper, N. R., Paulmann, S., Fitzgerald, P. B., & Russo, R. (2016) · PLoS ONE · doi:10.1371/journal.pone.0149703 · Cited by 91 · see citing works
Yun, K., Song, I., & Chung, Y. (2016) · Alzheimer s Research & Therapy · doi:10.1186/s13195-016-0218-6 · Cited by 88 · see citing works
Greinacher, R., Buhôt, L., Möller, L., & Learmonth, G. (2019) · European Journal of Neuroscience · doi:10.1111/ejn.14497 · Cited by 71 · see citing works
Park, S.-H., Koh, E., Choi, H., & Ko, M.-H. (2013) · Journal of Korean Neurosurgical Society · doi:10.3340/jkns.2013.54.6.484 · Cited by 68 · see citing works
Fehring, D. J., Illipparampil, R., Acevedo, N., Jaberzadeh, S., Fitzgerald, P. B., & Mansouri, F. A. (2019) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2019.05.011 · Cited by 31 · see citing works
Wang, S., & Ku, Y. (2018) · Acta Psychologica Sinica · doi:10.3724/sp.j.1041.2018.00727 · Cited by 17 · see citing works
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Research works printed but not linked: 2
- 1993, Thai Mental State Examination (TMSE), Siriraj Hosp Gaz, 45, 661
- Tangwongchai, 2009, The validity of Thai version of the Montreal Cognitive Assessment (MoCA-T), Dement Neuropsychol, 3, 172
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- Authors
- Stonsaovapak, C., Hemrungroj, S., Terachinda, P., & Piravej, K.
- Affiliations
- King Chulalongkorn Memorial Hospital (TH)
- Chulalongkorn University (TH)
- Corresponding author
- Piravej, Krisna
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 101
- Issue
- 8
- Pages
- 1279-1287
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W3023396093
- Semantic Scholar
- ce97f3039a0989c32565e398792edfead8ded692
- Cited by
- 33
- References
- 32
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Chulalongkorn University (RA 58/095)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- anodal tDCS, dorsolateral prefrontal cortex, mild cognitive impairment, cognitive function, spatial working memory, visual memory, reaction time, non-invasive brain stimulation
- MeSH terms
- Aged, Cognition, Double-Blind Method, Electrodes, Female, Humans, Male, Memory, Short-Term, Middle Aged, Neuropsychological Tests, Reaction Time, Prefrontal Cortex, Cognitive Dysfunction, Spatial Memory, Transcranial Direct Current Stimulation
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