Effects of transcranial direct current stimulation on different cognitive domains in Alzheimer's disease: a meta-study.

Xintong Li, Yue Dou, Bin Xiao, Yuming Chen
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Abstract

Background: Numerous studies have investigated the potential effects of transcranial direct current stimulation (tDCS) on improving symptoms related to Alzheimer's disease (AD). However, these studies have produced inconsistent results, leading to a need for further investigation.

Methods: A comprehensive search was conducted, including articles published from the initial availability date to 5 April 2024. The extracted study data were analyzed using STATA 12.0 software. The standard mean difference (SMD) and a 95% confidence interval (CI) were calculated to assess the effects of tDCS.

Results: A total of 18 studies assessing the effects of tDCS on AD were included in the study. The study revealed that tDCS has an immediate positive impact on general cognitive, executive, language, and visuospatial function. However, the study did not observe any other significant effect of tDCS treatment on improvements in brain function, including long-term effects on general cognitive, attention, language, and memory function, as well as immediate effects on attention and memory function.

Conclusions: In conclusion, the study suggests that tDCS may be a promising intervention for improving the cognitive function of patients with AD. However, given the complex and multifactorial nature of AD, further well-designed studies with larger sample sizes are necessary to clarify the effectiveness of tDCS and determine the optimal combination of tDCS parameters.

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经颅直流电刺激对阿尔茨海默病不同认知领域的影响:一项荟萃研究。
背景:许多研究调查了经颅直流电刺激(tDCS)对改善阿尔茨海默病(AD)相关症状的潜在作用。然而,这些研究的结果并不一致,因此需要进一步调查:方法:进行了一次全面检索,包括从最初可用日期到 2024 年 4 月 5 日发表的文章。提取的研究数据使用 STATA 12.0 软件进行分析。计算标准平均差(SMD)和 95% 置信区间(CI)来评估 tDCS 的效果:研究共纳入了 18 项评估 tDCS 对注意力缺失症影响的研究。研究显示,tDCS 对一般认知、执行、语言和视觉空间功能有立竿见影的积极影响。然而,研究并未观察到 tDCS 治疗对大脑功能改善的其他显著影响,包括对一般认知、注意力、语言和记忆功能的长期影响,以及对注意力和记忆功能的即时影响:总之,该研究表明,tDCS 可能是一种有希望改善注意力缺失症患者认知功能的干预方法。然而,鉴于注意力缺失症的复杂性和多因素性,有必要进一步开展设计合理、样本量更大的研究,以明确 tDCS 的有效性,并确定 tDCS 参数的最佳组合。
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