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

In 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). The aims of this study were to (i) evaluate the efficacy of the cognitive Virtual Reality Rehabilitation Syste...

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Vydáno v:Frontiers in aging neuroscience Ročník 16; s. 1414593
Hlavní autoři: Manenti, Rosa, Baglio, Francesca, Pagnoni, Ilaria, Gobbi, Elena, Campana, Elena, Alaimo, Cristina, Rossetto, Federica, Di Tella, Sonia, Pagliari, Chiara, Geviti, Andrea, Bonfiglio, Natale Salvatore, Calabrò, Rocco Salvatore, Cimino, Vincenzo, Binetti, Giuliano, Quartarone, Angelo, Bramanti, Placido, Cappa, Stefano F., Rossini, Paolo Maria, Cotelli, Maria
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Frontiers Media S.A 18.06.2024
Témata:
Aging Neuroscience
cognition
MCI
tDCS
telerehabilitation
transcranial direct current stimulation
MCI
cognition
tDCS
telerehabilitation
transcranial direct current stimulation
ISSN:1663-4365, 1663-4365
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Abstract In 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). The 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). An improvement in episodic memory was observed after the end of clinic-atDCS-VRRS (  < 0.001). We found no enhancement in episodic memory after clinic-ptDCS-VRRS or after clinic-TAU.Moreover, the combined treatment led to prolonged beneficial effects (clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-ptDCS-VRRS+Tele@H-VRRS:  = 0.047; clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-VRRS+Tele@H-VRRS:  = 0.06). The present study provides preliminary evidence supporting the use of individualized VRRS combined with anodal tDCS and cognitive telerehabilitation for cognitive rehabilitation. https://clinicaltrials.gov/study/NCT03486704?term=NCT03486704&rank=1, NCT03486704.
AbstractList In 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). The 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). An improvement in episodic memory was observed after the end of clinic-atDCS-VRRS (  < 0.001). We found no enhancement in episodic memory after clinic-ptDCS-VRRS or after clinic-TAU.Moreover, the combined treatment led to prolonged beneficial effects (clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-ptDCS-VRRS+Tele@H-VRRS:  = 0.047; clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-VRRS+Tele@H-VRRS:  = 0.06). The present study provides preliminary evidence supporting the use of individualized VRRS combined with anodal tDCS and cognitive telerehabilitation for cognitive rehabilitation. https://clinicaltrials.gov/study/NCT03486704?term=NCT03486704&rank=1, NCT03486704.
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 < 0.001). We found no enhancement in episodic memory after clinic-ptDCS-VRRS or after clinic-TAU.Moreover, the combined treatment led to prolonged beneficial effects (clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-ptDCS-VRRS+Tele@H-VRRS: p = 0.047; clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-VRRS+Tele@H-VRRS: p = 0.06).DiscussionThe present study provides preliminary evidence supporting the use of individualized VRRS combined with anodal tDCS and cognitive telerehabilitation for cognitive rehabilitation.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT03486704?term=NCT03486704&rank=1, NCT03486704.
In 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).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).The 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).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).An improvement in episodic memory was observed after the end of clinic-atDCS-VRRS (p < 0.001). We found no enhancement in episodic memory after clinic-ptDCS-VRRS or after clinic-TAU.Moreover, the combined treatment led to prolonged beneficial effects (clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-ptDCS-VRRS+Tele@H-VRRS: p = 0.047; clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-VRRS+Tele@H-VRRS: p = 0.06).ResultsAn improvement in episodic memory was observed after the end of clinic-atDCS-VRRS (p < 0.001). We found no enhancement in episodic memory after clinic-ptDCS-VRRS or after clinic-TAU.Moreover, the combined treatment led to prolonged beneficial effects (clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-ptDCS-VRRS+Tele@H-VRRS: p = 0.047; clinic-atDCS-VRRS+Tele@H-VRRS vs. clinic-VRRS+Tele@H-VRRS: p = 0.06).The present study provides preliminary evidence supporting the use of individualized VRRS combined with anodal tDCS and cognitive telerehabilitation for cognitive rehabilitation.DiscussionThe present study provides preliminary evidence supporting the use of individualized VRRS combined with anodal tDCS and cognitive telerehabilitation for cognitive rehabilitation.https://clinicaltrials.gov/study/NCT03486704?term=NCT03486704&rank=1, NCT03486704.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT03486704?term=NCT03486704&rank=1, NCT03486704.
Author Baglio, Francesca
Alaimo, Cristina
Manenti, Rosa
Di Tella, Sonia
Pagliari, Chiara
Bonfiglio, Natale Salvatore
Pagnoni, Ilaria
Rossetto, Federica
Cappa, Stefano F.
Geviti, Andrea
Cimino, Vincenzo
Cotelli, Maria
Campana, Elena
Calabrò, Rocco Salvatore
Rossini, Paolo Maria
Gobbi, Elena
Binetti, Giuliano
Quartarone, Angelo
Bramanti, Placido
AuthorAffiliation 1 Neuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli , Brescia , Italy
7 Università Degli Studi eCAMPUS , Novedrate , Italy
2 IRCCS Fondazione Don Carlo Gnocchi – ONLUS , Milan , Italy
9 IRCCS Fondazione Mondino , Pavia , Italy
3 Department of Psychology, Università Cattolica del Sacro Cuore , Milan , Italy
4 Service of Statistics, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli , Brescia , Italy
5 IRCCS Centro Neurolesi “Bonino Pulejo” , Messina , Italy
8 Istituto Universitario Studi Superiori IUSS , Pavia , Italy
6 MAC Memory Clinic and Molecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli , Brescia , Italy
10 Department Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma , Rome , Italy
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/38966802$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli.
Copyright © 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli. 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli
Copyright_xml – notice: Copyright © 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli.
– notice: Copyright © 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli. 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli
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ISSN 1663-4365
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Tue Nov 04 02:05:28 EST 2025
Fri Sep 05 09:19:57 EDT 2025
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Keywords MCI
cognition
tDCS
telerehabilitation
transcranial direct current stimulation
Language English
License Copyright © 2024 Manenti, Baglio, Pagnoni, Gobbi, Campana, Alaimo, Rossetto, Di Tella, Pagliari, Geviti, Bonfiglio, Calabrò, Cimino, Binetti, Quartarone, Bramanti, Cappa, Rossini and Cotelli.
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Edited by: Antonio Ivano Triggiani, National Institute of Neurological Disorders and Stroke (NIH), United States
Reviewed by: John Dimitrios Papatriantafyllou, Third Age Day-Care Center, IASIS, Greece
Marina Bluma, Karolinska Institutet, Sweden
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crossref_citationtrail_10_3389_fnagi_2024_1414593
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PublicationDate 2024-06-18
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PublicationTitle Frontiers in aging neuroscience
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Snippet In recent years, an increasing number of studies have examined the potential efficacy of cognitive training procedures in individuals with normal ageing and...
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SubjectTerms Aging Neuroscience
cognition
MCI
tDCS
telerehabilitation
transcranial direct current stimulation
Title 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
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