The Effects of Transcranial ‎Direct Current Stimulation Over the Dorsolateral Prefrontal Cortex ‎on Cognitive Dysfunction in Alzheimer’s Disease: A Narrative Review

Fatemeh Rahimi Shourmasti, Mehdi Khodamoradi, Seyedeh Masoumeh Seyedhosseini Tamijani, Raheleh Rafaiee, Carlos Augusto Carvalho de Vasconcelos, H. Mohammadi, Saba Niknamfar, H. Ghazvini
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Abstract

Context: Patients with mild cognitive impairment (MCI) and Alzheimer’s disease (AD) are more likely to suffer from cognitive dysfunction due to dementia. Transcranial direct current stimulation (tDCS) as a non-invasive treatment strategy has been used as an efficient strategy to improve cognitive function. Evidence Acquisition: Several studies investigating tDCS over the dorsolateral prefrontal cortex (dlPFC) were reviewed. Results: Most of these studies have targeted the left dlPFC, indicating that tDCS over the dlPFC can improve cognitive function, such as memory, visual recognition, attention, decision-making, and cognitive decline. However, there are still many unanswered questions about the effect of tDCS over the dlPFC on the connectivity of this brain region as a key node for cognitive function. Meanwhile, further research should be conducted to elucidate the effects of tDCS over the dlPFC on brain connectivity and AD biomarkers. In addition, more investigations should be conducted to identify the exact mechanisms affecting dlPFC stimulation on cognitive dysfunction in AD patients. Conclusions: Based on the results, tDCS over the DlPFC could improve cognitive function in AD patients.
经颅直流电刺激前额叶背外侧皮层对阿尔茨海默病认知功能障碍的影响:叙述性综述
背景:轻度认知障碍(MCI)和阿尔茨海默病(AD)患者更容易因痴呆而出现认知功能障碍。经颅直流电刺激(tDCS)作为一种无创治疗策略已被用作改善认知功能的有效策略。证据获取:几项研究调查tDCS在背外侧前额叶皮层(dlPFC)。结果:这些研究大多针对的是左侧dlPFC,表明tDCS在dlPFC上可以改善认知功能,如记忆、视觉识别、注意力、决策和认知衰退。然而,tDCS对dlPFC作为认知功能关键节点的大脑区域的连通性的影响仍有许多未解之谜。同时,还需要进一步研究tDCS对dlPFC的脑连通性和AD生物标志物的影响。此外,还需要进行更多的研究来确定刺激dlPFC对AD患者认知功能障碍的确切机制。结论:基于上述结果,tDCS优于DlPFC可改善AD患者的认知功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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