Key result
Bifrontal tDCS combined with cognitive training enhances visual working memory and functional connectivity vs sham.
Why the study?
Enhancing cognitive functions through noninvasive brain stimulation in aging populations with working memory decline is of enormous public interest.
Does tDCS combined with cognitive training improve visual working memory and functional connectivity in highly educated older adults?
RCT (n=25)
Double-blind
Crossover
Does tDCS combined with cognitive training improve visual working memory and functional connectivity in highly educated older adults?
A single session of bifrontal tDCS combined with cognitive training enhances visual working memory performance and resting-state functional connectivity in highly educated older adults.
Offers a potential nonpharmacologic approach to enhance working memory in older adults; extends evidence for combined tDCS-cognitive training.
Enhancing cognitive functions through noninvasive brain stimulation is of enormous public interest, particularly for the aging population in whom processes such as working memory are known to decline. In a randomized double-blind crossover study, we investigated the acute behavioral and neural aftereffects of bifrontal and frontoparietal transcranial direct current stimulation (tDCS) combined with visual working memory (VWM) training on 25 highly educated older adults. Resting-state functional connectivity (rs-FC) analysis was performed prior to and after each stimulation session with a focus on the frontoparietal control network (FPCN). The bifrontal montage with anode over the left dorsolateral prefrontal cortex enhanced VWM accuracy as compared to the sham stimulation. With the rs-FC within the FPCN, we observed significant stimulation × time interaction using bifrontal tDCS. We found no cognitive aftereffects of the frontoparietal tDCS compared to sham stimulation. Our study shows that a single bifrontal tDCS combined with cognitive training may enhance VWM performance and rs-FC within the relevant brain network even in highly educated older adults.
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Šimko et al. (2021) conducted an RCT in Healthy Seniors (n=25). Bifrontal and frontoparietal transcranial direct current stimulation (tDCS) combined with visual working memory (VWM) training vs. Sham stimulation was evaluated on Visual working memory (VWM) accuracy and resting-state functional connectivity (rs-FC). Bifrontal tDCS combined with cognitive training enhanced visual working memory accuracy and resting-state functional connectivity compared to sham stimulation in highly educated older adults.
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