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Effects of Electrical Stimulation on Verbal Learning in Typical and Atypical Alzheimer's Disease

2019-10-16 10:39:36 | BioPortfolio

Summary

Alzheimer's disease (AD) is a progressive neurodegenerative disease characterized by memory loss and multiple cognitive impairments. Given the recent failures of disease-modifying drugs, the current focus is in preventing synaptic damage that correlates with cognitive decline in AD patients. Transcranial Direct Current Stimulation (tDCS) is a safe, non-invasive, non-painful electrical stimulation of the brain which changes the resting membrane potential of neurons and allows neurons to fire easier, resulting in increasing the synaptic strength. When administered along with behavioral (language) therapy tDCS has resulted in improved language abilities in post-stroke and primary progressive aphasia (PPA). Previous studies have shown that tDCS over the left angular gyrus (AG) improves language associative learning in the elderly through changes in functional connectivity between the AG and the hippocampus. In addition, the investigators' studies in PPA have shown that anodal tDCS over the left inferior frontal gyrus (IFG) improves concurrently trained oral and written naming, and effects generalize to untrained items and tasks subserved by the same neural substrates. As synaptic strength becomes the target of new AD interventions, it becomes imperative to determine the use of tDCS as a therapeutic technique for AD. In the present study the investigators will compare the effects of tDCS over the AG—an area that is part of the default mode network (DMN) but also a language area, particularly important for supramodal semantic integration and event processing—in two predominant AD variants: the typical or amnesic variant AD, and the language-impaired (i.e. aphasic) variant AD, also described as logopenic variant PPA. The investigators aim to determine whether anodal high definition (HD)-tDCS over the left AG combined with verbal learning therapy will improve word list learning performance, as well as to identify the changes in functional connectivity and gamma-aminobutyric acid (GABA) using magnetic resonance imaging (MRI) and spectroscopy (MRS). Study results may help optimize future intervention in individuals with neurodegenerative disorders by providing treatment alternatives. A better understanding of the therapeutic and neuromodulatory effects of tDCS in AD will offer insight into means of impeding neurodegeneration that may improve patients' quality of life and augment therapies.

Study Design

Conditions

Alzheimer Disease, Early Onset

Intervention

Anodal tDCS, Sham, Word list learning therapy

Location

Johns Hopkins Hospital
Baltimore
Maryland
United States
21287

Status

Not yet recruiting

Source

Johns Hopkins University

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-10-16T10:39:36-0400

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