A systematic review and meta-analysis of rTMS effects on cognitive enhancement in mild cognitive impairment and Alzheimer's disease

Ying hui Chou, Viet Ton That, Mark Sundman

Research output: Contribution to journalReview article

Abstract

Repetitive transcranial magnetic stimulation (rTMS), a noninvasive brain stimulation technique, has emerged as a promising treatment for mild cognitive impairment (MCI) and Alzheimer's disease (AD). Currently, however, the effectiveness of this therapy is unclear because of the low statistical power and heterogeneity of previous trials. The purpose of the meta-analysis was to systematically characterize the effectiveness of various combinations of rTMS parameters on different cognitive domains in patients with MCI and AD. Thirteen studies comprising 293 patients with MCI or AD were included in this analysis. Random-effects analysis revealed an overall medium-to-large effect size (0.77) favoring active rTMS over sham rTMS in the improvement of cognitive functions. Subgroup analyses revealed that (1) high-frequency rTMS over the left dorsolateral prefrontal cortex and low-frequency rTMS at the right dorsolateral prefrontal cortex significantly improved memory functions; (2) high-frequency rTMS targeting the right inferior frontal gyrus significantly enhanced executive performance; and (3) the effects of 5–30 consecutive rTMS sessions could last for 4–12 weeks. Potential mechanisms of rTMS effects on cognitive functions are discussed.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalNeurobiology of Aging
Volume86
DOIs
StatePublished - Feb 2020

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Transcranial Magnetic Stimulation
Meta-Analysis
Alzheimer Disease
Prefrontal Cortex
Cognition
Cognitive Dysfunction
Brain
Therapeutics

Keywords

  • Alzheimer's disease
  • Cognition
  • Dorsolateral prefrontal cortex
  • Intervention
  • Memory
  • Mild cognitive impairment
  • Plasticity
  • Therapy
  • Transcranial magnetic stimulation
  • Treatment

ASJC Scopus subject areas

  • Neuroscience(all)
  • Aging
  • Clinical Neurology
  • Developmental Biology
  • Geriatrics and Gerontology

Cite this

A systematic review and meta-analysis of rTMS effects on cognitive enhancement in mild cognitive impairment and Alzheimer's disease. / Chou, Ying hui; Ton That, Viet; Sundman, Mark.

In: Neurobiology of Aging, Vol. 86, 02.2020, p. 1-10.

Research output: Contribution to journalReview article

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