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Updated: Jun 21, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
Enhancing the working memory of stroke patients using tDCS.
Jung Mi Jo1, Yun-Hee Kim, Myoung-Hwan Ko
1Department of Physical Medicine and Rehabilitation, Stroke and Cerebrovascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Anodal transcranial direct current stimulation over the left dorsolateral prefrontal cortex improved working memory recognition accuracy in stroke patients. This non-invasive brain stimulation offers a promising avenue for cognitive rehabilitation after stroke.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Cognitive Science
Background:
- Stroke survivors often experience cognitive deficits, particularly in working memory.
- Working memory impairment significantly impacts daily functioning and recovery post-stroke.
- Non-invasive brain stimulation techniques are being explored for stroke rehabilitation.
Purpose of the Study:
- To investigate the effect of anodal transcranial direct current stimulation (tDCS) on working memory in post-stroke patients.
- To determine if tDCS over the left dorsolateral prefrontal cortex enhances cognitive performance after stroke.
Main Methods:
- A single-blind, crossover, sham-controlled study involving 10 stroke patients with cognitive deficits.
- Participants received anodal tDCS and sham tDCS over the left dorsolateral prefrontal cortex.
- Working memory performance was assessed using a two-back task, measuring accuracy, recognition accuracy, and response time before and after stimulation.
Main Results:
- A significant interaction effect was found for recognition accuracy, with improvement only in the anodal tDCS group.
- Accuracy also showed significant improvement after anodal tDCS, but not sham stimulation.
- Response time did not differ significantly between anodal and sham tDCS conditions.
Conclusions:
- Anodal tDCS over the left dorsolateral prefrontal cortex enhances working memory recognition accuracy in patients post-stroke.
- This finding suggests that tDCS is a potential therapeutic tool for improving cognitive function after stroke.
- Further research is warranted to optimize tDCS parameters for stroke recovery.

