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Updated: May 25, 2026

Examining the Characteristics of Episodic Memory using Event-related Potentials in Patients with Alzheimer's Disease
Published on: August 30, 2011
Cognitive procedural learning in early Alzheimer's disease: impaired processes and compensatory mechanisms
H Beaunieux1, F Eustache, P Busson
1Inserm-EPHE-Université de Caen-Basse Normandie, Unité U923, GIP Cyceron, CHU Côte de Nacre, Caen, France. helene.beaunieux@unicaen.fr
Introduction:
The aim of this study was to study cognitive procedural learning in early Alzheimer's disease (AD).
Methods:
Cognitive procedural learning was assessed using the Tower of Hanoi (TH) task. In order to take account of possible interactions between different systems during cognitive procedural learning, we also measured non-verbal intellectual functions, working memory, and declarative memory.
Results:
Our results showed an apparent preservation of cognitive procedural learning in AD and a deleterious effect of the disease on verbal intelligence and declarative memory. Correlational analyses revealed a difference between AD patients and control participants in the type of processing they applied to the task.
Conclusion:
The non-involvement of declarative memory would appear to be partly responsible for a slowdown in the cognitive procedural dynamics of AD patients. As the AD patients were unable to use their declarative memory, they were still in a problem-solving mode at the end of the learning protocol and had to implement higher order cognitive processes (i.e., compensatory mechanisms) to perform the procedural task.
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