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Effect of Home-Based Transcranial Direct Current Stimulation on Cognitive Function in Patients with Mild Cognitive
Jaesub Park1,2, Kyungmi Chung2,3, Yoonkyung Oh2
1Department of Psychiatry, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Yonsei Medical Journal
|May 28, 2024
Summary
Home-based transcranial direct current stimulation (tDCS) improved cognitive function in mild cognitive impairment (MCI) patients. Safety monitoring is crucial for this promising at-home treatment for elderly individuals.
Area of Science:
- Neuroscience
- Gerontology
- Medical Technology
Background:
- Mild cognitive impairment (MCI) presents challenges for cognitive function in the elderly.
- Transcranial direct current stimulation (tDCS) is being explored as a potential intervention for cognitive enhancement.
- At-home delivery of tDCS offers a novel approach to managing MCI.
Purpose of the Study:
- To evaluate the efficacy of at-home transcranial direct current stimulation (tDCS) in elderly patients with mild cognitive impairment (MCI).
- To assess the safety profile of self-administered tDCS in a home setting for MCI patients.
Main Methods:
- Elderly participants (60-80 years) with objective memory impairments received either active or sham tDCS at home for two weeks.
- Stimulation targeted the dorsal frontal cortex (left: anode; right: cathode).
- Cognitive function was assessed using visual recognition tasks and the Mini-Mental State Exam (MMSE); safety and compliance were monitored remotely.
Main Results:
- Active tDCS significantly improved response times and Mini-Mental State Exam (MMSE) scores compared to sham stimulation.
- No significant differences were observed in the accuracy of responses between active and sham groups.
- High compliance (97.5%) was achieved, with minor skin burns reported in three participants, resolving without permanent issues.
Conclusions:
- Home-based tDCS shows potential as a viable treatment for mild cognitive impairment (MCI).
- Further technological development and safety considerations are necessary for widespread adoption.
- This preliminary study highlights the promise of accessible tDCS interventions for cognitive health in older adults.

