Dementia of Type Alzheimer
Conditions
Keywords
cortical plasticity, transcranial direct current stimulation
Brief summary
The aim of this study is to investigate whether the anodal transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) in patients with dementia of the Alzheimer type (DAT) leads to an increase in cortical plasticity (change in motor evoked potentials (MEP) in mV).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Right-handed according to the Oldfield Händigkeits inventory (lateralization index\> 70) (1971) * Cognitive impairment, which corresponds to a mild to moderate DAT * No treatment with AChE inhibitors, or existing stable treatment with AChE inhibitors for over 3 months * No motor impairments relevant to everyday life * Age 50 to 80 years * Existing Insurance certificate * Existing informed consent
Exclusion criteria
* Severe neurological / psychiatric or pre-existing internist conditions because additional cognitive deficits are expected * Epilepsy, epileptic seizure in medical history * Cognitive deficit (MMSE \<20) * Depressive episode (Beck Depression Inventory (BDI)\> 12) * intake of centrally active drugs \<3 months, particularly acetylcholinesterase inhibitors * Pregnancy * Pacemaker (contraindication for MRI) * Other metal parts in the body (contraindication for MRI)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the anodal transcranial direct current stimulation over the primary motor cortex (M1) in patients with dementia of Alzheimer type (DAT) | 1 week | to investigate whether the anodal transcranial direct current stimulation over the primary motor cortex (M1) in patients with dementia of Alzheimer type (DAT) increases cortical plasticity (measured via motor evoked potentials) compared to a sham stimulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tDCS effects on central cholinergic activity in patients with DAT | 1 week | to investigate whether the anodal transcranial direct current stimulation affect central cholinergic activity (measured via a TMS-protocol) in patients with dementia of Alzheimer type (DAT) compared to a sham stimulation |
| tDCS effects on learning | 1 week | tDCS-induced changes in learning success (performance in a motor learning paradigm in patients with DAT after tDCS vs. sham stimulation) |
| MR elastography | 1 week | Comparison of viscoelastic parameters in cerebral MR elastography in patients with DAT |
| genetic polymorphism, ApoE4 | once | optional assessment of genetic Apo4 epsilon status for assessment of differences in cortical plasticity and elasticity between Apo4 epsilon positive and negative participants |
Countries
Germany