Patients With Mild Cognitive Impairment
Conditions
Keywords
mild cognitive impairment, Transcranial Direct Current Stimulation, Cortical Plasticity
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 mild cognitive impairment (MCI) 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 according to the diagnostic criteria of a MCI (amnesic or even multiple domains) * No therapeutic treatment with AChE inhibitors * No motor impairments relevant to everyday life * Age 50 to 80 years
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) * Newly taking (\<3 months) centrally active drugs, 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 mild cognitive impairment (MCI) | 1 week | to investigate whether the anodal transcranial direct current stimulation over the primary motor cortex (M1) in patients with mild cognitive impairment (MCI) increases cortical plasticity (measured via motor evoked potentials) compared to sham stimulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of tDCS-induced changes on central cholinergic activity | 1 week | to investigate weather the anodal transcranial direct current stimulation affect central cholinergic activity (measured via a TMS protocol) in MCI patients compared to sham stimulation |
| Comparison of tDCS-induced changes in learning success | 1 week | tDCS-induced changes in learning success (performance in a motor learning paradigm in patients with MCI after tDCS vs. sham stimulation) |
| MR elastography | 1 week | Comparison of viscoelastic parameters in cerebral MR elastography in patients with MCI |
| 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