ABSTRACT. Transcranial direct current stimulation (tDCS) is a non-invasive, painless and easy-to use-technology. It can be used in depression, schizophrenia and other neurological disorders. There are no studies about longer usage protocols regarding the ideal duration and weekly frequency of tDCS. Objective: to study the use of tDCS twice a week for longer periods to improve memory in elderly with MCI. Methods: a randomized double-blind controlled trial of anodal tDCS on cognition of 58 elderly aged over 60 years was conducted. A current of 2.0 mA was applied for 30 minutes for 10 sessions, twice a week. The anode was placed over the left dorsolateral prefrontal cortex (LDLFC). Subjects were evaluated before and after 10 sessions by the following tests: CAMCOG, Mini-Mental State Examination (MMSE), Trail Making, Semantic Verbal Fluency (Animals), Boston naming, Clock Drawing Test, Word list memory (WLMT), Direct and Indirect Digit Order (WAIS-III and WMS-III) and N-back. Results: After 10 sessions of tDCS, significant group-time interactions were found for the CAMCOG - executive functioning (χ2 = 3.961, p = 0.047), CAMCOG - verbal fluency (χ2 = 3.869, p = 0.049), CAMCOG - Memory recall (χ2 = 9.749, p = 0.004), and WMLT - recall (χ2 = 7.254, p = 0.007). A decline in performance on the CAMCOG - constructional praxis (χ2 = 4.371, p = 0.037) was found in the tDCS group after intervention. No significant differences were observed between the tDCS and Sham groups for any other tasks. Conclusion: tDCS at 2 mA for 30 min twice a week over 5 consecutive weeks proved superior to placebo (Sham) for improving memory recall, verbal fluency and executive functioning in elderly with MCI.
Technology is changing the way students interact with knowledge, and openended activities are one of the main types of tasks that students engage with in technologyrich environments. However, the amount of guidance needed to promote learning in these environments remains unknown. We explore this issue by focusing on the effects of stepby-step versus generic instructions on student's exploratory behavior and arousal levels. In this experiment, students completed three computer-based activities within a physics simulation software: building a tower, building a bridge and a free task. We did not find any effect of our experimental manipulation on students' task performance. We found, however, that detailed instruction induced higher level of activation followed by a relaxation phase and a recovery of the activation level in the last segment of the task (U-shaped curve). On the other hand, generic instructions seemed to lead students into a continuous relaxation pattern along the task (decreasing slope). Moreover, low and high-aroused students appear to be affected by the instructions differently, with high-aroused students at baseline showing less cognitive flexibility. Finally, we observed carryover effects, where types of instruction kept influencing students' levels of activation in a following openended task. We discuss implications of those results for designing learning activities in constructionist, technology-rich environments.
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