Improved visuospatial neglect after tDCS and computer-assisted cognitive training in Posterior Cortical Atrophy: a single-case study

Vestito, Lucilla; Trombini, Marco; Mori, Laura; Dellepiane, S.; Trompetto, Carlo; Morando, Matteo; Bandini, Fabio

doi:10.1080/13554794.2020.1862242

Cited by 4 publications

(14 citation statements)

References 24 publications

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“…A total of seven studies were selected and reviewed. Five studies were in medical journals, four of which were research studies [ 32 , 33 , 34 , 35 ], and one was a case study [ 24 ]. Two studies were in non-medical journals, both of which were conference papers [ 23 , 36 ] ( Table 2 ).…”

Section: Methodsmentioning

confidence: 99%

“…In 2021, Vestito et al [ 24 ] examined the effects of computer-assisted cognitive training (CCT) on egocentric neglect in one patient with posterior cortical atrophy. The four-week training consisted of CCT only for the first two weeks (T1) using the Remote Monitoring Validation Engineering System (ReMoVES: University of Genova).…”

Section: Studies Of Digital Therapeutics (Dtx) For Egocentric and All...mentioning

confidence: 99%

“…A previous study reported that the existing therapeutic modalities were ineffective in treating allocentric neglect [ 21 ]. Therefore, some therapeutic approaches for allocentric neglect have been attempted as follows: repetitive transcranial magnetic stimulation (rTMS) [ 22 ], visual cueing using immersive virtual reality [ 23 ], and computer-based training during transcranial direct current stimulation (tDCS) [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, most of the studies only investigated the effects of the intervention without differentiating the types of neglect. In contrast, there are few studies on DTX after differential diagnosis that are essential for a selective approach according to the type of neglect [ 23 , 24 , 32 , 33 , 34 ]. This review examined DTx for egocentric and allocentric neglect in patients with brain injury.…”

Section: Introductionmentioning

confidence: 99%

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Digital Therapeutics for the Egocentric and Allocentric Neglects in Patients with Brain Injury: A Mini Review

Jang

Seo

2023

Brain Sciences

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Various therapeutic approaches have been developed for neglect. Many studies have demonstrated the effect of digital therapeutics (DTx) on neglect. However, few studies have reported the effects of DTx on egocentric and allocentric neglect. The differentiation of types of neglect and separate interventions is crucial in the rehabilitation process. In this article, seven studies on DTx on egocentric and allocentric neglect were reviewed. DTx, which was employed in these studies, could be classified as follows: (1) software adaptation in traditional treatment, (2) VR game using the head-mount display as treatment, and (3) the development of a new digital program like ReMoVES. In addition, more studies and more effective results were reported for egocentric neglect than for allocentric neglect. In future studies, each effect on egocentric and allocentric neglect should be identified in detail with the appropriate use of differential evaluation and long-term application of independent DTx.

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Section: Methodsmentioning

confidence: 99%

Section: Studies Of Digital Therapeutics (Dtx) For Egocentric and All...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Digital Therapeutics for the Egocentric and Allocentric Neglects in Patients with Brain Injury: A Mini Review

Jang

Seo

2023

Brain Sciences

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“…Many studies have shown that tDCS combined with conventional arti cial cognitive training can improve the cognitive and learning abilities of patients with cognitive dysfunction, and the e cacy is better than that of single therapy, which has been veri ed [30][31][32][33][34] . Nevertheless, there is a lack of substantial scienti c evidence to support the combination of tDCS and CACT for the treatment of PSCI.…”

Section: Introductionmentioning

confidence: 99%

Computer-aided Cognitive Training Combined with tDCS Can Improve Cognitive Function and Cerebrovascular Reactivity After Ischemic Stroke: A Randomized Controlled Trial

Chen

Zhao

Huang

et al. 2023

Preprint

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Background Cognitive impairment after stroke is one of the main functional disorders after stroke, with an incidence of up to 80%, which is the focus and difficulty of poststroke rehabilitation intervention. Computer-aided cognitive training (CACT) refers to the use of smartphones, tablet computers and other electronic devices to provide targeted training content for different cognitive function impairments. Transcranial direct current stimulation (tDCS), as a noninvasive brain stimulation technique, has shown some efficacy in the rehabilitation of cognitive impairment after stroke. This study examined the effectiveness of computer-assisted cognitive training and tDCS in the treatment of poststroke cognitive dysfunction and explored whether the combination of the two is better than any single therapy. Methods A total of 72 patients with PSCI admitted to the Department of Rehabilitation Medicine, West China Hospital, Sichuan University from November 2021 to September 2022 were randomly divided into the control group (n=18) that patients received conventional cognitive training, tDCS group (n=18), CACT group (n=18), and CACT plus tDCS group (n=18). All four groups were given conventional drugs and rehabilitation treatment. Each group received corresponding 20-minute treatment 15 times a week for 3 consecutive weeks. The main outcome was the Montreal Cognitive Assessment (MoCA) to assess patients' cognitive function, and the secondary outcomes were the Instrumental Activities of Daily Living Scale (IADL) to assess activities of daily living and cerebral vesselfunction tested by transcranial Doppler ultrasound (TCD). Assessment is at baseline and posttreatment. Results Compared with baseline, the MoCA and IADL scores significantly increased after treatment (P<0.01) in all groups, but thecombined group showed better improvement than the other three groups (P=0.006, 0.002, 0.011), and there were no significant differences within the control group, CACT group and tDCS group. Only CACT combined with tDCS group showed an advantage in improving vasomotor reactivity (p ≤ 0.05). Conclusion The combination of CACT and tDCS could more effectively improve PSCI and the ability of daily living in patients with cognitive impairment after stroke, and that may be associated with cerebrovascular function. Trial registration number The study was registered in Chinese Registry of Clinical Trials (ChiCTR2100054063). Registration date: 12/08/2021.

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Validity and Reliability Study of a Line Bisection Task on Tablet Personal Computer

Ota,

Sanada,

Takeuchi

et al. 2024

Asian J OT

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Improved visuospatial neglect after tDCS and computer-assisted cognitive training in Posterior Cortical Atrophy: a single-case study

Cited by 4 publications

References 24 publications

Digital Therapeutics for the Egocentric and Allocentric Neglects in Patients with Brain Injury: A Mini Review

Digital Therapeutics for the Egocentric and Allocentric Neglects in Patients with Brain Injury: A Mini Review

Computer-aided Cognitive Training Combined with tDCS Can Improve Cognitive Function and Cerebrovascular Reactivity After Ischemic Stroke: A Randomized Controlled Trial

Validity and Reliability Study of a Line Bisection Task on Tablet Personal Computer

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