Impact of transcranial alternating current stimulation on working memory and selective attention in athletes with attention deficit hyperactivity disorder: randomized controlled trial
Abstract:Objective The current study aimed to investigate the impact of transcranial alternating current stimulation (tACS) on working memory and selective attention in athletes with attention deficit hyperactivity disorder (ADHD).
MethodsIn total 45 athletes with attention deficit hyperactivity disorder were randomly divided into three equal groups (sham, control and experimental groups). All participants in the sham and experimental groups received stimulations on the F3 and SO with a current of (10 HZ) 1 mA for 15 m… Show more
“…This protocol led to a significant P300 amplitude increase and omission-type errors improvement. The third study [ 48 ] used 10 stimulations of 10 Hz in ADHD athlete children and found a significant improvement in WM.…”
Section: Resultsmentioning
confidence: 99%
“…Randomized control trials (RCT) were assessed according to the Cochrane database RoB 2 tool [ 52 ], with the assessed domains being randomization process, deviations from intended interventions, missing outcome data, measurement of the outcome, selection of the reported result and overall bias. Out of 15 RCT, three were evaluated as “Some concerns” due to single-blind design [ 23 , 46 , 47 ], two due to insufficiently described statistical analysis [ 21 , 35 ], one due to unsuccessful blinding integrity [ 41 ], and one due to insufficiently described blinding procedure [ 48 ]. Eight studies were considered “Low risk” [ 22 , 28 , 29 , 34 , 40 , 42 , 49 , 50 ].…”
Transcranial alternating current stimulation (tACS) is a non-invasive brain stimulation method that, through its manipulation of endogenous oscillations, can affect cognition in healthy adults. Given the fact that both endogenous oscillations and cognition are impaired in various psychiatric diagnoses, tACS might represent a suitable intervention. We conducted a search of Pubmed and Web of Science databases and reviewed 27 studies where tACS is used in psychiatric diagnoses and cognition change is evaluated. TACS is a safe and well-tolerated intervention method, suitable for multiple-sessions protocols. It can be administered at home, individualized according to the patient'’s anatomical and functional characteristics, or used as a marker of disease progression. The results are varying across diagnoses and applied protocols, with some protocols showing a long-term effect. However, the overall number of studies is small with a great variety of diagnoses and tACS parameters, such as electrode montage or used frequency. Precise mechanisms of tACS interaction with pathophysiological processes are only partially described and need further research. Currently, tACS seems to be a feasible method to alleviate cognitive impairment in psychiatric patients; however, a more robust confirmation of efficacy of potential protocols is needed to introduce it into clinical practise.
“…This protocol led to a significant P300 amplitude increase and omission-type errors improvement. The third study [ 48 ] used 10 stimulations of 10 Hz in ADHD athlete children and found a significant improvement in WM.…”
Section: Resultsmentioning
confidence: 99%
“…Randomized control trials (RCT) were assessed according to the Cochrane database RoB 2 tool [ 52 ], with the assessed domains being randomization process, deviations from intended interventions, missing outcome data, measurement of the outcome, selection of the reported result and overall bias. Out of 15 RCT, three were evaluated as “Some concerns” due to single-blind design [ 23 , 46 , 47 ], two due to insufficiently described statistical analysis [ 21 , 35 ], one due to unsuccessful blinding integrity [ 41 ], and one due to insufficiently described blinding procedure [ 48 ]. Eight studies were considered “Low risk” [ 22 , 28 , 29 , 34 , 40 , 42 , 49 , 50 ].…”
Transcranial alternating current stimulation (tACS) is a non-invasive brain stimulation method that, through its manipulation of endogenous oscillations, can affect cognition in healthy adults. Given the fact that both endogenous oscillations and cognition are impaired in various psychiatric diagnoses, tACS might represent a suitable intervention. We conducted a search of Pubmed and Web of Science databases and reviewed 27 studies where tACS is used in psychiatric diagnoses and cognition change is evaluated. TACS is a safe and well-tolerated intervention method, suitable for multiple-sessions protocols. It can be administered at home, individualized according to the patient'’s anatomical and functional characteristics, or used as a marker of disease progression. The results are varying across diagnoses and applied protocols, with some protocols showing a long-term effect. However, the overall number of studies is small with a great variety of diagnoses and tACS parameters, such as electrode montage or used frequency. Precise mechanisms of tACS interaction with pathophysiological processes are only partially described and need further research. Currently, tACS seems to be a feasible method to alleviate cognitive impairment in psychiatric patients; however, a more robust confirmation of efficacy of potential protocols is needed to introduce it into clinical practise.
Zusammenfassung: Studien zur Untersuchung der Effekte transkranieller Wechselstromstimulation (tACS) auf komplexe Präzisionssportarten wie das Golfen liegen bisher nicht vor. Für den Golfputt deuten bisherige elektrophysiologische Studien auf einen Zusammenhang zwischen Putt-Leistung und der EEG-Aktivität im Alpha-Frequenzbereich hin. In der vorliegenden Studie untersuchen wir, ob Alpha-tACS über dem Motorkortex zu einer Verbesserung des Golfputts führt. Dazu erhielten jeweils 15 fortgeschrittene Golfer entweder Alpha-tACS oder Sham-Stimulation in drei Blöcken mit jeweils 50 Putts vor, während und nach der Stimulation. Als abhängige Variablen wurden sowohl die Bewegungsausführung (Wiederholbarkeit) als auch das Bewegungsergebnis (Distanzkontrolle) erfasst. Ein förderlicher tACS-Effekt auf die Putt-Leistung konnte nicht nachgewiesen werden.
Introduction: Executive function (EF) deficits are common in youth with ADHD and pose significant functional impairments. The extent and effect of interventions addressing EF in youth with ADHD remain unclear. Methods: We conducted a systematic literature review using PRISMA guidelines. Included studies were randomized controlled trials of interventions to treat EF in youth with ADHD. Results: Our search returned 136 studies representing 11,443 study participants. We identified six intervention categories: nonstimulant pharmacological ( N = 3,576 participants), neurological ( N = 1,935), psychological ( N = 2,387), digital ( N = 2,416), physiological ( N = 680), and combination ( N = 366). The bulk of the evidence supported pharmacological interventions as most effective in mitigating EF, followed by psychological and digital interventions. Conclusion: A breadth of treatments exists for EF in youth with ADHD. Pharmacological, psychotherapeutic, and digital interventions had the most favorable, replicable outcomes. A lack of outcome standardization across studies limited treatment comparison. More data on the persistence of intervention effects are necessary.
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