Table 3.
Study | Design Duration Long-term follow- up n |
Intervention | Result neurobiological outcomes | Result behavioural outcomes |
---|---|---|---|---|
Healthy | The elderly | |||
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Valenzuela et al. (2003) [18] | RCT 5 weeks No follow-up n = 20 |
Method of loci | Increased creatine and choline in hippocampus | Improvement in reproduction memory task No effect on depression or anxiety scores |
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Nyberg et al. (2003) [30] | Prospective cohort 1 day No follow-up n = 24 |
Method of loci |
Acquisition: no group differences Use phase: adults and improved elderly increased activity in intervention related areas |
8 of 16 older persons no improvement in memory task (the unimproved elderly). 8 of 16 older persons and all 8 adults improved in memory task |
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Small et al. (2006) [20] | RCT 14 days No follow-up n = 17 |
Multicomponent health promotion | Intervention group: decreased activity prefrontal cortex |
Better verbal fluency in intervention group no significant effect on memory task and subjective memory ability |
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Erickson et al. (2007) [21] | RCT 2-3 weeks No follow-up n = 65 |
Attentional training | Improvement in dual task performance is correlated with increased activity in left ventral prefrontal cortex and decreased activity in the dorsolateral prefrontal cortex | Both reaction time and accuracy improved most in the dual task intervention group Young and old adults showed the same degree of performance improvement after intervention. |
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Brehmer et al. (2011) [22] | RCT 5 weeks No follow-up n = 24 |
Adaptive working memory training. Control group: low level fixed working memory training |
All participants decreased brain activity Participants who profit the most showed the largest decreases in intervention related brain areas and largest increase in caudate |
Both groups Improved in span board backward, digit span backward, PASAT, RAVLT No intervention related performance gains for in scanner task Intervention group showed training related improvement in span board backward task and PASAT compared to controls |
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Belleville et al. (2014) [23] | RCT 3 weeks No follow-up n = 46 |
Attentional training | Better performance in single tasking correlated with decreased activity in right inferior and middle frontal gyrus In the strategic control of attention condition, a better ability to modulate attention according to task instruction correlated with increased activity in Brodmann area 10 |
All intervention groups improved in reaction time and accuracy for alphanumeric task, no effect for visual detection task Both dual task conditions better performance dual tasking compared to single task intervention group Strategic control of attention condition significant effect of task instruction. They were able to modify attention according to instruction. |
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Mild | Cognitive | Impairment | ||
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Clare et al. (2009) [31] | Single case study 8 weeks No follow-up n = 1 |
Goal oriented cognitive intervention |
Encoding: increased activity in intervention related brain areas, decreased activity higher visual areas, and frontal areas Recognition: increased activity in intervention related brain areas, decreased activity higher visual areas, and frontal areas |
Better subjective memory performance, memory satisfaction |
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Hampstead et al. (2011) [32] | Multiple single cases 2 weeks No follow-up n = 6 |
Face-name association learning |
Encoding: increased activity in default network Effective connectivity changes: increased connectivity |
Significant improvement in performance trained and untrained memory task |
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Belleville et al. (2011) [33] | Case control 6 weeks No follow-up n = 15 |
Episodic memory training |
Encoding healthy elderly: decreased activity in brain areas related to intervention. Encoding MCI: increased activity in brain areas related to intervention Retrieval healthy elderly and MCI: increased activity new brain areas and accumulated activity in specialized areas both related to intervention. |
Both groups improved on a memory test |
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Rosen et al. (2011) [16] | RCT 2 months No follow-up n = 12 |
Auditory processing training | Increased activity hippocampus in intervention group decreased activity hippocampus in control group | Intervention group improved in memory test and training tasks |
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Hampstead et al. (2012) [24] | RCT 2 weeks No follow-up n = 34 |
Mnemonic training |
Encoding MCI: increased activity left hippocampal body Retrieval MCI: increased activity hippocampal body and tail bilaterally Healthy controls: decreased activity right hippocampal body |
MCI group and healthy controls improved in encoding and retrieving trained object locations. No intervention effect for untrained object locations. |
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Dementia | ||||
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Heiss et al. (1994) [25] | RCT 6 months No follow-up n = 80 |
(1) Social support (2) Cognitive training (3) Cognitive training + pyritinol (4) Cognitive training + phosphatidylserine |
EEG: increased global power gr 3 + 4 Decreased delta power gr 4 PET: significant correlation MMSE score and glucose metabolism tempero-parietal cortex. Gr. 4 increased activity primary visual cortex during intervention, but not at the end of the intervention |
Gr 4 more responders and significant higher scores on orientation than gr 1 + 2 in week 8 + 16. At the end of the intervention (6 months) there were no differences. |
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Nagaya et al. (2005) [34] | Within subjects Unknown No follow-up n = 11 |
Recreational rehabilitation |
Responders: decreased activity frontal regions Non responders: decreased activity all regions |
Responders: improved 3 MMSE points |
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Tanaka et al. (2007) [35] | Single case 2 months Follow-up for 6 months n = 1 |
Reminiscence | increased activity frontal areas, postcingulate gyrus, and precuneus | Improvement in cognition, vitality, volition, and daily life activities |
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Förster et al. (2011) [27] | RCT 6 months No follow-up n = 36 |
Multipurpose |
MCI controls: decreased activity in brain regions typically impaired in AD MCI intervention: no declines AD controls: decreased activity in brain regions typically impaired in AD AD intervention: decreased activity in 2 clusters; lingual gyrus, left inferior temporal gyrus |
No changes |
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Akanuma et al. (2011) [26] | RCT 3 months No follow-up n = 24 |
Reminiscence with reality orientation | Intervention group: increased activity anterior cingulate bilateral, left inferior temporal cortex. Correlation between increased act anterior cingulate and improvement social and communication scales brse | Intervention group: improved in social and communication scales (brse) |
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Spironelli et al. (2013) [36] | Observational study 5 weeks No follow-up n = 11 |
Cognitive training | The amplitudes of the recognition potential (negative potential) were significantly increased on the left sides of posterior regions for high frequency words | A marginally significant improvement on the verbal reasoning score No significant treatment effect on the dementia screening tests, four out of five cognitive tasks, and the independent functioning questionnaires. |
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van Paasschen et al. (2013) [28] | RCT 8 weeks No follow-up n = 19 |
Tailored cognitive rehabilitation |
Intervention group
Encoding: no significant changes. Recognition: significant increased activity bilateral prefrontal areas and the bilateral insula Control group Recognition: decreased activity in bilateral prefrontal areas and the bilateral insula |
Intervention group improved on satisfaction and performance of individual goals (COPM) No treatment effect on the in scanner face-name association task |
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Baglio et al. (2014) [29] | RCT 10 weeks Follow-up for 22 weeks n = 60, n = 30 Follow-up |
Multidimensional stimulation program | Postintervention: increased activity bilateral superior temporal gyrus (right > left), right lentiform nucleus, and thalamus | Intervention group showed clinical relevant improvement in NPI, language, and memory scales of ADAS-cog No significant change in functional status or physical well-being Long-term follow-up: improvement in the language and memory scales of the ADAS-cog is preserved |
Legenda:
qol: quality of life.
MMSE: minimental state examination.
ADAS cog: dementia screening test.
BRSE: scale for social and communication skills.
GDS: geriatric depression scale.