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. 2015 Oct 25;2015:438908. doi: 10.1155/2015/438908

Table 3.

Main characteristics of selected studies.

Study Design 
Duration 
Long-term follow- up 
n
Intervention Result neurobiological outcomes Result behavioural outcomes
Healthy The elderly

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

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

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

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.

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

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.

Mild Cognitive Impairment

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

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

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

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

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.

Dementia

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.

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

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

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

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)

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.

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

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.