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. 2020 May 25;14:179. doi: 10.3389/fnhum.2020.00179

Table 4.

Summarization of the identified studies with low risk of bias.

Study Population Stimulation parameters Research methods Results
Type of stimulation Target region Location and type of coil / Location and size of electrodes Duration Intensity of stimulation Frequency of stimulation Method of control Diagnostic criteria Randomization Blinding Allocation concealment Interval scaling Practice effect Missing data and drop-outs Other statistical practices
Bystad et al. (2016) AD atDCS Left temporal cortex According to the 10-20 EEG system: anode: 5 × 7 cm, at T3 cathode: 5 × 7 cm, at Fp2 6 sessions, 30 min/session 2 mA 30 s active stimulation Revised NINCDS-ADRDA Computer randomized list containing 5-digit codes provided by the manufacturer of the tDCS device Patients and assessor blinded to the type of stimulation Assignment disclosed until the end of the intervention Scaling according to standardized norm tables, transformation to z-scores Two versions of CVLT-II used Explicitly reported no drop-outs Sample size based on other studies No changes in global cognition, verbal learning, attention or executive function
Khedr et al. (2014) AD atDCS and ctDCS LDLPFC Anodal: 10 x 10 cm, right supraorbital region cathodal: 4 x 6 cm, LDLPFC 10 sessions, 25 min/session 2 mA 30 s active stimulation NINCDS-ADRDA Computer generated randomization table Patients and assessor blinded to group assignment the effectiveness of blinding was measured Serials numbered opaque closed envelopes Reportedly no drop-outs Improvement in MMSE after both anodal and cathodal tDCS in contrast to sham, improvement in performance IQ after cathodal stimulation
Suemoto et al. (2014) AD atDCS LDLPFC Anode 5 × 7 cm, over DLPFC cathode 5 × 7 cm, right supraorbital region 6 sessions on every 2nd day, 20 min/session 2 mA 20 s active stimulation NINCDS-ADRDA Computer-generated list of random numbers Patients and assessor blinded to condition, numbered Opaque and sealed envelopes Reasons of missing data not reported, intention to treat analyses conducted using the method of last observation carried forward A priori sample size calculation, using the method of minimal clinically relevant difference, planned pairwise comparisons No change in active and sham group
Wu et al. (2015) AD HF-rTMS LDLPFC Figure-of-eight coil 20 sessions, 1,200 pulses/session 80% of RMT 20 Hz Tilted coil (180°) NINCDS-ADRDA Standard table of random numbers Patients and assessor blinded to group assignment Patients and assessor blinded to the group assignment before starting the trial, method not specified Using cutoff scores based on the findings of other studies Improvement of behavioral and global cognitive symptoms
Drumond Marra et al. (2015) MCI HF-rTMS LDLPFC Figure-of-eight coil 5 cm in a parasagittal plane parallel to the point of maximum rMT 10 sessions, 2,000 pulses/session 110% of RMT 10 Hz Sham coil Not specified, MoCA <26 Computer generated randomization Patients and assessors blinded to group assignment, the effectiveness of blinding was measured Different staff members responsible for the allocation Scores adjusted according to age, gender and education level Selective improvement in everyday memory compared to sham group
Padala et al. (2018) MCI HF-rTMS LDLPFC Figure-of-eight coil n.a. 10 sessions/condition, 3,000 pulses/session 120% of RMT 10 Hz Sham coil Criteria of Petersen et al. (1999) Randomized block design Patients and assessors blinded to condition Independent staff member responsible for the allocation Random subject effect calculated Drop-outs reported and reasoned Baseline measurements set as covariates Improvement in apathy symptoms, global cognition, processing speed and clinical improvement compared to sham condition

AD, Alzheimer's disease; MCI, mild cognitive impairment; HF-rTMS, high frequency repetitive transcranial magnetic stimulation; atDCS, anodal transcranial direct current stimulation; ctDCS, cathodal transcranial direct current stimulation; LDLPFC, left dorsolateral prefrontal cortex; NINCDS-ADRDA, National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer's Disease and Related Related Disorders Association; RMT, resting motor threshold; EEG, electroencephalography; CVLT-II, California Verbal Learning Test-II; MMSE, Mini-Mental State Examination; MOCA, Montreal Cognitive Assessment Test.