Evidence map›Paper›PMID 38992335›Full record

Trial reportGeroScience2025

Boosting working memory in the elderly: driving prefrontal theta-gamma coupling via repeated neuromodulation.

Lukas Diedrich, Hannah I Kolhoff, Clara Bergmann, Mathias Bähr, Andrea Antal

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effects of transcranial alternating current stimulation on cognitive function in older adults: a systematic review and meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  3. Modulation of prefrontal theta oscillations slows social cognition.Cognitive, affective & behavioral neuroscience · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lukas DiedrichDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany. lukas.diedrich@med.uni-goettingen.de.ORCID 0009-0009-1726-1040
Hannah I KolhoffDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Clara BergmannDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Mathias BährDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Andrea AntalDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.

Funding

Niedersächsische Ministerium für Wissenschaft und Kultur 76251-12-7/19Niedersächsische Ministerium für Wissenschaft und Kultur ZN 3456
6 · The paper itself

Abstract

The escalating global burden of age-related neurodegenerative diseases and associated healthcare costs necessitates innovative interventions to stabilize or enhance cognitive functions. Deficits in working memory (WM) are linked to alterations in prefrontal theta-gamma cross-frequency coupling. Low-intensity transcranial alternating current stimulation (tACS) has emerged as a non-invasive, low-cost approach capable of modulating ongoing oscillations in targeted brain areas through entrainment. This study investigates the impact of multi-session peak-coupled theta-gamma cross-frequency tACS administered to the dorsolateral prefrontal cortex (DLPFC) on WM performance in older adults. In a randomized, sham-controlled, triple-blinded design, 77 participants underwent 16 stimulation sessions over six weeks while performing n-back tasks. Signal detection measures revealed increased 2-back sensitivity and robust modulations of response bias, indicating improved WM and decision-making adaptations, respectively. No effects were observed in the 1-back condition, emphasizing dependencies on cognitive load. Repeated tACS reinforces behavioral changes, indicated by increasing effect sizes. This study supports prior research correlating prefrontal theta-gamma coupling with WM processes and provides unique insights into the neurocognitive benefits of repeated tACS intervention. The well-tolerated and highly effective multi-session tACS intervention among the elderly underscores its therapeutic potential in vulnerable populations.

Indexed as

Dorsolateral Prefrontal CortexGamma RhythmMemory, Short-TermPrefrontal CortexTheta RhythmTranscranial Direct Current StimulationAgedAged, 80 and overFemaleHumansMaleMiddle AgedAgingCognitionCross-frequency couplingElderlyTranscranial alternating current stimulation (tACS)Working memory (WM)

Identifiers

PMID38992335
PMCPMC11979004

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.