SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025
Effects of transcranial alternating current stimulation on cognitive function in older adults: a systematic review and meta-analysis of randomized controlled trials.
Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of transcranial alternating current stimulation on cognitive function in patients with dementia: 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 · 2026Pooled it
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveNon-invasive brain stimulation has been shown to benefit cognitive function in older adults. However, the effects of transcranial alternating current stimulation (tACS) on cognitive function in older adults have not been consistent across studies and there are limitations in the evidence for tACS. This study aims to investigate whether tACS improves cognitive function and different cognitive domains (e.g. learning memory and executive function) in older adults and older adults with Alzheimer's disease (AD).
methodsA systematic search was conducted in seven databases (PubMed, Web of Science, Embase, The Cochrane Library, Scopus, PsycINFO, and CINAHL) up to 25 December 2024. Effect sizes were expressed as standardized mean differences (SMD) with 95% confidence intervals, and a random-effects model was applied.
resultsFourteen randomized controlled trials (RCTs) were included, with a relatively low risk of bias. tACS had a significant effect on immediate memory (SMD = 0.66, p<0.01) and delayed memory (SMD = 0.68, p<0.01), but no significant effect on associative memory (SMD =-0.25, p = 0.61). Subgroup analyses revealed that tACS intervention significantly improved immediate and delayed memory in older adults with AD, but had no significant effect on healthy older adults.
conclusiontACS intervention significantly improves immediate memory and delayed memory in older adults with AD. Further large-scale RCTs are needed to clarify the specific effects of tACS on various cognitive domains, and optimal stimulation parameters should be investigated to guide clinical practice.
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Registered trials
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