TY - JOUR PY - 2022// TI - The effect of transcranial direct current stimulation on cognitive performance in youth with persistent cognitive symptoms following concussion: a controlled pilot study JO - Brain injury A1 - Quinn de Launay, Keelia A1 - Cheung, Stephanie T. A1 - Riggs, Lily A1 - Reed, Nick A1 - Beal, Deryk S. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Explore the feasibility, tolerability, and early efficacy of transcranial direct current stimulation (tDCS) as a therapeutic intervention for youth with cognitive persistent post-concussion symptoms (PPCS). HYPOTHESIS: tDCS improves performance on a dual task working memory (WM) paradigm in youth with cognitive PPCS. PARTICIPANTS: Twelve youth experiencing cognitive PPCS.

DESIGN: A quasi-randomized pilot trial was used to explore the tolerability of, and performance differences on, a dual N-Back WM task paired with active or sham tDCS over 3 sessions. MEASURES: Accuracy and reaction time on WM task and self-report of tDCS tolerability.

RESULTS: Trends toward increases in accuracy from Day 1 to 3 seen in both groups. Active tDCS group performed better than sham on Day 2 in N-Back level N2 (p = .019), and marginally better than the sham group on Day 3 in level N3 (p = .26). Participants reported tDCS as tolerable; compared to the active tDCS group, the sham group reported more "considerable" (p = .078) and "strong" symptoms (p = .097).

CONCLUSION: tDCS is a promising tool for enhancing WM performance and is a feasible and tolerable adjunct to behavioral interventions in youth with cognitive PPCS. A clinical trial to demonstrate efficacy is warranted.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2022.2034179 ID - ref1 ER -