Efficacy and Durability of Repetitive Transcranial Magnetic Stimulation on Cognitive Function in Patients With Mild-to-Moderate Alzheimer's Disease: A Systematic Review and Meta-Analysis.
Qian Zhou, Meng-Xia Yang, Qian-Qian Zhang et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy of repetitive transcranial magnetic stimulation (rTMS) on cognitive function in 143 patients with mild to moderate Alzheimer's disease. The analysis found a small-to-moderate improvement in MMSE scores (g = 0.41, p = 0.021), indicating that rTMS may enhance cognitive function, particularly with excitatory protocols targeting the left dorsolateral prefrontal cortex.
Key findings
- rTMS resulted in a small-to-moderate improvement in MMSE scores (g = 0.41, p = 0.021).
- Excluding studies with methodological concerns yielded a similar effect size (g = 0.46).
- Treatment duration was identified as a significant moderator (β = -0.193, p = 0.034).
- Follow-up analyses suggested a trend towards sustained benefits (g = 0.25).
Why it matters
The findings suggest that rTMS may offer a non-invasive option to improve cognitive function in patients with mild to moderate Alzheimer's disease, which could be beneficial in managing symptoms and enhancing quality of life.