کلیدواژهها
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Transcranial alternating current stimulation, Cognitive flexibility, Attention, Inhibition response, Children
with intellectual disability, Case study
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چکیده
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Background Intellectual disability is a neurodevelopmental disorder characterized by significant impairments
in intellectual functioning and adaptive behavior. Cognitive flexibility and attention are crucial cognitive domains
often affected in children with intellectual disability. This case report explores the novel use of transcranial alternating
current stimulation, a noninvasive brain stimulation technique, to enhance these cognitive functions. The study’s novelty
lies in its focus on alpha-wave frequency transcranial alternating current stimulation targeting specific Brodmann
areas and its potential sustained impact on cognitive flexibility and attention in the pediatric population with intellectual
disability.
Case presentation The case study involved two elementary school students, both 7 years old with mild intellectual
disability, one male and one female, both with Turkic ethnicity, from Shahid Fahmideh School for Exceptional Children
in Khosrowshah, Iran. Both participants underwent a 2-week intervention with daily 20-minute sessions of transcranial
alternating current stimulation at an alpha-wave frequency (10 Hz), targeting Brodmann areas F3 and P3. Cognitive
flexibility and attention were assessed using the Wisconsin Card Sorting Test and the Clock Test, administered at four
time points: pre-intervention, week 1, week 2, and 1 month post-intervention. Statistical analysis showed significant
improvements in both Wisconsin Card Sorting Test and Clock Test scores for both participants compared with baseline,
with sustained enhancement over time.
Conclusion The findings from this case report indicate that transcranial alternating current stimulation may be
a promising intervention for improving cognitive flexibility and attention in children with intellectual disability. The
significant and sustained improvements observed suggest that transcranial alternating current stimulation could have
a meaningful clinical impact on the cognitive development of this po
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