From the initial no-obligation consultation to individually tailored treatment and follow-up.
Any potential TPS treatment course is recommended to begin with a medical information consultation.
During this consultation, the various forms of dementia and Mild Cognitive Impairment (MCI) will be reviewed, along with existing medical treatment options, TPS treatment, and current scientific knowledge in the field.
Information will be provided on the potential effects and limitations of TPS treatment, the treatment course itself, as well as any temporary side effects and contraindications. Ample time will be allocated for questions and to discuss whether TPS may be relevant in the specific situation.
The consultation also provides an opportunity for the patient and their relatives to gain a broader medical understanding of dementia or MCI.
If only information about TPS treatment is desired, followed by treatment, this can be conducted over the phone.
TPS treatment consists of 6 sessions individually tailored over 2–3 weeks.
The treatment itself takes approximately 35 minutes. Up to 60 minutes are allocated for each treatment appointment to allow sufficient time for discussion before and after the treatment. All TPS treatments are personally performed by Dr. Maj-Brit Åstrøm, PhD in Neuroscience.
The patient sits in a comfortable treatment chair. Gel is applied to the scalp and hair so that the acoustic impulses can be guided through the skull and into the brain tissue. The impulse delivery is not felt but is accompanied by a sound, which some may find bothersome. It is therefore recommended to bring earplugs.
The treatment is performed using MR-based neuronavigation. This means that the patient’s own MRI scan is loaded into the treatment device’s navigation system and used to identify the areas of the brain that need to be stimulated. During the treatment, the doctor can continuously monitor on screen which areas are being stimulated. The treatment can thus be targeted and adapted to the individual patient’s brain anatomy.
Prior to treatment, the patient must undergo an MRI scan of the brain.
Demensklinikken can assist in arranging the scan.
If an MRI scan cannot be performed or is not desired, TPS can be carried out without MR-based neuronavigation. This will be determined by an individual medical assessment.
It is possible to undergo cognitive testing before starting TPS treatment and again after completing the treatment course.
The testing examines selected cognitive functions. By using the same tests before and after treatment, any changes in cognitive function can be measured and compared. The test results thus provide an objective supplement to the patient’s and relatives’ own experience of the treatment effect.
The test package includes testing before and after treatment, scoring and comparison of results, and a subsequent medical review of the results.
The optimal interval for booster treatment after the initial TPS course has not yet been definitively established. Published long-term studies have primarily used monthly booster treatments to maintain the treatment effect.
The need for booster treatment and the interval between treatments are assessed individually.