Neuroplasticity-Informed Learning Under Cognitive Load: A Systematic Review of Functional Imaging, Brain Stimulation, and Educational Technology Applications
Abstract
1. Introduction
1.1. Defining Cognitive Load in Learning Contexts
1.2. Neuroplasticity-Informed Learning Under Cognitive Demand
1.3. Functional Imaging and Brain Stimulation in Neuroplasticity Research
1.4. Educational Technology Applications: Bridging Neuroscience and Practice
1.5. Research Objectives and Systematic Approach
1.6. Significance and Innovation
2. Literature Review
2.1. Neuroplasticity: Foundations for Learning Under Cognitive Load
2.2. Cognitive Load: Neural Implementation and Functional Imaging Insights
2.3. Neuroplasticity and Cognitive Load: Integration Through Functional Imaging and Brain Stimulation
2.4. Functional Imaging Evidence for Neuroplasticity-Informed Learning
2.5. Brain Stimulation Methods in Neuroplasticity-Informed Learning Research
2.6. Individual Differences in Neuroplasticity-Informed Learning Applications
3. Materials and Methods
3.1. Analytical Search Process
- 156 duplicate records were removed.
- 18 records were excluded based on language (non-English).
- 14 records were excluded from being published before 2005.
- 30 records were excluded based on irrelevant or vague titles.
3.2. Search Strategy
- “Neuroplasticity” OR “Brain Plasticity”
- “Cognitive Load” OR “Cognitive Demand” OR “Mental Effort”
- “Learning” OR “Learning Performance”
- “Functional Imaging” OR “fMRI” OR “EEG”
- “Brain Stimulation” OR “tDCS” OR “TMS”
- “Educational Technology” OR “Adaptive Learning” OR “Personalized Learning”
- “Inclusion” OR “Neurodiversity” OR “Individual Differences”
3.3. Inclusion and Exclusion Criteria
- Empirical studies investigating neuroplasticity-informed learning in contexts under cognitive load.
- Studies employing functional imaging (e.g., fMRI, EEG), brain stimulation (e.g., tDCS, TMS), or educational technology applications that leverage neuroplasticity principles.
- Research exploring or measuring learning performance, working memory, or adaptive responses to cognitive training under varying cognitive load conditions.
- Studies published in peer-reviewed journals from 2005 onward.
- Studies written in English with full-text availability.
- Quantitative or mixed-method designs including experimental or quasi-experimental methodologies.
- Theoretical papers, opinion pieces, the literature reviews, or meta-analyses.
- Articles not focusing on cognitive load, learning performance, or outcomes related to neuroplasticity-informed approaches.
- Non-English language publications.
- Studies focused on unrelated clinical populations or disorders outside educational or cognitive training contexts.
- Insufficient methodological detail, lack of outcome data, or unclear relevance to neuroplasticity-informed learning under cognitive load research questions.
3.4. Risk of Bias Assessment
- Selection Bias: Mostly low risk, with clear random assignment methods in most studies examining neuroplasticity-informed learning, though some lacked detailed randomization protocols.
- Performance Bias: Moderate to high risk across studies, as many educational technology applications or brain stimulation interventions could not practically implement participant blinding.
- Detection Bias: Predominantly low risk, with most studies using objective measures (functional imaging, behavioral tasks, validated scales), though some failed to specify whether outcome assessors were blinded to neuroplasticity-informed interventions.
- Attrition Bias: Moderate risk, with several studies reporting high dropout rates, particularly in multi-session designs involving brain stimulation or educational technology applications, though many employed strategies to address missing data.
- Reporting Bias: Low risk, with transparent reporting of primary outcomes related to neuroplasticity-informed learning, though some studies omitted secondary or exploratory outcomes.
- Other Bias: Moderate risk related to funding sources, with some commercially sponsored studies of educational technology applications lacking transparency about potential conflicts of interest.
4. Results
4.1. [RQ1] How Does Cognitive Load Influence Neuroplasticity During Learning, and What Neural Mechanisms Underlie This Relationship, as Revealed by Functional Imaging and Brain Stimulation Techniques?
4.2. [RQ2] in What Ways Can Non-Invasive Brain Stimulation (e.g., tDCS) Be Used to Enhance Learning Outcomes and Neuroplastic Responses Under Varying Levels of Cognitive Load?
4.3. [RQ3] What Roles Do Specific Brain Regions—Such as the Prefrontal Cortex—Play in Mediating Learning and Working Memory Performance Under Cognitive Load, and How Does This Relate to Functional and Structural Connectivity?
4.4. [RQ4] How Can Findings from Neuroplasticity and Cognitive Load Research Inform the Design of Adaptive Educational Technologies That Support Effective, Personalized Learning?
4.5. [RQ5] How Do Individual Differences (e.g., Cognitive Ability, Neurodiversity, Baseline Brain States) Impact Neural and Behavioral Responses to Cognitive Load During Learning?
4.6. [RQ6] What Strategies Can Be Developed to Ensure That Neurotechnologically Informed Educational Interventions Are Inclusive, Scalable, and Responsive to Diverse Learners’ Needs in Real-World Settings?
5. Discussion
5.1. Neuroplastic Mechanisms in Learning Under Cognitive Load
5.2. Brain Stimulation Enhancement in Neuroplasticity-Informed Learning Applications
5.3. Prefrontal Cortex as a Hub for Neuroplasticity-Informed Learning Under Load
5.4. Educational Technology Applications Informed by Neuroplasticity Research
5.5. Implementation Challenges for Inclusive Neuroplasticity-Informed Educational Technology
5.6. Limitations and Future Directions for Neuroplasticity-Informed Educational Technology
6. Conclusions
Supplementary Materials
Funding
Data Availability Statement
Conflicts of Interest
References
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| Authors | Study Objectives | Methods |
|---|---|---|
| Adcock et al. (2009) [138] | Auditory processing/working memory enhancement in schizophrenia through neuroplasticity-based training | Auditory training, biomarkers |
| Afify et al. (2020) [139] | Interactive video length effects on learning performance and cognitive load | Video intervention, CLT |
| Andrade et al. (2015) [140] | Long-term tDCS effects on cognitive regions in chronic stroke patients | tDCS, neuropsychological battery |
| Anguera et al. (2013) [141] | Multitasking video game training for cognitive control in aging | fMRI, EEG, video game training |
| Antonenko et al. (2023) [142] | Neural mechanisms of cognitive training + tDCS combination | tDCS, multimodal MRI |
| Assecondi et al. (2018) [143] | tDCS + cognitive training benefits on working memory | tDCS, N-back training |
| Au et al. (2016) [144] | tDCS efficacy in enhancing working memory training effects | tDCS, working memory training |
| Bentham et al. (2019) [145] | Cognitive stimulation response in healthy aging and MCI | fMRI, cognitive stimulation |
| Brehmer et al. (2011) [146] | Intensive working memory training effects in older adults | fMRI, adaptive WM training |
| Bubbico et al. (2019) [147] | Second language learning effects on cognition and brain connectivity | Second language, rs-fMRI |
| Chen et al. (2021) [148] | Neural mechanisms of vision-based speed training in MCI | fMRI, speed training |
| Cohen Kadosh et al. (2017) [149] | tRNS effects on arithmetic and executive function training | tRNS, cognitive training |
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Gkintoni, E.; Sortwell, A.; Vassilopoulos, S.P.; Nikolaou, G. Neuroplasticity-Informed Learning Under Cognitive Load: A Systematic Review of Functional Imaging, Brain Stimulation, and Educational Technology Applications. Multimodal Technol. Interact. 2026, 10, 5. https://doi.org/10.3390/mti10010005
Gkintoni E, Sortwell A, Vassilopoulos SP, Nikolaou G. Neuroplasticity-Informed Learning Under Cognitive Load: A Systematic Review of Functional Imaging, Brain Stimulation, and Educational Technology Applications. Multimodal Technologies and Interaction. 2026; 10(1):5. https://doi.org/10.3390/mti10010005
Chicago/Turabian StyleGkintoni, Evgenia, Andrew Sortwell, Stephanos P. Vassilopoulos, and Georgios Nikolaou. 2026. "Neuroplasticity-Informed Learning Under Cognitive Load: A Systematic Review of Functional Imaging, Brain Stimulation, and Educational Technology Applications" Multimodal Technologies and Interaction 10, no. 1: 5. https://doi.org/10.3390/mti10010005
APA StyleGkintoni, E., Sortwell, A., Vassilopoulos, S. P., & Nikolaou, G. (2026). Neuroplasticity-Informed Learning Under Cognitive Load: A Systematic Review of Functional Imaging, Brain Stimulation, and Educational Technology Applications. Multimodal Technologies and Interaction, 10(1), 5. https://doi.org/10.3390/mti10010005

