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Lapenta OM, Rêgo GG, Boggio PS. Transcranial electrical stimulation for procedural learning and rehabilitation. Neurobiol Learn Mem 2024; 213:107958. [PMID: 38971460 DOI: 10.1016/j.nlm.2024.107958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 06/26/2024] [Accepted: 07/01/2024] [Indexed: 07/08/2024]
Abstract
Procedural learning is the acquisition of motor and non-motor skills through a gradual process that increases with practice. Impairments in procedural learning have been consistently demonstrated in neurodevelopmental, neurodegenerative, and neuropsychiatric disorders. Considering that noninvasive brain stimulation modulates brain activity and boosts neuroplastic mechanisms, we reviewed the effects of coupling transcranial direct current stimulation (tDCS) with training methods for motor and non-motor procedural learning to explore tDCS potential use as a tool for enhancing implicit learning in healthy and clinical populations. The review covers tDCS effects over i. motor procedural learning, from basic to complex activities; ii. non-motor procedural learning; iii. procedural rehabilitation in several clinical populations. We conclude that targeting the primary motor cortex and prefrontal areas seems the most promising for motor and non-motor procedural learning, respectively. For procedural rehabilitation, the use of tDCS is yet at an early stage but some effectiveness has been reported for implicit motor and memory learning. Still, systematic comparisons of stimulation parameters and target areas are recommended for maximising the effectiveness of tDCS and its robustness for procedural rehabilitation.
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Affiliation(s)
- Olivia Morgan Lapenta
- Psychological Neuroscience Laboratory, Psychology Research Center, School of Psychology, University of Minho - Rua da Universidade, 4710-057 Braga, Portugal.
| | - Gabriel Gaudencio Rêgo
- Social and Cognitive Neuroscience Laboratory, Mackenzie Presbyterian University - Rua Piauí, 181, 01241-001 São Paulo, Brazil; National Institute of Science and Technology on Social and Affective Neuroscience (INCT-SANI), São Paulo, Brazil
| | - Paulo Sérgio Boggio
- Social and Cognitive Neuroscience Laboratory, Mackenzie Presbyterian University - Rua Piauí, 181, 01241-001 São Paulo, Brazil; National Institute of Science and Technology on Social and Affective Neuroscience (INCT-SANI), São Paulo, Brazil
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2
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Vassiliadis P, Beanato E, Popa T, Windel F, Morishita T, Neufeld E, Duque J, Derosiere G, Wessel MJ, Hummel FC. Non-invasive stimulation of the human striatum disrupts reinforcement learning of motor skills. Nat Hum Behav 2024; 8:1581-1598. [PMID: 38811696 PMCID: PMC11343719 DOI: 10.1038/s41562-024-01901-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 04/23/2024] [Indexed: 05/31/2024]
Abstract
Reinforcement feedback can improve motor learning, but the underlying brain mechanisms remain underexplored. In particular, the causal contribution of specific patterns of oscillatory activity within the human striatum is unknown. To address this question, we exploited a recently developed non-invasive deep brain stimulation technique called transcranial temporal interference stimulation (tTIS) during reinforcement motor learning with concurrent neuroimaging, in a randomized, sham-controlled, double-blind study. Striatal tTIS applied at 80 Hz, but not at 20 Hz, abolished the benefits of reinforcement on motor learning. This effect was related to a selective modulation of neural activity within the striatum. Moreover, 80 Hz, but not 20 Hz, tTIS increased the neuromodulatory influence of the striatum on frontal areas involved in reinforcement motor learning. These results show that tTIS can non-invasively and selectively modulate a striatal mechanism involved in reinforcement learning, expanding our tools for the study of causal relationships between deep brain structures and human behaviour.
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Affiliation(s)
- Pierre Vassiliadis
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| | - Elena Beanato
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Traian Popa
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Fabienne Windel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Takuya Morishita
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society, Zurich, Switzerland
| | - Julie Duque
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| | - Gerard Derosiere
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
- Lyon Neuroscience Research Center, Impact Team, Inserm U1028, CNRS UMR5292, Lyon 1 University, Bron, France
| | - Maximilian J Wessel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland
- Department of Neurology, University Hospital Würzburg, Würzburg, Germany
| | - Friedhelm C Hummel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland.
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland.
- Clinical Neuroscience, University of Geneva Medical School, Geneva, Switzerland.
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3
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Hashemirad F, Zoghi M, Fitzgerald PB, Hashemirad M, Jaberzadeh S. Site Dependency of Anodal Transcranial Direct-Current Stimulation on Reaction Time and Transfer of Learning during a Sequential Visual Isometric Pinch Task. Brain Sci 2024; 14:408. [PMID: 38672057 PMCID: PMC11048073 DOI: 10.3390/brainsci14040408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Revised: 04/10/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
Considering the advantages of brain stimulation techniques in detecting the role of different areas of the brain in human sensorimotor behaviors, we used anodal transcranial direct-current stimulation (a-tDCS) over three different brain sites of the frontoparietal cortex (FPC) in healthy participants to elucidate the role of these three brain areas of the FPC on reaction time (RT) during a sequential visual isometric pinch task (SVIPT). We also aimed to assess if the stimulation of these cortical sites affects the transfer of learning during SVIPT. A total of 48 right-handed healthy participants were randomly assigned to one of the four a-tDCS groups: (1) left primary motor cortex (M1), (2) left dorsolateral prefrontal cortex (DLPFC), (3) left posterior parietal cortex (PPC), and (4) sham. A-tDCS (0.3 mA, 20 min) was applied concurrently with the SVIPT, in which the participants precisely controlled their forces to reach seven different target forces from 10 to 40% of the maximum voluntary contraction (MVC) presented on a computer screen with the right dominant hand. Four test blocks were randomly performed at the baseline and 15 min after the intervention, including sequence and random blocks with either hand. Our results showed significant elongations in the ratio of RTs between the M1 and sham groups in the sequence blocks of both the right-trained and left-untrained hands. No significant differences were found between the DLPFC and sham groups and the PPC and sham groups in RT measurements within the SVIPT. Our findings suggest that RT improvement within implicit learning of an SVIPT is not mediated by single-session a-tDCS over M1, DLPFC, or PPC. Further research is needed to understand the optimal characteristics of tDCS and stimulation sites to modulate reaction time in a precision control task such as an SVIPT.
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Affiliation(s)
- Fahimeh Hashemirad
- Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran 1985713871, Iran
- Monash Neuromodulation Research Unit, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3199, Australia;
| | - Maryam Zoghi
- Discipline of Physiotherapy, Institute of Health and Wellbeing, Federation University, Ballart, VIC 3199, Australia;
| | - Paul B. Fitzgerald
- School of Medicine and Psychology, Australian National University, Canberra, NSW 2601, Australia;
| | | | - Shapour Jaberzadeh
- Monash Neuromodulation Research Unit, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3199, Australia;
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Ramos L, Ramos TAM, Almeida RFD, da Silva-Rocha JV, Zimerer C, Arêas FZ. Acute anodal transcranial direct current stimulation improves the performance of professional rowers. Front Sports Act Living 2024; 6:1310856. [PMID: 38699626 PMCID: PMC11063233 DOI: 10.3389/fspor.2024.1310856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 03/13/2024] [Indexed: 05/05/2024] Open
Abstract
Introduction The aim of the present study was to evaluate the influence of acute transcranial direct current stimulation (tDCS) on physical and subjective responses in professional rowing during the 2,000-m time trial test. Methods Seven rowers (age 20.86 ± 4.49 years; weight 71.66 ± 7.97 kg) participated in this randomized triple-blind trial with a crossover experimental design. The protocol consists of 2 days with different conditions (anodal and sham). The tDCS anodic stimulation conducted was 2 mA for 20 min in the left temporal cortex (2.5 cm from the F7 zone and 2.5 cm from the T3 zone), targeting the left insular cortex. In the sham moment, the participants experienced 30 s of stimulation. Afterward, they performed a standardized progressive warm-up for 15 min, following the Brazilian Rowing Confederation's assessment protocols, and rested for 3 min before the test started. All procedures were made on an indoor rowing machine, which allowed the capture of performance variables such as time performed, power in watts (W), pace (m/min), and stroke rate (strokes/min). The ratings of perceived exertion [Borg scale (CR-20)] were recorded in each 2-min during the test. Results The results presented differences in power [Z: -2.371; p = 0.018; effect size (ES) = -0.896 (large)] and pace [Z: -2.371; p = 0.018; ES = -0.896 (large)] and time performance [Z: -1.612; p = 0.107; ES = -0.609 (large)] throughout the protocol for the anodal moment. Discussion However, no differences for the other variables were found. According to the results, the current tDCS with the present protocol improved the physical performance at the 2,000-m time trial Test providing ergogenic aid.
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Affiliation(s)
- Luciano Ramos
- Physiotherapy Course at the FAVI—Victorian Higher Education Association, Vitória, Brazil
- Neuromodulation Institute, Vitória, Brazil
| | - Tatiana Aparecida Magacho Ramos
- Physiotherapy Course at the FAVI—Victorian Higher Education Association, Vitória, Brazil
- Neuromodulation Institute, Vitória, Brazil
| | - Rodrigo Freire De Almeida
- Group of Study and Research in Neurorehabilitation and Neuromodulation, Federal University of Espirito Santo, Vitória, Brazil
- Postgraduate Program Physiological Sciences, Center of Health Science, Federal University of Espirito Santo, Vitória, Brazil
| | - Jader Vinicius da Silva-Rocha
- Group of Study and Research in Neurorehabilitation and Neuromodulation, Federal University of Espirito Santo, Vitória, Brazil
- Postgraduate Program Physiological Sciences, Center of Health Science, Federal University of Espirito Santo, Vitória, Brazil
| | - Carla Zimerer
- Postgraduate Program in Electrical Engineering, Federal University of Espírito Santo, Vitória, Brazil
- Telecommunications Laboratory, Federal University of Espírito Santo, Vitória, Brazil
| | - Fernando Zanela Arêas
- Group of Study and Research in Neurorehabilitation and Neuromodulation, Federal University of Espirito Santo, Vitória, Brazil
- Postgraduate Program Physiological Sciences, Center of Health Science, Federal University of Espirito Santo, Vitória, Brazil
- Physiotherapy Course at the Federal University of Espirito Santo, Vitória, Brazil
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5
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Muller CO, Metais A, Boublay N, Breuil C, Deligault S, Di Rienzo F, Guillot A, Collet C, Krolak-Salmon P, Saimpont A. Anodal transcranial direct current stimulation does not enhance the effects of motor imagery training of a sequential finger-tapping task in young adults. J Sports Sci 2024:1-12. [PMID: 38574326 DOI: 10.1080/02640414.2024.2328418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 03/01/2024] [Indexed: 04/06/2024]
Abstract
When applied over the primary motor cortex (M1), anodal transcranial direct current stimulation (a-tDCS) could enhance the effects of a single motor imagery training (MIt) session on the learning of a sequential finger-tapping task (SFTT). This study aimed to investigate the effect of a-tDCS on the learning of an SFTT during multiple MIt sessions. Two groups of 16 healthy young adults participated in three consecutive MIt sessions over 3 days, followed by a retention test 1 week later. They received active or sham a-tDCS during a MIt session in which they mentally rehearsed an eight-item complex finger sequence with their left hand. Before and after each session, and during the retention test, they physically repeated the sequence as quickly and accurately as possible. Both groups (i) improved their performance during the first two sessions, showing online learning; (ii) stabilised the level they reached during all training sessions, reflecting offline consolidation; and (iii) maintained their performance level one week later, showing retention. However, no significant difference was found between the groups, regardless of the MSL stage. These results emphasise the importance of performing several MIt sessions to maximise performance gains, but they do not support the additional effects of a-tDCS.
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Affiliation(s)
- Camille O Muller
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Alès, Montpellier, France
| | - Angèle Metais
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
| | - Nawale Boublay
- Centre de Recherche Clinique Vieillissement Cerveau - Fragilité, Hospices Civils de Lyon, Lyon, France
| | - Caroline Breuil
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
| | - Sébastien Deligault
- Centre d'Etude et de Recherche Multimodal et Pluridisciplinaire en Imagerie du Vivant (CERMEP), Département de MagnétoEncéphalographie, Bron, France
| | - Franck Di Rienzo
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
| | - Aymeric Guillot
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
| | - Christian Collet
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
| | - Pierre Krolak-Salmon
- Centre de Recherche Clinique Vieillissement Cerveau - Fragilité, Hospices Civils de Lyon, Lyon, France
| | - Arnaud Saimpont
- Universite Claude Bernard Lyon 1, LIBM, Inter-university Laboratory of Human Movement Sciences, UR 7424, F-69622 Villeurbanne, France
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6
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Kaminski E, Carius D, Knieke J, Mizuguchi N, Ragert P. Complex sequential learning is not facilitated by transcranial direct current stimulation over DLPFC or M1. Eur J Neurosci 2024; 59:2046-2058. [PMID: 38270331 DOI: 10.1111/ejn.16255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 12/19/2023] [Accepted: 01/02/2024] [Indexed: 01/26/2024]
Abstract
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique which was found to have a positive modulatory effect on online sequence acquisition or offline motor consolidation, depending on the relative role of the associated brain region. Primary motor regions (M1) and dorsolateral prefrontal cortices (DLPFC) have both been related to sequential learning. However, research so far did not systematically disentangle their differential roles in online and offline learning especially in more complex sequential paradigms. In this study, the influence of anodal M1 leg area-tDCS and anodal DLPFC-tDCS applied during complex sequential learning (online and offline) was investigated using a complex whole body serial reaction time task (CWB-SRTT) in 42 healthy volunteers. TDCS groups did not differ from sham tDCS group regarding their response and reaction time (online) and also not in terms of overnight consolidation (offline). Sequence specific learning and the number of recalled items also did not differ between groups. Results may be related to unspecific parameters such as timing of the stimulation or current intensity but can also be attributed to the relative role of M1 and DLPFC during early complex learning. Taken together, the current study provides preliminary evidence that M1 leg area or DLPFC modulation by means of tDCS does not improve complex sequential skill learning. SIGNIFICANCE STATEMENT: Understanding motor learning is helpful to deepen our knowledge about the human ability to acquire new skills. Complex sequential learning tasks have only been studied, sparsely, but are particularly mimicking challenges of daily living. The present study studied early motor learning in a complex serial reaction time task while transcranial direct current stimulation (tDCS) was either applied to leg primary motor cortex or bilateral dorsolateral prefrontal cortex. TDCS did not affect sequential learning, neither directly during performance nor in terms of sequence consolidation. Results provide preliminary information that M1 or bilateral DLPFC modulation does not improve early complex motor learning.
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Affiliation(s)
- Elisabeth Kaminski
- Faculty of Sport Science, Department of Movement Neuroscience, University of Leipzig, Leipzig, Germany
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Daniel Carius
- Faculty of Sport Science, Department of Movement Neuroscience, University of Leipzig, Leipzig, Germany
| | - Jan Knieke
- Faculty of Sport Science, Department of Movement Neuroscience, University of Leipzig, Leipzig, Germany
| | - Nobuaki Mizuguchi
- Research Organization of Science and Technology, Ritsumeikan University, Kyoto, Japan
- Institute of Advanced Research for Sport and Health Science, Ritsumeikan University, Kyoto, Japan
| | - Patrick Ragert
- Faculty of Sport Science, Department of Movement Neuroscience, University of Leipzig, Leipzig, Germany
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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7
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Willmot N, Leow LA, Filmer HL, Dux PE. Exploring the intra-individual reliability of tDCS: A registered report. Cortex 2024; 173:61-79. [PMID: 38382128 DOI: 10.1016/j.cortex.2023.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 12/01/2023] [Accepted: 12/04/2023] [Indexed: 02/23/2024]
Abstract
Transcranial direct current stimulation (tDCS), a form of non-invasive brain stimulation, has become an important tool for the study of in-vivo brain function due to its modulatory effects. Over the past two decades, interest in the influence of tDCS on behaviour has increased markedly, resulting in a large body of literature spanning multiple domains. However, the effect of tDCS on human performance often varies, bringing into question the reliability of this approach. While reviews and meta-analyses highlight the contributions of methodological inconsistencies and individual differences, no published studies have directly tested the intra-individual reliability of tDCS effects on behaviour. Here, we conducted a large scale, double-blinded, sham-controlled registered report to assess the reliability of two single-session low-dose tDCS montages, previously found to impact response selection and motor learning operations, across two separate time periods. Our planned analysis found no evidence for either protocol being effective nor reliable. Post-hoc explorative analyses found evidence that tDCS influenced motor learning, but not response selection learning. In addition, the reliability of motor learning performance across trials was shown to be disrupted by tDCS. These findings are amongst the first to shed light specifically on the intra-individual reliability of tDCS effects on behaviour and provide valuable information to the field.
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Affiliation(s)
- Nicholas Willmot
- Department of Defence, Edinburgh, SA, Australia; School of Psychology, The University of Queensland, St Lucia, QLD, Australia.
| | - Li-Ann Leow
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Hannah L Filmer
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Paul E Dux
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
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8
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Hamel R, Waltzing BM, Hinder MR, McAllister CJ, Jenkinson N, Galea JM. Bilateral intracortical inhibition during unilateral motor preparation and sequence learning. Brain Stimul 2024; 17:349-361. [PMID: 38479713 DOI: 10.1016/j.brs.2024.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Revised: 02/23/2024] [Accepted: 03/06/2024] [Indexed: 03/22/2024] Open
Abstract
Motor sequence learning gradually quickens reaction time, suggesting that sequence learning alters motor preparation processes. Interestingly, evidence has shown that preparing sequence movements decreases short intracortical inhibition (SICI) in the contralateral motor cortex (M1), but also that sequence learning alters motor preparation processes in both the contralateral and ipsilateral M1s. Therefore, one possibility is that sequence learning alters the SICI decreases occurring during motor preparation in bilateral M1s. To examine this, two novel hypotheses were tested: unilateral sequence preparation would decrease SICI in bilateral M1s, and sequence learning would alter such bilateral SICI responses. Paired-pulse transcranial magnetic stimulation was delivered over the contralateral and ipsilateral M1s to assess SICI in an index finger muscle during the preparation of sequences initiated by either the right index or little finger. In the absence of sequence learning, SICI decreased in both the contralateral and ipsilateral M1s during the preparation of sequences initiated by the right index finger, suggesting that SICI decreases in bilateral M1s during unilateral motor preparation. As sequence learning progressed, SICI decreased in the contralateral M1 whilst it increased in the ipsilateral M1. Moreover, these bilateral SICI responses were observed at the onset of motor preparation, suggesting that sequence learning altered baseline SICI levels rather than the SICI decreases occurring during motor preparation per se. Altogether, these results suggest that SICI responses in bilateral M1s reflect two motor processes: an acute decrease of inhibition during motor preparation, and a cooperative but bidirectional shift of baseline inhibition levels as sequence learning progresses.
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Affiliation(s)
- R Hamel
- School of Sports, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom; School of Psychology and Centre for Human Brain Health, University of Birmingham, Birmingham, B15 2TT, United Kingdom.
| | - B M Waltzing
- School of Sports, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom; Institute of Neurosciences, UC Louvain, Belgium Avenue Mounier 54, 1200, Bruxelles, Belgium
| | - M R Hinder
- School of Psychological Sciences, College of Health and Medicine After School of Psychological Sciences, University of Tasmania, Hobart, Australia
| | - C J McAllister
- School of Sports, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom
| | - N Jenkinson
- School of Sports, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom
| | - J M Galea
- School of Psychology and Centre for Human Brain Health, University of Birmingham, Birmingham, B15 2TT, United Kingdom
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9
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Kim H, King BR, Verwey WB, Buchanan JJ, Wright DL. Timing of transcranial direct current stimulation at M1 does not affect motor sequence learning. Heliyon 2024; 10:e25905. [PMID: 38370203 PMCID: PMC10869848 DOI: 10.1016/j.heliyon.2024.e25905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 10/04/2023] [Accepted: 02/05/2024] [Indexed: 02/20/2024] Open
Abstract
Administering anodal transcranial direct current stimulation (tDCS) at the primary motor cortex (M1) at various temporal loci relative to motor training is reported to affect subsequent performance gains. Stimulation administered in conjunction with motor training appears to offer the most robust benefit that emerges during offline epochs. This conclusion is made, however, based on between-experiment comparisons that involved varied methodologies. The present experiment addressed this shortcoming by administering the same 15-minute dose of anodal tDCS at M1 before, during, or after practice of a serial reaction time task (SRTT). It was anticipated that exogenous stimulation during practice with a novel SRTT would facilitate offline gains. Ninety participants were randomly assigned to one of four groups: tDCS before practice, tDCS during practice, tDCS after practice, or no tDCS. Each participant was exposed to 15 min of 2 mA of tDCS and motor training of an eight-element SRTT. The anode was placed at the right M1 with the cathode at the left M1, and the left hand was used to execute the SRTT. Test blocks were administered 1 and 24 h after practice concluded. The results revealed significant offline gain for all conditions at the 1-hour and 24-hour test blocks. Importantly, exposure to anodal tDCS at M1 at any point before, during, or after motor training failed to change the trajectory of skill development as compared to the no-stimulation control condition. These data add to the growing body of evidence questioning the efficacy of a single bout of exogenous stimulation as an adjunct to motor training for fostering skill learning.
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Affiliation(s)
- Hakjoo Kim
- Motor Neuroscience Lab, Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
| | - Bradley R. King
- Lifespan Motor Neuroscience Lab, Department of Health and Kinesiology, University of Utah, Salt Lake City, UT, United States
| | - Willem B. Verwey
- Section Cognition, Data & Education, Department of Learning, Data-Analytics and Technology, University of Twente, Enschede, Netherlands
| | - John J. Buchanan
- Motor Neuroscience Lab, Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
| | - David L. Wright
- Motor Neuroscience Lab, Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
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10
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Zhang F, Han Y, Wang H, Li Y, Tang D. Effects of transcranial direct current stimulation on motor learning in healthy elderly individuals: a systematic review and meta-analysis. Somatosens Mot Res 2024:1-11. [PMID: 38319133 DOI: 10.1080/08990220.2024.2310851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 01/02/2024] [Indexed: 02/07/2024]
Abstract
BACKGROUND Transcranial direct current stimulation (tDCS) is widely used in motor recovery. Nevertheless, whether tDCS improves motor learning in healthy older adults is still controversial. This review aims to investigate the effectiveness of tDCS on motor learning in healthy elderly individuals. METHODS The PubMed, Cochrane Library, Web of Science and Embase databases were initially searched from inception to December 5, 2022. The standard mean difference (SMD) with the corresponding 95% confidence intervals (CIs) were analysed via random-effect models. RESULTS Compared with the sham group, no significant effects were found regarding improvement in motor learning based on the speed or accuracy of the task and reaction time for the tDCS intervention group. After subgroup analysis, a significant effect was found for improved motor learning based on reaction time in the primary motor cortex (M1)-cerebellar group. CONCLUSIONS This review revealed that tDCS had no significant effect on improving the speed or accuracy of motor learning in healthy elderly adults. However, it has a significant effect on improving the motor learning ability based on the reaction time of the task (mainly referring to the tDCS stimulation position of M1 and cerebellar), although the results have obvious heterogeneity and uncertainty.
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Affiliation(s)
- Fusheng Zhang
- College of Physical Education and Health, Guangxi Normal University, Guilin, China
- School of Physical Education, Zhaotong University, Zhaotong, China
| | - Yanbai Han
- College of Physical Education and Health, Guangxi Normal University, Guilin, China
| | - Hongli Wang
- College of Physical Education and Health, Guangxi Normal University, Guilin, China
| | - Yong Li
- College of Physical Education and Health, Guangxi Normal University, Guilin, China
| | - Dingyu Tang
- School of Physical Education, Zhaotong University, Zhaotong, China
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11
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Firouzi M, Baetens K, Swinnen E, Baeken C, Van Overwalle F, Deroost N. Does transcranial direct current stimulation of the primary motor cortex improve implicit motor sequence learning in Parkinson's disease? J Neurosci Res 2024; 102:e25311. [PMID: 38400585 DOI: 10.1002/jnr.25311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 02/06/2024] [Accepted: 02/09/2024] [Indexed: 02/25/2024]
Abstract
Implicit motor sequence learning (IMSL) is a cognitive function that is known to be associated with impaired motor function in Parkinson's disease (PD). We previously reported positive effects of transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) on IMSL in 11 individuals with PD with mild cognitive impairments (MCI), with the largest effects occurring during reacquisition. In the present study, we included 35 individuals with PD, with (n = 15) and without MCI (n = 20), and 35 age- and sex-matched controls without PD, with (n = 13) and without MCI (n = 22). We used mixed-effects models to analyze anodal M1 tDCS effects on acquisition (during tDCS), short-term (five minutes post-tDCS) and long-term reacquisition (one-week post-tDCS) of general and sequence-specific learning skills, as measured by the serial reaction time task. At long-term reacquisition, anodal tDCS resulted in smaller general learning effects compared to sham, only in the PD group, p = .018, possibly due to floor effects. Anodal tDCS facilitated the acquisition of sequence-specific learning (M = 54.26 ms) compared to sham (M = 38.98 ms), p = .003, regardless of group (PD/controls). Further analyses revealed that this positive effect was the largest in the PD-MCI group (anodal: M = 69.07 ms; sham: M = 24.33 ms), p < .001. Although the observed effect did not exceed the stimulation period, this single-session tDCS study confirms the potential of tDCS to enhance IMSL, with the largest effects observed in patients with lower cognitive status. These findings add to the body of evidence that anodal tDCS can beneficially modulate the abnormal basal ganglia network activity that occurs in PD.
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Affiliation(s)
- Mahyar Firouzi
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Kris Baetens
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Eva Swinnen
- Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Chris Baeken
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
- Department of Psychiatry and Medical Psychology, Ghent University, University Hospital Ghent (UZ Ghent), Ghent, Belgium
- Department of Psychiatry, Vrije Universiteit Brussel (VUB), Faculty of Medicine and Pharmacy, University Hospital Brussel (UZ Brussel), Brussels, Belgium
| | - Frank Van Overwalle
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Natacha Deroost
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
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12
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Voegtle A, Terlutter C, Nikolai K, Farahat A, Hinrichs H, Sweeney-Reed CM. Suppression of Motor Sequence Learning and Execution Through Anodal Cerebellar Transcranial Electrical Stimulation. CEREBELLUM (LONDON, ENGLAND) 2023; 22:1152-1165. [PMID: 36239839 PMCID: PMC10657296 DOI: 10.1007/s12311-022-01487-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/28/2022] [Indexed: 06/16/2023]
Abstract
Cerebellum (CB) and primary motor cortex (M1) have been associated with motor learning, with different putative roles. Modulation of task performance through application of transcranial direct current stimulation (TDCS) to brain structures provides causal evidence for their engagement in the task. Studies evaluating and comparing TDCS to these structures have provided conflicting results, however, likely due to varying paradigms and stimulation parameters. Here we applied TDCS to CB and M1 within the same experimental design, to enable direct comparison of their roles in motor sequence learning. We examined the effects of anodal TDCS during motor sequence learning in 60 healthy participants, randomly allocated to CB-TDCS, M1-TDCS, or Sham stimulation groups during a serial reaction time task. Key to the design was an equal number of repeated and random sequences. Reaction times (RTs) to implicitly learned and random sequences were compared between groups using ANOVAs and post hoc t-tests. A speed-accuracy trade-off was excluded by analogous analysis of accuracy scores. An interaction was observed between whether responses were to learned or random sequences and the stimulation group. Post hoc analyses revealed a preferential slowing of RTs to implicitly learned sequences in the group receiving CB-TDCS. Our findings provide evidence that CB function can be modulated through transcranial application of a weak electrical current, that the CB and M1 cortex perform separable functions in the task, and that the CB plays a specific role in motor sequence learning during implicit motor sequence learning.
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Affiliation(s)
- Angela Voegtle
- Department of Neurology, Neurocybernetics and Rehabilitation, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
| | - Clara Terlutter
- Department of Neurology, Neurocybernetics and Rehabilitation, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany
| | - Katharina Nikolai
- Department of Neurology, Neurocybernetics and Rehabilitation, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany
| | - Amr Farahat
- Department of Neurology, Neurocybernetics and Rehabilitation, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany
- Ernst Strüngmann Institute for Neuroscience in Cooperation With Max Planck Society, Deutschordenstr. 46, 60528, Frankfurt, Frankfurt am Main, Germany
| | - Hermann Hinrichs
- Department of Behavioral Neurology, Leibniz Institute for Neurobiology, Brenneckestr. 6, 39118, Magdeburg, Germany
- Department of Neurology, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany
- Center for Behavioral Brain Sciences - CBBS, Otto von Guericke University Magdeburg, Universitätsplatz 2, 39106, Magdeburg, Germany
| | - Catherine M Sweeney-Reed
- Department of Neurology, Neurocybernetics and Rehabilitation, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
- Center for Behavioral Brain Sciences - CBBS, Otto von Guericke University Magdeburg, Universitätsplatz 2, 39106, Magdeburg, Germany.
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13
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Firouzi M, Baetens K, Saeys M, Duta C, Baeken C, Van Overwalle F, Swinnen E, Deroost N. Differential effects of conventional and high-definition transcranial direct-current stimulation of the motor cortex on implicit motor sequence learning. Eur J Neurosci 2023; 58:4181-4194. [PMID: 37864365 DOI: 10.1111/ejn.16173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 09/29/2023] [Accepted: 10/04/2023] [Indexed: 10/22/2023]
Abstract
Conventional transcranial direct-current stimulation (tDCS) delivered to the primary motor cortex (M1) has been shown to enhance implicit motor sequence learning (IMSL). Conventional tDCS targets M1 but also the motor association cortices (MAC), making the precise contribution of these areas to IMSL presently unclear. We aimed to address this issue by comparing conventional tDCS of M1 and MAC to 4 * 1 high-definition (HD) tDCS, which more focally targets M1. In this mixed-factorial, sham-controlled, crossover study in 89 healthy young adults, we used mixed-effects models to analyse sequence-specific and general learning effects in the acquisition and short- and long-term consolidation phases of IMSL, as measured by the serial reaction time task. Conventional tDCS did not influence general learning, improved sequence-specific learning during acquisition (anodal: M = 42.64 ms, sham: M = 32.87 ms, p = .041), and seemingly deteriorated it at long-term consolidation (anodal: M = 75.37 ms, sham: M = 86.63 ms, p = .019). HD tDCS did not influence general learning, slowed performance specifically in sequential blocks across all learning phases (all p's < .050), and consequently deteriorated sequence-specific learning during acquisition (anodal: M = 24.13 ms, sham: M = 35.67 ms, p = .014) and long-term consolidation (anodal: M = 60.03 ms, sham: M = 75.01 ms, p = .002). Our findings indicate that the observed superior conventional tDCS effects on IMSL are possibly attributable to a generalized stimulation of M1 and/or adjacent MAC, rather than M1 alone. Alternatively, the differential effects can be attributed to cathodal inhibition of other cortical areas involved in IMSL by the 4 * 1 HD tDCS return electrodes, and/or more variable electric field strengths induced by HD tDCS, compared with conventional tDCS.
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Affiliation(s)
- Mahyar Firouzi
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Kris Baetens
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Manon Saeys
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Catalina Duta
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Chris Baeken
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Department of Psychiatry and Medical Psychology, Ghent University, University Hospital Ghent (UZ Ghent), Ghent, Belgium
- Department of Psychiatry, Vrije Universiteit Brussel (VUB), Jette, Belgium
- Faculty of Medicine and Pharmacy, University Hospital Brussel (UZ Brussel), Jette, Belgium
| | - Frank Van Overwalle
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Eva Swinnen
- Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Natacha Deroost
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium
- Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
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14
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Wessel MJ, Beanato E, Popa T, Windel F, Vassiliadis P, Menoud P, Beliaeva V, Violante IR, Abderrahmane H, Dzialecka P, Park CH, Maceira-Elvira P, Morishita T, Cassara AM, Steiner M, Grossman N, Neufeld E, Hummel FC. Noninvasive theta-burst stimulation of the human striatum enhances striatal activity and motor skill learning. Nat Neurosci 2023; 26:2005-2016. [PMID: 37857774 PMCID: PMC10620076 DOI: 10.1038/s41593-023-01457-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Accepted: 09/07/2023] [Indexed: 10/21/2023]
Abstract
The stimulation of deep brain structures has thus far only been possible with invasive methods. Transcranial electrical temporal interference stimulation (tTIS) is a novel, noninvasive technology that might overcome this limitation. The initial proof-of-concept was obtained through modeling, physics experiments and rodent models. Here we show successful noninvasive neuromodulation of the striatum via tTIS in humans using computational modeling, functional magnetic resonance imaging studies and behavioral evaluations. Theta-burst patterned striatal tTIS increased activity in the striatum and associated motor network. Furthermore, striatal tTIS enhanced motor performance, especially in healthy older participants as they have lower natural learning skills than younger subjects. These findings place tTIS as an exciting new method to target deep brain structures in humans noninvasively, thus enhancing our understanding of their functional role. Moreover, our results lay the groundwork for innovative, noninvasive treatment strategies for brain disorders in which deep striatal structures play key pathophysiological roles.
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Affiliation(s)
- Maximilian J Wessel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
- Department of Neurology, University Hospital Würzburg, Würzburg, Germany
| | - Elena Beanato
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Traian Popa
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Fabienne Windel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Pierre Vassiliadis
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| | - Pauline Menoud
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Valeriia Beliaeva
- Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, Zurich, Switzerland
| | - Ines R Violante
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | | | - Patrycja Dzialecka
- Department of Brain Sciences, Imperial College London, London, UK
- United Kingdom Dementia Research Institute, Imperial College London, London, UK
| | - Chang-Hyun Park
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Pablo Maceira-Elvira
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Takuya Morishita
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland
| | - Antonino M Cassara
- Foundation for Research on Information Technologies in Society, Zurich, Switzerland
| | - Melanie Steiner
- Foundation for Research on Information Technologies in Society, Zurich, Switzerland
| | - Nir Grossman
- Department of Brain Sciences, Imperial College London, London, UK
- United Kingdom Dementia Research Institute, Imperial College London, London, UK
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society, Zurich, Switzerland
| | - Friedhelm C Hummel
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland.
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute and Brain Mind Institute, Clinique Romande de Réadaptation, École Polytechnique Fédérale de Lausanne, Sion, Switzerland.
- Clinical Neuroscience, University of Geneva Medical School, Geneva, Switzerland.
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15
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Vandendoorent B, Nackaerts E, Zoetewei D, Hulzinga F, Gilat M, Orban de Xivry JJ, Nieuwboer A. Effect of transcranial direct current stimulation on learning in older adults with and without Parkinson's disease: A systematic review with meta-analysis. Brain Cogn 2023; 171:106073. [PMID: 37611344 DOI: 10.1016/j.bandc.2023.106073] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 06/26/2023] [Accepted: 07/31/2023] [Indexed: 08/25/2023]
Abstract
Older adults with and without Parkinson's disease show impaired retention after training of motor or cognitive skills. This systematic review with meta-analysis aims to investigate whether adding transcranial direct current stimulation (tDCS) to motor or cognitive training versus placebo boosts motor sequence and working memory training. The effects of interest were estimated between three time points, i.e. pre-training, post-training and follow-up. This review was conducted according to the PRISMA guidelines (PROSPERO: CRD42022348885). Electronic databases were searched from conception to March 2023. Following initial screening, 24 studies were eligible for inclusion in the qualitative synthesis and 20 could be included in the meta-analysis, of which 5 studies concerned motor sequence learning (total n = 186) and 15 working memory training (total n = 650). Results were pooled using an inverse variance random effects meta-analysis. The findings showed no statistically significant additional effects of tDCS over placebo on motor sequence learning outcomes. However, there was a strong trend showing that tDCS boosted working memory training, although methodological limitations and some heterogeneity were also apparent. In conclusion, the present findings do not support wide implementation of tDCS as an add-on to motor sequence training at the moment, but the promising results on cognitive training warrant further investigations.
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Affiliation(s)
- Britt Vandendoorent
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
| | - Evelien Nackaerts
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Demi Zoetewei
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Femke Hulzinga
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Moran Gilat
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Jean-Jacques Orban de Xivry
- Movement Control and Neuroplasticity Research Group, Department of Movement Sciences, KU Leuven, Leuven, Belgium
| | - Alice Nieuwboer
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
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16
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Lee H, Lee JH, Lee TL, Ko DK, Kang N. Dual-hemisphere anodal transcranial direct current stimulation improves bilateral motor synergies. Front Psychol 2023; 14:1211034. [PMID: 37546450 PMCID: PMC10400310 DOI: 10.3389/fpsyg.2023.1211034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 06/15/2023] [Indexed: 08/08/2023] Open
Abstract
Transcranial direct current stimulation (tDCS) is one of the non-invasive brain stimulation techniques that can improve motor functions. As bimanual motor actions require high motor cortical activations between hemispheres, applying bilateral anodal stimulation on left and right sides of primary motor cortex (M1) can improve for improvements in bimanual motor tasks. This study investigated which bilateral tDCS protocol effectively improves bimanual hand-grip force control capabilities in healthy young adults. We used three different bilateral tDCS protocols: (a) dual-anodal stimulation on the M1 of bilateral hemispheres (Bi-AA), (b) anodal-cathodal stimulation on the M1 of dominant and nondominant hemispheres (Bi-AC), and (c) sham stimulation (Sham). The results indicated that applying the Bi-AA significantly improved bilateral motor synergies estimated by uncontrolled manifold analysis relative to Sham. However, these differences were not observed in the comparison between Bi-AA and Bi-AC as well as between Bi-AC and Sham. These findings suggest that facilitating motor cortical activations between both hemispheres may be an additional option for advancing interlimb motor coordination patterns.
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Affiliation(s)
- Hanall Lee
- Department of Human Movement Science, Incheon National University, Incheon, Republic of Korea
- Neuromechanical Rehabilitation Research Laboratory, Incheon National University, Incheon, Republic of Korea
| | - Joon Ho Lee
- Department of Human Movement Science, Incheon National University, Incheon, Republic of Korea
- Neuromechanical Rehabilitation Research Laboratory, Incheon National University, Incheon, Republic of Korea
| | - Tae Lee Lee
- Department of Human Movement Science, Incheon National University, Incheon, Republic of Korea
- Neuromechanical Rehabilitation Research Laboratory, Incheon National University, Incheon, Republic of Korea
| | - Do-Kyung Ko
- Department of Human Movement Science, Incheon National University, Incheon, Republic of Korea
- Neuromechanical Rehabilitation Research Laboratory, Incheon National University, Incheon, Republic of Korea
| | - Nyeonju Kang
- Department of Human Movement Science, Incheon National University, Incheon, Republic of Korea
- Neuromechanical Rehabilitation Research Laboratory, Incheon National University, Incheon, Republic of Korea
- Division of Sport Science, Health Promotion Center, Sport Science Institute, Incheon National University, Incheon, Republic of Korea
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17
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Aloi D, Jalali R, Calzolari S, Lafanechere M, Miall RC, Fernández-Espejo D. Multi-session tDCS paired with passive mobilisation of the thumb modulates thalamo-cortical coupling during command following in the healthy brain. Neuroimage 2023; 274:120145. [PMID: 37121374 DOI: 10.1016/j.neuroimage.2023.120145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 04/05/2023] [Accepted: 04/27/2023] [Indexed: 05/02/2023] Open
Abstract
Therapeutic options to restore responsiveness in patients with prolonged disorder of consciousness (PDOC) are limited. We have recently shown that a single session of tDCS over M1 delivered at rest can reduce thalamic self-inhibition during motor command following. Here, we build upon this by exploring whether pairing tDCS with a concurrent passive mobilisation protocol can further influence thalamo-M1 dynamics and whether these changes are enhanced after multiple stimulation sessions. Specifically, we used Dynamic Causal Modelling (DCM) of functional magnetic resonance imaging (fMRI) data from 22 healthy participants to assess changes on effective connectivity within the motor network during active thumb movements after 1 or 5 sessions of tDCS paired with passive mobilisations of the thumb. We found that a single anodal tDCS session (paired with passive mobilisation of the thumb) decreased self-inhibition in M1, with five sessions further enhancing this effect. In addition, anodal tDCS increased thalamo-M1 excitation as compared to cathodal stimulation, with the effects maintained after 5 sessions. Together, our results suggest that pairing anodal tDCS with passive mobilisation across multiple sessions may facilitate thalamo-cortical dynamics that are relevant for behavioural responsiveness in PDOC. More broadly, they offer a mechanistic window into the neural underpinnings of the cumulative effects of multi-session tDCS.
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Affiliation(s)
- Davide Aloi
- School of Psychology, University of Birmingham; Centre for Human Brain Health, University of Birmingham
| | - Roya Jalali
- School of Psychology, University of Birmingham; Centre for Human Brain Health, University of Birmingham
| | - Sara Calzolari
- School of Psychology, University of Birmingham; Centre for Human Brain Health, University of Birmingham
| | - Melanie Lafanechere
- School of Psychology, University of Birmingham; Centre for Human Brain Health, University of Birmingham
| | | | - Davinia Fernández-Espejo
- School of Psychology, University of Birmingham; Centre for Human Brain Health, University of Birmingham.
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18
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Ryan JL, Eng E, Fehlings DL, Wright FV, Levac DE, Beal DS. Motor Evoked Potential Amplitude in Motor Behavior-based Transcranial Direct Current Stimulation Studies: A Systematic Review. J Mot Behav 2023; 55:313-329. [PMID: 36919517 DOI: 10.1080/00222895.2023.2184320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
Motor evoked potential amplitude (MEPamp) is frequently measured in transcranial direct current stimulation (tDCS) studies that target the primary motor cortex (M1), and a subset of these studies involve motor behavior. This systematic review explored the role of MEPamp as an indicator of neural change in M1-targeted tDCS studies involving motor behavior (i.e., motor practice and/or evaluation of motor performance) in healthy individuals, and examined the association between changes in motor performance and MEPamp. We executed our search strategy across four bibliographic databases. Twenty-two manuscripts met eligibility criteria. While anodal tDCS combined with motor practice frequently increased MEPamp, MEPamp outcomes did not necessarily align with changes in motor performance. Thus, MEPamp may not be the most appropriate indicator of neural change in tDCS studies that aim to improve motor performance.
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Affiliation(s)
- Jennifer L Ryan
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - Emily Eng
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
| | - Darcy L Fehlings
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - F Virginia Wright
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.,Department of Physical Therapy, University of Toronto, Toronto, Canada
| | - Danielle E Levac
- School of Rehabilitation, University of Montreal, Montreal, Canada
| | - Deryk S Beal
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
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19
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Watanabe A, Sawamura D, Nakazono H, Tokikuni Y, Miura H, Sugawara K, Fuyama K, Tohyama H, Yoshida S, Sakai S. Transcranial direct current stimulation to the left dorsolateral prefrontal cortex enhances early dexterity skills with the left non-dominant hand: a randomized controlled trial. J Transl Med 2023; 21:143. [PMID: 36823635 PMCID: PMC9951449 DOI: 10.1186/s12967-023-03989-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 02/14/2023] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND The left dorsolateral prefrontal cortex (DLPFC) is involved in early-phase manual dexterity skill acquisition when cognitive control processes, such as integration and complexity demands, are required. However, the effectiveness of left DLPFC transcranial direct current stimulation (tDCS) on early-phase motor learning and whether its effectiveness depends on the cognitive demand of the target task are unclear. This study aimed to investigate whether tDCS over the left DLPFC improves non-dominant hand dexterity performance and determine if its efficacy depends on the cognitive demand of the target task. METHODS In this randomized, double-blind, sham-controlled trial, 70 healthy, right-handed, young adult participants were recruited. They were randomly allocated to the active tDCS (2 mA for 20 min) or sham groups and repeatedly performed the Purdue Pegboard Test (PPT) left-handed peg task and left-handed assembly task three times: pre-tDCS, during tDCS, and post tDCS. RESULTS The final sample comprised 66 healthy young adults (mean age, 22.73 ± 1.57 years). There were significant interactions between group and time in both PPT tasks, indicating significantly higher performance of those in the active tDCS group than those in the sham group post tDCS (p < 0.001). Moreover, a greater benefit was observed in the left-handed assembly task performance than in the peg task performance (p < 0.001). No significant correlation between baseline performance and benefits from tDCS was observed in either task. CONCLUSIONS These results demonstrated that prefrontal tDCS significantly improved early-phase manual dexterity skill acquisition, and its benefits were greater for the task with high cognitive demands. These findings contribute to a deeper understanding of the underlying neurophysiological mechanisms of the left DLPFC in the modulation of early-phase dexterity skill acquisition. TRIAL REGISTRATION This study was registered in the University Hospital Medical Information Network Clinical Trial Registry in Japan (UMIN000046868), Registered February 8, 2022 https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053467.
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Affiliation(s)
- Akihiro Watanabe
- grid.39158.360000 0001 2173 7691Graduate School of Health Sciences, Hokkaido University, Sapporo, 060-0812 Japan
| | - Daisuke Sawamura
- Department of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, 060-0812, Japan.
| | - Hisato Nakazono
- grid.443459.b0000 0004 0374 9105Department of Occupational Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, 814-0001 Japan
| | - Yukina Tokikuni
- grid.39158.360000 0001 2173 7691Graduate School of Health Sciences, Hokkaido University, Sapporo, 060-0812 Japan
| | - Hiroshi Miura
- grid.39158.360000 0001 2173 7691Graduate School of Health Sciences, Hokkaido University, Sapporo, 060-0812 Japan
| | - Kazuhiro Sugawara
- grid.263171.00000 0001 0691 0855Department of Physical Therapy, Sapporo Medical University, Sapporo, 060-8556 Japan
| | - Kanako Fuyama
- grid.412167.70000 0004 0378 6088Data Science Center, Promotion Unit, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, 060-8648 Japan
| | - Harukazu Tohyama
- grid.39158.360000 0001 2173 7691Department of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido 060-0812 Japan
| | - Susumu Yoshida
- grid.412021.40000 0004 1769 5590Department of Rehabilitation Sciences, Health Sciences University of Hokkaido, Tobetsu, 061-0293 Japan
| | - Shinya Sakai
- grid.39158.360000 0001 2173 7691Department of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido 060-0812 Japan
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20
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Guimarães AN, Porto AB, Marcori AJ, Lage GM, Altimari LR, Alves Okazaki VH. Motor learning and tDCS: A systematic review on the dependency of the stimulation effect on motor task characteristics or tDCS assembly specifications. Neuropsychologia 2023; 179:108463. [PMID: 36567006 DOI: 10.1016/j.neuropsychologia.2022.108463] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 11/21/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022]
Abstract
TDCS is one of the most commonly used methods among studies with transcranial electrical stimulation and motor skills learning. Differences between study results suggest that the effect of tDCS on motor learning is dependent on the motor task performed or on the tDCS assembly specification used in the learning process. This systematic review aimed to analyze the tDCS effect on motor learning and verify whether this effect is dependent on the task or tDCS assembly specifications. Searches were performed in PubMed, SciELO, LILACS, Web of Science, CINAHL, Scopus, SPORTDiscus, Cochrane Central Register of Controlled Trials (CENTRAL), Embase, and PsycINFO. Articles were included that analyzed the effect of tDCS on motor learning through pre-practice, post-practice, retention, and/or transfer tests (period ≥24 h). The tDCS was most frequently applied to the primary motor cortex (M1) or the cerebellar cortex (CC) and the majority of studies found significant stimulation effects. Studies that analyzed identical or similar motor tasks show divergent results for the tDCS effect, even when the assembly specifications are the same. The tDCS effect is not dependent on motor task characteristics or tDCS assembly specifications alone but is dependent on the interaction between these factors. This interaction occurs between uni and bimanual tasks with anodal uni and bihemispheric (bilateral) stimulations at M1 or with anodal unihemispheric stimulations (unilateral and centrally) at CC, and between tasks of greater or lesser difficulty with single or multiple tDCS sessions. Movement time seems to be more sensitive than errors to indicate the effects of tDCS on motor learning, and a sufficient amount of motor practice to reach the "learning plateau" also seems to determine the effect of tDCS on motor learning.
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Affiliation(s)
- Anderson Nascimento Guimarães
- State University of Londrina, Londrina. Rodovia Celso Garcia Cid - Pr 445, Km 380, Cx. Postal 10.011, CEP 86057-970, Campus Universitário, Londrina, PR, Brazil.
| | - Alessandra Beggiato Porto
- State University of Londrina, Londrina. Rodovia Celso Garcia Cid - Pr 445, Km 380, Cx. Postal 10.011, CEP 86057-970, Campus Universitário, Londrina, PR, Brazil.
| | - Alexandre Jehan Marcori
- University of São Paulo, Av. Professor Mello Moraes 65, CEP 05508-030, Vila Universitaria, São Paulo, SP, Brazil.
| | - Guilherme Menezes Lage
- Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos, 6627, CEP 31270-901, Belo Horizonte, MG, Brazil.
| | - Leandro Ricardo Altimari
- State University of Londrina, Londrina. Rodovia Celso Garcia Cid - Pr 445, Km 380, Cx. Postal 10.011, CEP 86057-970, Campus Universitário, Londrina, PR, Brazil.
| | - Victor Hugo Alves Okazaki
- State University of Londrina, Londrina. Rodovia Celso Garcia Cid - Pr 445, Km 380, Cx. Postal 10.011, CEP 86057-970, Campus Universitário, Londrina, PR, Brazil.
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21
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Abedi R, Talimkhani A, Mohammadzadeh Z, Daryabor A, Naimi SS. The impact of anodal transcranial direct current stimulation of primary motor cortex on motor learning in older adults with low levels of activity. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2022. [DOI: 10.12968/ijtr.2021.0158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/aims Older adults with different physical activity levels have often demonstrated individual differences in motor performance and learning. Serial reaction time task training and anodal transcranial direct current stimulation of the primary motor cortex were used in this study to evaluate how these interventions affected motor learning in older adults with low activity levels. Methods In this randomised controlled trial, 28 healthy, right-handed, older adults with low activity levels, with a mean age of 69.92 years, were randomly allocated to an anodal transcranial direct current stimulation group (n=14) or sham transcranial direct current stimulation group (n=14), based on a simple non-probability sampling method. The experimental group was exposed to 20 minutes of anodal transcranial direct current stimulation of the motor cortex, using a tDCS device, alongside eight sequenced or randomised blocks of serial reaction time task activities, for 5 consecutive days. In the control group, the tDCS device was automatically switched off after 1 minute. To assess implicit motor learning, the response time and error rate of two sequenced blocks of serial reaction time task activities were collected before, immediately following, 1 day and 1 week after the completion of the intervention. Results Immediately following the end of the intervention, at day 5, the mean response time and error rate were 925.09 and 2.55 in the experimental group, and 1016.52 and 4.10 in the control group. At 1 day after the completion of the intervention, the mean response time and error rates were 927.40 and 3.03 in the experimental group and 1021.91 and 4.34 in the control group. At 1 week after the completion of the intervention, the mean response time and error rates were 942.26 and 3.63 in the experimental group and 1050.08 and 5.11 in the control group. These findings indicate that response time and error rate were significantly decreased in both stimulation groups at different time points (P<0.001). At the same time, there were no significant differences in the response time and error rate between the two groups at different time points: immediately (P=0.07, P=0.31), 1 day (P=0.06, P=0.41) and 1 week (P=0.04, P=0.35) after the completion of the intervention respectively. Conclusions Serial reaction time task training, with or without applying anodal transcranial direct current stimulation, can improve motor learning in low-activity older adults. Therefore, it appears that anodal transcranial direct current stimulation did not affect or improve motor learning in older adults with low motor activity. Motor learning training can be used alone as a practical and helpful intervention to improve performance and implicit motor skill learning with long-lasting effects in older adults with low levels of activity.
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Affiliation(s)
- Razieh Abedi
- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ailin Talimkhani
- Department of Physiotherapy, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Zahra Mohammadzadeh
- Institute for Cognitive and Brain Science, Shahid Beheshti University, Tehran, Iran
| | - Aliyeh Daryabor
- Physiotherapy Research Center, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sedigheh Sadat Naimi
- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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22
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Siew-Pin Leuk J, Yow KE, Zi-Xin Tan C, Hendy AM, Kar-Wing Tan M, Hock-Beng Ng T, Teo WP. A meta-analytical review of transcranial direct current stimulation parameters on upper limb motor learning in healthy older adults and people with Parkinson's disease. Rev Neurosci 2022; 34:325-348. [PMID: 36138560 DOI: 10.1515/revneuro-2022-0073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 08/22/2022] [Indexed: 11/15/2022]
Abstract
Current literature lacks consolidated evidence for the impact of stimulation parameters on the effects of transcranial direct current stimulation (tDCS) in enhancing upper limb motor learning. Hence, we aim to synthesise available methodologies and results to guide future research on the usage of tDCS on upper limb motor learning, specifically in older adults and Parkinson's disease (PD). Thirty-two studies (Healthy older adults, N = 526, M = 67.25, SD = 4.30 years; PD, N = 216, M = 66.62, SD = 6.25 years) were included in the meta-analysis. All included studies consisted of active and sham protocols. Random effect meta-analyses were conducted for (i) subjects (healthy older adults and PD); (ii) intensity (1.0, 1.5, 2 mA); (iii) electrode montage (unilateral anodal, bilateral anodal, unilateral cathodal); (iv) stimulation site (cerebellum, frontal, motor, premotor, SMA, somatosensory); (v) protocol (online, offline). Significant tDCS effect on motor learning was reported for both populations, intensity 1.0 and 2.0 mA, unilateral anodal and cathodal stimulation, stimulation site of the motor and premotor cortex, and both online and offline protocols. Regression showed no significant relationship between tDCS effects and density. The efficacy of tDCS is also not affected by the number of sessions. However, studies that reported only single session tDCS found significant negative association between duration with motor learning outcomes. Our findings suggest that different stimulation parameters enhanced upper limb motor learning in older adults and PD. Future research should combine tDCS with neuroimaging techniques to help with optimisation of the stimulation parameters, considering the type of task and population.
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Affiliation(s)
- Jessie Siew-Pin Leuk
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
| | - Kai-En Yow
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
| | - Clenyce Zi-Xin Tan
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
| | - Ashlee M Hendy
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences (SENS), Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
| | - Mika Kar-Wing Tan
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
| | - Tommy Hock-Beng Ng
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
| | - Wei-Peng Teo
- Physical Education and Sports Science (PESS) Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore 637616, Singapore
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23
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Kunaratnam N, Saumer TM, Kuan G, Holmes Z, Swarbrick D, Kiss A, Mochizuki G, Chen JL. Transcranial direct current stimulation leads to faster acquisition of motor skills, but effects are not maintained at retention. PLoS One 2022; 17:e0269851. [PMID: 36099260 PMCID: PMC9469971 DOI: 10.1371/journal.pone.0269851] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 05/29/2022] [Indexed: 11/28/2022] Open
Abstract
Practice is required to improve one’s shooting technique in basketball or to play a musical instrument well. Learning these motor skills may be further enhanced by transcranial direct current stimulation (tDCS). We aimed to investigate whether tDCS leads to faster attainment of a motor skill, and to confirm prior work showing it improves skill acquisition and retention performance. Fifty-two participants were tested; half received tDCS with the anode on primary motor cortex and cathode on the contralateral forehead while concurrently practicing a sequential visuomotor isometric pinch force task on Day 1, while the other half received sham tDCS during practice. On Day 2, retention of the skill was tested. Results from a Kaplan-Meier survival analysis showed that participants in the anodal group attained a pre-defined target level of skill faster than participants in the sham group (χ2 = 9.117, p = 0.003). Results from a nonparametric rank-based regression analysis showed that the rate of improvement was greater in the anodal versus sham group during skill acquisition (F(1,249) = 5.90, p = 0.016), but there was no main effect of group or time. There was no main effect of group or time, or group by time interaction when comparing performance at the end of acquisition to retention. These findings suggest anodal tDCS improves performance more quickly during skill acquisition but does not have additional benefits on motor learning after a period of rest.
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Affiliation(s)
- Nirsan Kunaratnam
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
- Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Tyler M. Saumer
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
- Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Giovanna Kuan
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Zacharie Holmes
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Dana Swarbrick
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
- Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Alex Kiss
- Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - George Mochizuki
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
- Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto, Ontario, Canada
- School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada
| | - Joyce L. Chen
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
- Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto, Ontario, Canada
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
- * E-mail:
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24
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van der Cruijsen J, Dooren RF, Schouten AC, Oostendorp TF, Frens MA, Ribbers GM, van der Helm FCT, Kwakkel G, Selles RW. Addressing the inconsistent electric fields of tDCS by using patient-tailored configurations in chronic stroke: Implications for treatment. Neuroimage Clin 2022; 36:103178. [PMID: 36084558 PMCID: PMC9465435 DOI: 10.1016/j.nicl.2022.103178] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 08/04/2022] [Accepted: 08/27/2022] [Indexed: 12/14/2022]
Abstract
Transcranial direct current stimulation (tDCS) is a promising tool to improve and speed up motor rehabilitation after stroke, but inconsistent clinical effects refrain tDCS from clinical implementation. Therefore, this study aimed to assess the need for individualized tDCS configurations in stroke, considering interindividual variability in brain anatomy and motor function representation. We simulated tDCS in individualized MRI-based finite element head models of 21 chronic stroke subjects and 10 healthy age-matched controls. An anatomy-based stimulation target, i.e. the motor hand knob, was identified with MRI, whereas a motor function-based stimulation target was identified with EEG. For each subject, we simulated conventional anodal tDCS electrode configurations and optimized electrode configurations to maximize stimulation strength within the anatomical and functional target. The normal component of the electric field was extracted and compared between subjects with stroke and healthy, age-matched controls, for both targets, during conventional and optimized tDCS. Electrical field strength was significantly lower, more variable and more frequently in opposite polarity for subjects with stroke compared to healthy age-matched subjects, both for the anatomical and functional target with conventional, i.e. non-individualized, electrode configurations. Optimized, i.e. individualized, electrode configurations increased the electrical field strength in the anatomical and functional target for subjects with stroke but did not reach the same levels as in healthy subjects. Considering individual brain structure and motor function is crucial for applying tDCS in subjects with stroke. Lack of individualized tDCS configurations in subjects with stroke results in lower electric fields in stimulation targets, which may partially explain the inconsistent clinical effects of tDCS in stroke trials.
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Affiliation(s)
- Joris van der Cruijsen
- Erasmus MC, University Medical Center Rotterdam, dept. of Rehabilitation Medicine, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands; Delft University of Technology, dept. of Biomechanical Engineering, Mekelweg 2, 2628 CD, Delft, The Netherlands; Radboud University Medical Center, dept. of Rehabilitation, Reinier Postlaan 2, 6525 GC, Nijmegen, The Netherlands.
| | - Renée F Dooren
- Erasmus MC, University Medical Center Rotterdam, dept. of Rehabilitation Medicine, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands; Delft University of Technology, dept. of Biomechanical Engineering, Mekelweg 2, 2628 CD, Delft, The Netherlands
| | - Alfred C Schouten
- Delft University of Technology, dept. of Biomechanical Engineering, Mekelweg 2, 2628 CD, Delft, The Netherlands; University of Twente, dept. of Biomechanical Engineering, Drienerlolaan 5, 7522 NB, Enschede, The Netherlands
| | - Thom F Oostendorp
- Donders Institute for Brain, Cognition and Behaviour, Kapittelweg 29, 6525 EN, Nijmegen, The Netherlands
| | - Maarten A Frens
- Erasmus MC, University Medical Center Rotterdam, dept. of Rehabilitation Medicine, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands
| | - Gerard M Ribbers
- Erasmus MC, University Medical Center Rotterdam, dept. of Rehabilitation Medicine, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands; Rijndam Rehabilitation, Westersingel 300, 3015 LJ, Rotterdam, The Netherlands
| | - Frans C T van der Helm
- Delft University of Technology, dept. of Biomechanical Engineering, Mekelweg 2, 2628 CD, Delft, The Netherlands; Northwestern University of Chicago, dept. of Physical Therapy and Movement Sciences, 420 E Superior St, Chicago, IL 60611, United States
| | - Gert Kwakkel
- Northwestern University of Chicago, dept. of Physical Therapy and Movement Sciences, 420 E Superior St, Chicago, IL 60611, United States; Amsterdam University Medical Centre, dept. of Rehabilitation Medicine, De Boelelaan 1117, 1118, 1081 HV Amsterdam, The Netherlands
| | - Ruud W Selles
- Erasmus MC, University Medical Center Rotterdam, dept. of Rehabilitation Medicine, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands
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25
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Yamamoto S, Ishii D, Ishibashi K, Kohno Y. Transcranial Direct Current Stimulation of the Dorsolateral Prefrontal Cortex Modulates Cognitive Function Related to Motor Execution During Sequential Task: A Randomized Control Study. Front Hum Neurosci 2022; 16:890963. [PMID: 35774483 PMCID: PMC9237401 DOI: 10.3389/fnhum.2022.890963] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 05/18/2022] [Indexed: 11/13/2022] Open
Abstract
In daily life, we perform a variety of sequential tasks while making cognitive decisions to achieve behavioral goals. If transcranial direct current electrical stimulation (tDCS) can be used to modulate cognitive functions involved in motor execution, it may provide a new rehabilitation method. In the present study, we constructed a new task in which cognitive decisions are reflected in motor actions and investigated whether the performance of the task can be improved by tDCS of the left dorsolateral prefrontal cortex (DLPFC). Forty healthy participants were randomly assigned to a real or sham tDCS group. The anode electrode was placed at F3 (left DLPFC), and the cathode electrode was positioned in the contralateral supraorbital area. Participants underwent one session of tDCS (1.5 mA, 20 min) and a sequential non-dominant hand task was performed for nine trials before and after tDCS. The task consisted of S1 (a manual dexterity task) and S2 (a manual dexterity task requiring a decision). The results showed the S2 trajectory length was significantly shorter after real tDCS than after sham tDCS (p = 0.017), though the S1 trajectory length was not significant. These results suggest that a single tDCS session of the left DLPFC can improve the performance of cognitive tasks complementary to motor execution, but not on dexterity tasks. By elucidating the modulating effect of tDCS on cognitive functions related to motor execution, these results may be used to improve the performance of rehabilitation patients in the future.
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Affiliation(s)
- Satoshi Yamamoto
- Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Ami, Japan
- *Correspondence: Satoshi Yamamoto
| | - Daisuke Ishii
- Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan
- Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba, Japan
| | - Kiyoshige Ishibashi
- Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ami, Japan
| | - Yutaka Kohno
- Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan
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26
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Sevilla-Sanchez M, Hortobágyi T, Carballeira E, Fogelson N, Fernandez-del-Olmo M. A lack of timing-dependent effects of transcranial direct current stimulation (tDCS) on the performance of a choice reaction time task. Neurosci Lett 2022; 782:136691. [DOI: 10.1016/j.neulet.2022.136691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 05/15/2022] [Accepted: 05/17/2022] [Indexed: 10/18/2022]
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27
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Liang Z, Zhou J, Jiao F, Gin T, Wang X, Liu Y, Lü J. Effect of Transcranial Direct Current Stimulation on Endurance Performance in Elite Female Rowers: A Pilot, Single-Blinded Study. Brain Sci 2022; 12:brainsci12050541. [PMID: 35624927 PMCID: PMC9139125 DOI: 10.3390/brainsci12050541] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/11/2022] [Accepted: 04/21/2022] [Indexed: 02/04/2023] Open
Abstract
Endurance, which is dependent at least partly upon the activation of the brain cortex, is important for performance in rowing. Transcranial direct current stimulation (tDCS) has shown benefits for endurance, but its effects on the endurance performance of elite rowing athletes are unknown, and are examined in this study. Eight elite female rowers completed 5 km of rowing on an ergometer following stimulation of the tDCS and sham over motor cortices. Each session lasted 20 min and the current was set at 2.2 mA. Time, 500 m/split, power, time corresponding to 500 m (TC500) and power corresponding to 500 m (PC500) were recorded continuously throughout the tests. No significant differences in time, 500 m/split and power were observed between baseline, tDCS and sham. Compared to the sham, tDCS induced a percentage reduction in TC500 from baseline to 2500 m and 4000 m, and a percentage increase in PC500 from baseline to 500 m, 1000 m, 1500 m, 2000 m, 2500 m, 4000 m, 4500 m and 5000 m. One-session tDCS did not have significant benefits for rowing endurance performance in elite professional rowers, and had only marginally greater efficacy compared to sham. These findings offer knowledge helpful to the design of future studies exploring the effects of tDCS on the endurance performance of elite rowers.
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Affiliation(s)
- Zhiqiang Liang
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; (Z.L.); (F.J.); (X.W.); (J.L.)
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
| | - Junhong Zhou
- Harvard Medical School, Harvard University, Boston, MA 02131, USA;
- The Hinda and Arthur Marcus Institute for Aging Research, Hebrew Senior Life, Roslindale, MA 02131, USA
| | - Fujia Jiao
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; (Z.L.); (F.J.); (X.W.); (J.L.)
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
| | - Trenton Gin
- College of Art and Science, Cornell University, New York, NY 14850, USA;
| | - Xi Wang
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; (Z.L.); (F.J.); (X.W.); (J.L.)
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
| | - Yu Liu
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
- Correspondence: ; Tel.: +86-021-66507356
| | - Jiaojiao Lü
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; (Z.L.); (F.J.); (X.W.); (J.L.)
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
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Andrade SM, Machado DGDS, Silva-Sauerc LD, Regis CT, Mendes CKTT, de Araújo JSS, de Araújo KDT, Costa LP, Queiroz MEBS, Leitão MM, Fernández-Calvo B. Effects of multisite anodal transcranial direct current stimulation combined with cognitive stimulation in patients with Alzheimer's disease and its neurophysiological correlates: A double-blind randomized clinical trial. Neurophysiol Clin 2022; 52:117-127. [PMID: 35339351 DOI: 10.1016/j.neucli.2022.02.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 02/25/2022] [Accepted: 02/28/2022] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVES We aimed to examine the effects of multisite anodal transcranial direct current stimulation (tDCS) combined with cognitive stimulation (CS) over 2 months on cognitive performance and brain activity, and the relationship between them, in patients with Alzheimer's disease (AD). METHODS Patients with AD were randomly assigned to an active tDCS+CS (n=18) or a sham tDCS+CS (n=18) group. Cognitive performance was assessed using the Alzheimer Disease Assessment Scale-cognitive subscale (ADAS-cog) and brain activity using EEG (spectral power and coherence analysis) before and after the intervention. Multisite anodal tDCS (2 mA, 30 min) was applied over six brain regions [left and right dorsolateral prefrontal cortex (F3 and F4), Broca's area (F5), Wernicke's area (CP5), left and right somatosensory association cortex (P3 and P4)] for 24 sessions (three times a week). Both groups performed CS during tDCS. RESULTS Anodal tDCS+CS delays cognitive decline (ADAS-cog change) to a greater extent than sham tDCS+CS (-3.4±1.1 vs. -1.7±0.4; p=.03). Bilateral EEG coherence at high and low frequencies was greater for the active tDCS+CS than sham+CS group for most electrode pairs assessed (p < .05). The post-intervention ADAS-cog change score was predictive for EEG coherence at different sites (R²=.59 to .68; p < .05) in the active but not in the sham tDCS+CS group. CONCLUSION Anodal tDCS+CS improved overall cognitive function and changed EEG brain activity compared to sham tDCS+CS. Changes in cognitive performance were associated with changes in EEG measures of brain activity. Anodal tDCS+CS appears to be a promising therapeutic strategy to modulate cortical activity and improve cognitive function in patients with AD.
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Affiliation(s)
| | | | - Leandro da Silva-Sauerc
- Laboratory of Aging and Neurodegenerative Disorder, Department of Psychology, Federal University of Paraíba, João Pessoa, Brazil
| | - Cláudio Teixeira Regis
- Aging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, PB, Brazil
| | | | | | | | - Larissa Pereira Costa
- Aging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, PB, Brazil
| | | | | | - Bernardino Fernández-Calvo
- Laboratory of Aging and Neurodegenerative Disorder, Department of Psychology, Federal University of Paraíba, João Pessoa, Brazil; Department of Psychology, Faculty of Educational Sciences and Psychology, University of Córdoba, Córdoba, Spain; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain
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Greeley B, Barnhoorn JS, Verwey WB, Seidler RD. Anodal Transcranial Direct Current Stimulation Over Prefrontal Cortex Slows Sequence Learning in Older Adults. Front Hum Neurosci 2022; 16:814204. [PMID: 35280208 PMCID: PMC8907426 DOI: 10.3389/fnhum.2022.814204] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 01/25/2022] [Indexed: 11/13/2022] Open
Abstract
Aging is associated with declines in sensorimotor function. Several studies have demonstrated that transcranial direct current stimulation (tDCS), a form of non-invasive brain stimulation, can be combined with training to mitigate age-related cognitive and motor declines. However, in some cases, the application of tDCS disrupts performance and learning. Here, we applied anodal tDCS either over the left prefrontal cortex (PFC), right PFC, supplementary motor complex (SMC), the left M1, or in a sham condition while older adults (n = 63) practiced a Discrete Sequence Production (DSP), an explicit motor sequence, task across 3 days. We hypothesized that stimulation to either the right or left PFC would enhance motor learning for older adults, based on the extensive literature showing increased prefrontal cortical activity during motor task performance in older adults. Contrary to our predictions, stimulation to the right and left PFC resulted in slowed motor learning, as evidenced by a slower reduction rate of reduction of reaction time and the number of sequence chunks across trials relative to sham in session one and session two, respectively. These findings suggest an integral role of the right PFC early in sequence learning and a role of the left PFC in chunking in older adults, and contribute to mounting evidence of the difficultly of using tDCS in an aging population.
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Affiliation(s)
- Brian Greeley
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada
| | - Jonathan S. Barnhoorn
- Department of Learning, Data-Analytics and Technology, University of Twente, Enschede, Netherlands
| | - Willem B. Verwey
- Department of Learning, Data-Analytics and Technology, University of Twente, Enschede, Netherlands
| | - Rachael D. Seidler
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States
- *Correspondence: Rachael D. Seidler,
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Strang CE, Amthor FR. Effects of tACS-Like Electrical Stimulation on Off- and On-Off Center Retinal Ganglion Cells: Part II. Eye Brain 2022; 14:17-33. [PMID: 35115857 PMCID: PMC8800591 DOI: 10.2147/eb.s313090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Accepted: 11/30/2021] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Transcranial alternating current stimulation (tACS) is used as a brain stimulation mechanism to enhance learning, ameliorate some psychiatric disorders, and modify behavior. This study assessed the effects of near threshold tACS-like currents on Off-center and On-Off retinal ganglion cell responsiveness in the rabbit retina eyecup preparation as a model for central nervous system effects. MATERIALS AND METHODS We made extracellular recordings in the isolated rabbit eyecup preparation using single electrodes and microelectrode arrays to measure light-evoked spike responses in different classes of Off-center and On-Off retinal ganglion cells before, during, and after brief applications of alternating currents of 1-2 microamperes, at frequencies of 10, 20, 30, and 40 Hz. RESULTS tACS application sculpted the light-evoked response profiles without directly driving spiking activity of the 20 Off-center and On-Off ganglion cells we recorded from. During tACS application, Off responses were significantly enhanced for 6 cells and significantly suppressed for 14 cells, but after tACS application, Off responses were significantly enhanced for 7 cells and suppressed for 12 cells. The Off responses of the remaining two cells returned to baseline. On responses were less affected during and after tACS. CONCLUSION tACS sculpts Off-center and On-Off retinal ganglion cell responsiveness. The dissimilarity of effects in different cells within the same class and the differential effects on the On and Off components of the light response within the same cell are consistent with the hypothesis that tACS acts at threshold on amacrine cells in the inner plexiform layer.
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Affiliation(s)
- Christianne E Strang
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294-1170, USA
| | - Franklin R Amthor
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294-1170, USA
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31
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Amthor FR, Strang CE. Effects of tACS-Like Electrical Stimulation on Correlated Firing of Retinal Ganglion Cells: Part III. Eye Brain 2022; 14:1-15. [PMID: 35046742 PMCID: PMC8763268 DOI: 10.2147/eb.s313161] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 11/30/2021] [Indexed: 02/02/2023] Open
Abstract
Purpose Transcranial alternating current stimulation (tACS) is a stimulation protocol used for learning enhancement and mitigation of cognitive dysfunction. Correlated firing has been postulated to be a meta-code that links neuronal spike responses associated with a single entity and may be an important component of high-level cognitive functions. Thus, changes in the covariance firing structure of CNS neurons such as retinal ganglion cells are one potential mechanism by which tACS can exert its effects. Materials and Methods We used microelectrode arrays to record light-evoked spike responses of 24 retinal ganglion cells in 7 rabbit eyecup preparations and analyzed the covariance between 30 pairs of neighboring retinal ganglion cells before, during, and after 10-minute application of alternating currents of 1 microampere at 10 or 20 Hz. Results tACS stimulation significantly changed the covariance structure of correlated firing in 60% of simultaneously recorded retinal ganglion cells. Application of tACS in the retinal preparation increased cross-covariance in 26% of cell pairs, an effect usually associated with increased light-evoked ganglion cell firing. tACS associated decreases in cross-covariance occurred in 37% of cell pairs. Increased covariance was more common in response to the first, 10-minute application of tACS in isolated retina preparation. Changes in covariance were rare after repeated stimulation, and more likely to result in decreased covariance. Conclusion Retinal ganglion cell correlated firing is modulated by 1 microampere tACS currents showing that electrical stimulation can significantly and persistently change the structure of the correlated firing of simultaneously recorded rabbit retinal ganglion cells.
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Affiliation(s)
- Franklin R Amthor
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294, USA
| | - Christianne E Strang
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294, USA
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32
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Rivera-Urbina GN, Molero-Chamizo A, Nitsche MA. Discernible effects of tDCS over the primary motor and posterior parietal cortex on different stages of motor learning. Brain Struct Funct 2022; 227:1115-1131. [PMID: 35037127 DOI: 10.1007/s00429-021-02451-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 12/29/2021] [Indexed: 11/28/2022]
Abstract
Implicit motor learning and memory involve complex cortical and subcortical networks. The induction of plasticity in these network components via non-invasive brain stimulation, including transcranial direct current stimulation (tDCS), has shown to improve motor learning. However, studies showing these effects are mostly restricted to stimulation of the primary motor cortex (M1) during the early stage of learning. Because of this, we aimed to explore the efficacy of anodal tDCS applied over the posterior parietal cortex (PPC), which is involved in memory processes, on serial reaction time task (SRTT) performance. Specifically, to evaluate the involvement of both motor learning network components, we compared the effects of tDCS applied over regions corresponding to M1 and PPC during the early and late stages of learning. The results revealed a selective improvement of reaction time (RT) during anodal stimulation over the PPC in the late stage of learning. These findings support the assumption that the PPC is relevant during specific phases of learning, at least for SRTT performance. The results also indicate that not only the target area (i.e., PPC), but also timing is crucial for achieving the effects of stimulation on motor learning.
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Affiliation(s)
- Guadalupe Nathzidy Rivera-Urbina
- Autonomous University of Baja California, Blvd Juan A Zertuche y Blvd de los Lagos s/n Fracc, Valle Dorado, C.P. 22890, Ensenada, Baja California, México.
| | | | - Michael A Nitsche
- Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany.,Department of Neurology, University Medical Hospital Bergmannsheil, Bochum, Germany
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Sharma M, Farahani F, Bikson M, Parra LC. Weak DCS causes a relatively strong cumulative boost of synaptic plasticity with spaced learning. Brain Stimul 2021; 15:57-62. [PMID: 34749007 PMCID: PMC8816825 DOI: 10.1016/j.brs.2021.10.552] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 10/26/2021] [Accepted: 10/30/2021] [Indexed: 12/12/2022] Open
Abstract
Background: Electric fields generated during direct current stimulation (DCS) are known to modulate activity-dependent synaptic plasticity in-vitro. This provides a mechanistic explanation for the lasting behavioral effects observed with transcranial direct current stimulation (tDCS) in human learning experiments. However, previous in-vitro synaptic plasticity experiments show relatively small effects despite using strong fields compared to what is expected with conventional tDCS in humans (20 V/m vs. 1 V/m). There is therefore a need to improve the effectiveness of tDCS at realistic field intensities. Here we leverage the observation that effects of learning are known to accumulate over multiple bouts of learning, known as spaced learning. Hypothesis: We propose that effects of DCS on synaptic long-term potentiation (LTP) accumulate over time in a spaced learning paradigm, thus revealing effects at more realistic field intensities. Methods: We leverage a standard model for spaced learning by inducing LTP with repeated bouts of theta burst stimulation (TBS) in hippocampal slice preparations. We studied the cumulative effects of DCS paired with TBS at various intensities applied during the induction of LTP in the CA1 region of rat hippocampal slices. Results: As predicted, DCS applied during repeated bouts of theta burst stimulation (TBS) resulted in an increase of LTP. This spaced learning effect is saturated quickly with strong TBS protocols and stronger fields. In contrast, weaker TBS and the weakest electric fields of 2.5 V/m resulted in the strongest relative efficacies (12% boost in LTP per 1 V/m applied). Conclusions: Weak DCS causes a relatively strong cumulative effect of spaced learning on synaptic plasticity. Staturarion may have masked stronger effects sizes in previous in-vitro studies. Relative effect sizes of DCS are now closer in line with human tDCS experiments.
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Affiliation(s)
- Mahima Sharma
- Department of Biomedical Engineering, The City College of New York, CUNY, 160 Convent Avenue, New York, NY, USA.
| | - Forouzan Farahani
- Department of Biomedical Engineering, The City College of New York, CUNY, 160 Convent Avenue, New York, NY, USA.
| | - Marom Bikson
- Department of Biomedical Engineering, The City College of New York, CUNY, 160 Convent Avenue, New York, NY, USA.
| | - Lucas C Parra
- Department of Biomedical Engineering, The City College of New York, CUNY, 160 Convent Avenue, New York, NY, USA.
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Jo NG, Kim GW, Won YH, Park SH, Seo JH, Ko MH. Timing-Dependent Effects of Transcranial Direct Current Stimulation on Hand Motor Function in Healthy Individuals: A Randomized Controlled Study. Brain Sci 2021; 11:1325. [PMID: 34679390 PMCID: PMC8534210 DOI: 10.3390/brainsci11101325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 09/30/2021] [Accepted: 09/30/2021] [Indexed: 11/18/2022] Open
Abstract
The timing of transcranial direct current stimulation (tDCS) is essential for enhancing motor skill learning. Previously, tDCS, before or concurrently, with motor training was evaluated in healthy volunteers or elderly patients, but the optimal timing of stimulation has not been determined. In this study, we aimed to optimize the existing tDCS protocols by exploring the timing-dependent stimulation effects on finger movements in healthy individuals. We conducted a single-center, prospective, randomized controlled trial. The study participants (n = 39) were randomly assigned into three groups: tDCS concurrently with finger tapping training (CON), tDCS prior to finger tapping training (PRI), and SHAM-tDCS simultaneously with finger tapping training (SHAM). In all groups, the subjects participated in five 40-min training sessions for one week. Motor performance was measured before and after treatment using the finger-tapping task (FTT), the grooved pegboard test (GPT), and hand strength tests. tDCS treatment prior to finger tapping training significantly improved motor skill learning, as indicated by the GPT and hand strength measurements. In all groups, the treatment improved the FTT performance. Our results indicate that applying tDCS before training could be optimal for enhancing motor skill learning. Further research is required to confirm these findings.
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Affiliation(s)
- Nam-Gyu Jo
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
| | - Gi-Wook Kim
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
| | - Yu Hui Won
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
| | - Sung-Hee Park
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
| | - Jeong-Hwan Seo
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
| | - Myoung-Hwan Ko
- Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Geonjiro 20, Deokjin-gu, Jeonju 54097, Korea; (N.-G.J.); (G.-W.K.); (Y.H.W.); (S.-H.P.); (J.-H.S.)
- Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju 54907, Korea
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Ortelli P, Ferrazzoli D, Maestri R, Saltuari L, Kofler M, Alibardi A, Koch G, Spampinato D, Castagna A, Sebastianelli L, Versace V. Experimental Protocol to Test Explicit Motor Learning–Cerebellar Theta Burst Stimulation. FRONTIERS IN REHABILITATION SCIENCES 2021; 2:720184. [PMID: 36188833 PMCID: PMC9397715 DOI: 10.3389/fresc.2021.720184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 08/05/2021] [Indexed: 11/13/2022]
Abstract
Implicit and explicit motor learning processes work interactively in everyday life to promote the creation of highly automatized motor behaviors. The cerebellum is crucial for motor sequence learning and adaptation, as it contributes to the error correction and to sensorimotor integration of on-going actions. A non-invasive cerebellar stimulation has been demonstrated to modulate implicit motor learning and adaptation. The present study aimed to explore the potential role of cerebellar theta burst stimulation (TBS) in modulating explicit motor learning and adaptation, in healthy subjects. Cerebellar TBS will be applied immediately before the learning phase of a computerized task based on a modified Serial Reaction Time Task (SRTT) paradigm. Here, we present a study protocol aimed at evaluating the behavioral effects of continuous (cTBS), intermittent TBS (iTBS), or sham Theta Burst Stimulation (TBS) on four different conditions: learning, adaptation, delayed recall and re-adaptation of SRTT. We are confident to find modulation of SRTT performance induced by cerebellar TBS, in particular, processing acceleration and reduction of error in all the conditions induced by cerebellar iTBS, as already known for implicit processes. On the other hand, we expect that cerebellar cTBS could induce opposite effects. Results from this protocol are supposed to advance the knowledge about the role of non-invasive cerebellar modulation in neurorehabilitation, providing clinicians with useful data for further exploiting this technique in different clinical conditions.
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Affiliation(s)
- Paola Ortelli
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
- *Correspondence: Paola Ortelli
| | - Davide Ferrazzoli
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
| | - Roberto Maestri
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituti Clinici Scientifici Maugeri, Pavia, Italy
| | - Leopold Saltuari
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
| | - Markus Kofler
- Department of Neurology, Hochzirl Hospital, Zirl, Austria
| | - Alessia Alibardi
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
| | - Giacomo Koch
- Non-invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, Italy
- Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
| | - Danny Spampinato
- Non-invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, Italy
- Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, United Kingdom
| | - Anna Castagna
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Fondazione Don Carlo Gnocchi, Milan, Italy
| | - Luca Sebastianelli
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
| | - Viviana Versace
- Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy
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Savoury R, Kibele A, Behm DG. Methodological Issues with Transcranial Direct Current Stimulation for Enhancing Muscle Strength and Endurance: A Narrative Review. JOURNAL OF COGNITIVE ENHANCEMENT 2021. [DOI: 10.1007/s41465-021-00222-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Amthor FR, Strang CE. Effects of tACS-Like Electrical Stimulation on On-Center Retinal Ganglion Cells: Part I. Eye Brain 2021; 13:175-192. [PMID: 34285622 PMCID: PMC8285569 DOI: 10.2147/eb.s312402] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 06/11/2021] [Indexed: 01/30/2023] Open
Abstract
Purpose Electrical stimulation of the human central nervous system via surface electrodes has been used for both learning enhancement and the amelioration of neurodegenerative or psychiatric disorders. However, data are sparse on how such electrical stimulation affects neural circuits at the cellular level. This study assessed the effects of tACS-like currents at 10 Hz on On-center retinal ganglion cell responsiveness, using the rabbit retina eyecup preparation as a model for central nervous system effects. Methods We made extracellular recordings of light-evoked spike responses in different classes of On-center retinal ganglion cells before, during and after brief applications of 1 microampere alternating currents using single electrodes and microelectrode arrays. Results tACS-like currents (tACS) of 1 microampere produced effects on On-center ganglion cell response profiles immediately after initiation or cessation of tACS, without driving phase-locked firing in the absence of light stimuli. tACS affected the initial transient responses to light stimulation for all cells, sustained response components (if any) more strongly for sustained cells, and the center-surround balance more strongly for transient cells. Conclusion tACS sculpted light-evoked responses that lasted for one or more hours after cessation of current without, itself, directly inducing significant firing changes. Functionally, tACS effects could result in effects on contrast thresholds for both broad classes of cells, but because tACs differentially affects the center-surround balance of transient On-center cells, there may be greater effects on the spatial resolution and gain. The isolated retina appears to be a useful model to understand tACS actions at the neuronal level.
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Affiliation(s)
- Franklin R Amthor
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294-1170, USA
| | - Christianne E Strang
- Department of Psychology, The University of Alabama at Birmingham, Birmingham, AL, 35294-1170, USA
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Firouzi M, Baetens K, Swinnen E, Baeken C, Van Overwalle F, Deroost N. Registered report: Does transcranial direct current stimulation of the primary motor cortex improve implicit motor sequence learning in Parkinson's disease? J Neurosci Res 2021; 99:2406-2415. [PMID: 34181300 DOI: 10.1002/jnr.24908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 03/10/2021] [Accepted: 05/06/2021] [Indexed: 11/10/2022]
Abstract
Implicit motor sequence learning (IMSL) is a cognitive function that is known to be directly associated with impaired motor function in Parkinson's disease (PD). Research on healthy young participants shows the potential for transcranial direct current stimulation (tDCS), a noninvasive brain stimulation technique, over the primary motor cortex (M1) to enhance IMSL. tDCS has direct effects on the underlying cortex, but also induces distant (basal ganglia) network effects-hence its potential value in PD, a prime model of basal ganglia dysfunction. To date, only null effects have been reported in persons with PD. However, these studies did not determine the reacquisition effects, although previous studies in healthy young adults suggest that tDCS specifically exerts its beneficial effects on IMSL on reacquisition rather than acquisition. In the current study, we will therefore establish possible reacquisition effects, which are of a particular interest, as long-term effects are vital for the successful functional rehabilitation of persons with PD. Using a sham-controlled, counterbalanced design, we will investigate the potential of tDCS delivered over M1 to enhance IMSL, as measured by the serial reaction time task, in persons with PD and a neurologically healthy age- and sex-matched control (HC) group. Multilevel Mixed Models will be implemented to analyze the sequence-specific aspect of IMSL (primary outcome) and general learning (secondary outcome). We will determine not only the immediate effects that may occur concurrently with the application of tDCS but also the short-term (5 min post-tDCS) and long-term (1 week post-tDCS) reacquisition effects.
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Affiliation(s)
- Mahyar Firouzi
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium.,Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Kris Baetens
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Eva Swinnen
- Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Jette, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Chris Baeken
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium.,Department of Psychiatry and Medical Psychology, Ghent University, University Hospital Ghent (UZ Ghent), Ghent, Belgium.,Department of Psychiatry, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), University Hospital Brussel (UZ Brussel), Brussels, Belgium
| | - Frank Van Overwalle
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
| | - Natacha Deroost
- Brain, Body and Cognition Research Group, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Elsene, Belgium.,Center for Neurosciences (C4N), Vrije Universiteit Brussel, Elsene, Belgium
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39
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Lerner O, Friedman J, Frenkel-Toledo S. The effect of high-definition transcranial direct current stimulation intensity on motor performance in healthy adults: a randomized controlled trial. J Neuroeng Rehabil 2021; 18:103. [PMID: 34174914 PMCID: PMC8236155 DOI: 10.1186/s12984-021-00899-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 06/14/2021] [Indexed: 11/22/2022] Open
Abstract
Background The results of transcranial direct current stimulation (tDCS) studies that seek to improve motor performance for people with neurological disorders, by targeting the primary motor cortex, have been inconsistent. One possible reason, among others, for this inconsistency, is that very little is known about the optimal protocols for enhancing motor performance in healthy individuals. The best way to optimize stimulation protocols for enhancing tDCS effects on motor performance by means of current intensity modulation has not yet been determined. We aimed to determine the effect of current intensity on motor performance using–for the first time–a montage optimized for maximal focal stimulation via anodal high-definition tDCS (HD-tDCS) on the right primary motor cortex in healthy subjects. Methods Sixty participants randomly received 20-min HD-tDCS at 1.5, 2 mA, or sham stimulation. Participants’ reaching performance with the left hand on a tablet was tested before, during, and immediately following stimulation, and retested after 24 h. Results In the current montage of HD-tDCS, movement time did not differ between groups in each timepoint. However, only after HD-tDCS at 1.5 mA did movement time improve at posttest as compared to pretest. This reduction in movement time from pretest to posttest was significantly greater compared to HD-tDCS 2 mA. Following HD-tDCS at 1.5 mA and sham HD-tDCS, but not 2 mA, movement time improved at retest compared to pretest, and at posttest and retest compared to the movement time during stimulation. In HD-tDCS at 2 mA, the negligible reduction in movement time from the course of stimulation to posttest was significantly lower compared to sham HD-tDCS. Across all groups, reaction time improved in retest compared to pretest and to the reaction time during stimulation, and did not differ between groups in each timepoint. Conclusions It appears that 2 mA in this particular experimental setup inhibited the learning effects. These results suggest that excitatory effects induced by anodal stimulation do not hold for every stimulation intensity, information that should be taken into consideration when translating tDCS use from the realm of research into more optimal neurorehabilitation. Trial registration: Clinical Trials Gov, NCT04577768. Registered 6 October 2019 -Retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000A9B3&selectaction=Edit&uid=U0005AKF&ts=8&cx=buucf0. Supplementary Information The online version contains supplementary material available at 10.1186/s12984-021-00899-z.
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Affiliation(s)
- Ohad Lerner
- Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel
| | - Jason Friedman
- Department of Physical Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
| | - Silvi Frenkel-Toledo
- Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel. .,Department of Neurological Rehabilitation, Loewenstein Hospital, Raanana, Israel.
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40
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Flix-Díez L, Delicado-Miralles M, Gurdiel-Álvarez F, Velasco E, Galán-Calle M, Lerma Lara S. Reversed Polarity bi-tDCS over M1 during a Five Days Motor Task Training Did Not Influence Motor Learning. A Triple-Blind Clinical Trial. Brain Sci 2021; 11:brainsci11060691. [PMID: 34070256 PMCID: PMC8225177 DOI: 10.3390/brainsci11060691] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/18/2021] [Accepted: 05/22/2021] [Indexed: 12/04/2022] Open
Abstract
Transcranial direct current stimulation (tDCS) has been investigated as a way of improving motor learning. Our purpose was to explore the reversal bilateral tDCS effects on manual dexterity training, during five days, with the retention component measured after 5 days to determine whether somatosensory effects were produced. In this randomized, triple-blind clinical trial, 28 healthy subjects (14 women) were recruited and randomized into tDCS and placebo groups, although only 23 participants (13 women) finished the complete protocol. Participants received the real or placebo treatment during five consecutive days, while performing a motor dexterity training program of 20 min. The motor dexterity and the sensitivity of the hand were assessed pre- and post-day 1, post 5 days of training, and 5 days after training concluded. Training improved motor dexterity, but tDCS only produced a tendency to improve retention. The intervention did not produce changes in the somatosensory variables assessed. Thus, reversal bi-tDCS had no effects during motor learning on healthy subjects, but it could favor the retention of the motor skills acquired. These results do not support the cooperative inter-hemispheric model.
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Affiliation(s)
- Laura Flix-Díez
- Department of Physical Therapy, University of Valencia (UV), 46003 Valencia, Spain;
| | - Miguel Delicado-Miralles
- Instituto de Neurociencias de Alicante (UMH-CSIC), 03550 Sant Joant d’Alacant, Spain; (M.D.-M.); (E.V.)
| | - Francisco Gurdiel-Álvarez
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine University of Rey Juan Carlos, 28922 Alcorcón, Spain;
| | - Enrique Velasco
- Instituto de Neurociencias de Alicante (UMH-CSIC), 03550 Sant Joant d’Alacant, Spain; (M.D.-M.); (E.V.)
| | - María Galán-Calle
- Health Sciences Faculty, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain;
| | - Sergio Lerma Lara
- Health Sciences Faculty, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain;
- Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
- Correspondence: ; Tel.: +34-91-5035900 (ext. 255)
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41
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Shinde AB, Lerud KD, Munsch F, Alsop DC, Schlaug G. Effects of tDCS dose and electrode montage on regional cerebral blood flow and motor behavior. Neuroimage 2021; 237:118144. [PMID: 33991697 PMCID: PMC8653867 DOI: 10.1016/j.neuroimage.2021.118144] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 04/26/2021] [Accepted: 04/28/2021] [Indexed: 12/04/2022] Open
Abstract
We used three dose levels (Sham, 2 mA, and 4 mA) and two different electrode montages (unihemispheric and bihemispheric) to examine DOSE and MONTAGE effects on regional cerebral blood flow (rCBF) as a surrogate marker of neural activity, and on a finger sequence task, as a surrogate behavioral measure drawing on brain regions targeted by transcranial direct current stimulation (tDCS). We placed the anodal electrode over the right motor region (C4) while the cathodal or return electrode was placed either over a left supraorbital region (unihemispheric montage) or over the left motor region (C3 in the bihemispheric montage). Performance changes in the finger sequence task for both hands (left hand: p = 0.0026, and right hand: p = 0.0002) showed a linear tDCS dose response but no montage effect. rCBF in the right hemispheric perirolandic area increased with dose under the anodal electrode (p = 0.027). In contrast, in the perirolandic ROI in the left hemisphere, rCBF showed a trend to increase with dose (p = 0.053) and a significant effect of montage (p = 0.00004). The bihemispheric montage showed additional rCBF increases in frontomesial regions in the 4mA condition but not in the 2 mA condition. Furthermore, we found strong correlations between simulated current density in the left and right perirolandic region and improvements in the finger sequence task performance (FSP) for the contralateral hand. Our data support not only a strong direct tDCS dose effect for rCBF and FSP as surrogate measures of targeted brain regions but also indirect effects on rCBF in functionally connected regions (e.g., frontomesial regions), particularly in the higher dose condition and on FSP of the ipsilateral hand (to the anodal electrode). At a higher dose and irrespective of polarity, a wider network of sensorimotor regions is positively affected by tDCS.
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Affiliation(s)
- Anant B Shinde
- Department of Neurology, Baystate Medical Center - UMass Medical School, Springfield, MA 01107, USA; Department of Biomedical Engineering and Institute of Applied Life Sciences, UMass Amherst, Amherst, MA 01003, USA.
| | - Karl D Lerud
- Department of Neurology, Baystate Medical Center - UMass Medical School, Springfield, MA 01107, USA
| | - Fanny Munsch
- Department of Radiology, MRI Research, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, MA 02215, USA
| | - David C Alsop
- Department of Radiology, MRI Research, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, MA 02215, USA
| | - Gottfried Schlaug
- Department of Neurology, Baystate Medical Center - UMass Medical School, Springfield, MA 01107, USA; Department of Biomedical Engineering and Institute of Applied Life Sciences, UMass Amherst, Amherst, MA 01003, USA; Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, MA 02215, USA
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42
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Small Enhancement of Bimanual Typing Performance after 20 Sessions of tDCS in Healthy Young Adults. Neuroscience 2021; 466:26-35. [PMID: 33974964 DOI: 10.1016/j.neuroscience.2021.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 03/04/2021] [Accepted: 05/02/2021] [Indexed: 01/10/2023]
Abstract
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that may improve motor learning. However, the long-term effects of tDCS have not been explored, and the ecological validity of the evaluated tasks was limited. To determine whether 20 sessions of tDCS over the primary motor cortex (M1) would enhance the performance of a complex life motor skill, i.e., typing, in healthy young adults. Healthy young adults (n = 60) were semi-randomly assigned to three groups: the tDCS group (n = 20) received anodal tDCS over M1; the SHAM group (n = 20) received sham tDCS, both while performing a typing task; and the Control group (CON, n = 20) only performed the typing task. Typing speed and errors at maximum (mTT) and submaximal (iTT) speeds were measured before training, and after 10 and 20 sessions of tDCS. Every subject increased maximum typing speed after 10 and 20 tDCS sessions, with no significant differences (p > 0.05) between the groups. The number of errors at submaximal rates decreased significantly (p < 0.05) by 4% after 10 tDCS sessions compared with the 3% increase in the SHAM and the 2% increase in the CON groups. Between the 10th and 20th tDCS sessions, the number of typing errors increased significantly in all groups. While anodal tDCS reduced typing errors marginally, such performance-enhancing effects plateaued after 10 sessions without any further improvements in typing speed. These findings suggest that long-term tDCS may not have functionally relevant effects on healthy young adults' typing performance.
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43
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Masina F, Arcara G, Galletti E, Cinque I, Gamberini L, Mapelli D. Neurophysiological and behavioural effects of conventional and high definition tDCS. Sci Rep 2021; 11:7659. [PMID: 33828202 PMCID: PMC8027218 DOI: 10.1038/s41598-021-87371-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 03/26/2021] [Indexed: 11/09/2022] Open
Abstract
High-definition transcranial direct current stimulation (HD-tDCS) seems to overcome a drawback of traditional bipolar tDCS: the wide-spread diffusion of the electric field. Nevertheless, most of the differences that characterise the two techniques are based on mathematical simulations and not on real, behavioural and neurophysiological, data. The study aims to compare a widespread tDCS montage (i.e., a Conventional bipolar montage with extracephalic return electrode) and HD-tDCS, investigating differences both at a behavioural level, in terms of dexterity performance, and a neurophysiological level, as modifications of alpha and beta power as measured with EEG. Thirty participants took part in three sessions, one for each montage: Conventional tDCS, HD-tDCS, and sham. In all the conditions, the anode was placed over C4, while the cathode/s placed according to the montage. At baseline, during, and after each stimulation condition, dexterity was assessed with a Finger Tapping Task. In addition, resting-state EEG was recorded at baseline and after the stimulation. Power spectrum density was calculated, selecting two frequency bands: alpha (8-12 Hz) and beta (18-22 Hz). Linear mixed effect models (LMMs) were used to analyse the modulation induced by tDCS. To evaluate differences among the montages and consider state-dependency phenomenon, the post-stimulation measurements were covariate-adjusted for baseline levels. We observed that HD-tDCS induced an alpha power reduction in participants with lower alpha at baseline. Conversely, Conventional tDCS induced a beta power reduction in participants with higher beta at baseline. Furthermore, data showed a trend towards a behavioural effect of HD-tDCS in participants with lower beta at baseline showing faster response times. Conventional and HD-tDCS distinctively modulated cortical activity. The study highlights the importance of considering state-dependency to determine the effects of tDCS on individuals.
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Affiliation(s)
- Fabio Masina
- IRCCS San Camillo Hospital, Venice, Italy. .,Human Inspired Technologies Research Center, University of Padova, Padua, Italy.
| | | | - Eleonora Galletti
- Department of General Psychology, University of Padova, Padua, Italy
| | - Isabella Cinque
- Department of General Psychology, University of Padova, Padua, Italy
| | - Luciano Gamberini
- Human Inspired Technologies Research Center, University of Padova, Padua, Italy.,Department of General Psychology, University of Padova, Padua, Italy
| | - Daniela Mapelli
- Human Inspired Technologies Research Center, University of Padova, Padua, Italy.,Department of General Psychology, University of Padova, Padua, Italy
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44
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TDCS effects on pointing task learning in young and old adults. Sci Rep 2021; 11:3421. [PMID: 33564052 PMCID: PMC7873227 DOI: 10.1038/s41598-021-82275-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 01/14/2021] [Indexed: 01/19/2023] Open
Abstract
Skill increase in motor performance can be defined as explicitly measuring task success but also via more implicit measures of movement kinematics. Even though these measures are often related, there is evidence that they represent distinct concepts of learning. In the present study, the effect of multiple tDCS-sessions on both explicit and implicit measures of learning are investigated in a pointing task in 30 young adults (YA) between 27.07 ± 3.8 years and 30 old adults (OA) between 67.97 years ± 5.3 years. We hypothesized, that OA would show slower explicit skill learning indicated by higher movement times/lower accuracy and slower implicit learning indicated by higher spatial variability but profit more from anodal tDCS compared with YA. We found age-related differences in movement time but not in accuracy or spatial variability. TDCS did not skill learning facilitate learning neither in explicit nor implicit parameters. However, contrary to our hypotheses, we found tDCS-associated higher accuracy only in YA but not in spatial variability. Taken together, our data shows limited overlapping of tDCS effects in explicit and implicit skill parameters. Furthermore, it supports the assumption that tDCS is capable of producing a performance-enhancing brain state at least for explicit skill acquisition.
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45
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Wessel MJ, Park CH, Beanato E, Cuttaz EA, Timmermann JE, Schulz R, Morishita T, Koch PJ, Hummel FC. Multifocal stimulation of the cerebro-cerebellar loop during the acquisition of a novel motor skill. Sci Rep 2021; 11:1756. [PMID: 33469089 PMCID: PMC7815761 DOI: 10.1038/s41598-021-81154-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 12/28/2020] [Indexed: 01/10/2023] Open
Abstract
Transcranial direct current stimulation (tDCS)-based interventions for augmenting motor learning are gaining interest in systems neuroscience and clinical research. Current approaches focus largely on monofocal motorcortical stimulation. Innovative stimulation protocols, accounting for motor learning related brain network interactions also, may further enhance effect sizes. Here, we tested different stimulation approaches targeting the cerebro-cerebellar loop. Forty young, healthy participants trained a fine motor skill with concurrent tDCS in four sessions over two days, testing the following conditions: (1) monofocal motorcortical, (2) sham, (3) monofocal cerebellar, or (4) sequential multifocal motorcortico-cerebellar stimulation in a double-blind, parallel design. Skill retention was assessed after circa 10 and 20 days. Furthermore, potential underlying mechanisms were studied, applying paired-pulse transcranial magnetic stimulation and multimodal magnetic resonance imaging-based techniques. Multisession motorcortical stimulation facilitated skill acquisition, when compared with sham. The data failed to reveal beneficial effects of monofocal cerebellar or additive effects of sequential multifocal motorcortico-cerebellar stimulation. Multimodal multiple linear regression modelling identified baseline task performance and structural integrity of the bilateral superior cerebellar peduncle as the most influential predictors for training success. Multisession application of motorcortical tDCS in several daily sessions may further boost motor training efficiency. This has potential implications for future rehabilitation trials.
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Affiliation(s)
- Maximilian J Wessel
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland. .,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland.
| | - Chang-Hyun Park
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland
| | - Elena Beanato
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland
| | - Estelle A Cuttaz
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland
| | - Jan E Timmermann
- Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Robert Schulz
- Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Takuya Morishita
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland
| | - Philipp J Koch
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland
| | - Friedhelm C Hummel
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology Lausanne (EPFL), Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.,Defitech Chair of Clinical Neuroengineering, Clinique Romande de Réadaptation, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Sion, Switzerland.,Clinical Neuroscience, University of Geneva Medical School, Geneva, Switzerland
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46
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Preliminary effects of prefrontal tDCS on dopamine-mediated behavior and psychophysiology. Behav Brain Res 2021; 402:113091. [PMID: 33359843 DOI: 10.1016/j.bbr.2020.113091] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 12/17/2020] [Accepted: 12/18/2020] [Indexed: 11/23/2022]
Abstract
The ability to manipulate dopamine in vivo through non-invasive, reversible mechanisms has the potential to impact clinical, translational, and basic research. Recent PET studies have demonstrated increased dopamine release in the striatum after bifrontal transcranial direct current stimulation (tDCS). We sought to extend this work by examining whether bifrontal tDCS could demonstrate an effect on behavioral and physiological correlates of subcortical dopamine activity. We conducted a preliminary between-subjects study (n = 30) with active and sham tDCS and used spontaneous eye blink rate (EBR), facial attractiveness ratings, and greyscales orienting bias as indirect proxies for dopamine functioning. The initial design and analyses were pre-registered (https://osf.io/gmnpc). Stimulation did not significantly affect any of the three measures, though effect sizes were often moderately large and were all in the predicted directions. Additional exploratory analyses suggested that stimulation's effect on EBR might depend on pre-stimulation dopamine levels. Our results suggest that larger samples than those that are standard in tDCS literature should be used to assess the effect of tDCS on dopamine using indirect measures. Further, exploratory results add to a growing body of work demonstrating the importance of accounting for individual differences in tDCS response.
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47
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Besson P, Muthalib M, De Vassoigne C, Rothwell J, Perrey S. Effects of Multiple Sessions of Cathodal Priming and Anodal HD-tDCS on Visuo Motor Task Plateau Learning and Retention. Brain Sci 2020; 10:E875. [PMID: 33228236 PMCID: PMC7699517 DOI: 10.3390/brainsci10110875] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 10/24/2020] [Accepted: 11/18/2020] [Indexed: 01/18/2023] Open
Abstract
A single session of priming cathodal transcranial direct current stimulation (tDCS) prior to anodal tDCS (c-a-tDCS) allows cumulative effects on motor learning and retention. However, the impact of multiple sessions of c-a-tDCS priming on learning and retention remains unclear. Here, we tested whether multiple sessions of c-a-tDCS (over 3 consecutive days) applied over the left sensorimotor cortex can further enhance motor learning and retention of an already learned visuo-motor task as compared to anodal tDCS (a-tDCS) or sham. In a between group and randomized double-blind sham-controlled study design, 25 participants separated in 3 independent groups underwent 2 days of baseline training without tDCS followed by 3-days of training with both online and offline tDCS, and two retention tests (1 and 14 days later). Each training block consisted of five trials of a 60 s circular-tracing task intersected by 60 s rest, and performance was assessed in terms of speed-accuracy trade-off represented notably by an index of performance (IP). The main findings of this exploratory study were that multiple sessions of c-a-tDCS significantly further enhanced IP above baseline training levels over the 3 training days that were maintained over the 2 retention days, but these learning and retention performance changes were not significantly different from the sham group. Subtle differences in the changes in speed-accuracy trade-off (components of IP) between c-a-tDCS (maintenance of accuracy over increasing speed) and a-tDCS (increasing speed over maintenance of accuracy) provide preliminary insights to a mechanistic modulation of motor performance with priming and polarity of tDCS.
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Affiliation(s)
- Pierre Besson
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, 34090 Montpellier, France; (P.B.); (M.M.); (C.D.V.)
| | - Makii Muthalib
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, 34090 Montpellier, France; (P.B.); (M.M.); (C.D.V.)
- SilverLine Research, 4127 Brisbane, Australia
| | - Christophe De Vassoigne
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, 34090 Montpellier, France; (P.B.); (M.M.); (C.D.V.)
| | - Jonh Rothwell
- Institute of Neurology, University College London, London WC1N 3BG, UK;
| | - Stephane Perrey
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, 34090 Montpellier, France; (P.B.); (M.M.); (C.D.V.)
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48
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Firouzi M, Van Herk K, Kerckhofs E, Swinnen E, Baeken C, Van Overwalle F, Deroost N. Transcranial direct‐current stimulation enhances implicit motor sequence learning in persons with Parkinson's disease with mild cognitive impairment. J Neuropsychol 2020; 15:363-378. [DOI: 10.1111/jnp.12231] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 10/07/2020] [Indexed: 01/17/2023]
Affiliation(s)
- Mahyar Firouzi
- Brain, Body and Cognition Department of Psychology and Educational Sciences Vrije Universiteit Brussel Belgium
- Rehabilitation Research Department of Physiotherapy Human Physiology and Anatomy Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
| | - Karlijn Van Herk
- Rehabilitation Research Department of Physiotherapy Human Physiology and Anatomy Vrije Universiteit Brussel Belgium
| | - Eric Kerckhofs
- Brain, Body and Cognition Department of Psychology and Educational Sciences Vrije Universiteit Brussel Belgium
- Rehabilitation Research Department of Physiotherapy Human Physiology and Anatomy Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
| | - Eva Swinnen
- Rehabilitation Research Department of Physiotherapy Human Physiology and Anatomy Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
| | - Chris Baeken
- Brain, Body and Cognition Department of Psychology and Educational Sciences Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
- Department of Psychiatry and Medical Psychology Ghent University University Hospital Ghent Belgium
- Department of Psychiatry Faculty of Medicine and Pharmacy Vrije Universiteit Brussel University Hospital Brussel Belgium
| | - Frank Van Overwalle
- Brain, Body and Cognition Department of Psychology and Educational Sciences Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
| | - Natacha Deroost
- Brain, Body and Cognition Department of Psychology and Educational Sciences Vrije Universiteit Brussel Belgium
- Rehabilitation Research Department of Physiotherapy Human Physiology and Anatomy Vrije Universiteit Brussel Belgium
- Center for Neurosciences (C4N) Vrije Universiteit Brussel Belgium
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49
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Vitale F, Padrón I, Avenanti A, de Vega M. Enhancing Motor Brain Activity Improves Memory for Action Language: A tDCS Study. Cereb Cortex 2020; 31:1569-1581. [PMID: 33136142 DOI: 10.1093/cercor/bhaa309] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 08/17/2020] [Accepted: 08/28/2020] [Indexed: 11/14/2022] Open
Abstract
The embodied cognition approach to linguistic meaning posits that action language understanding is grounded in sensory-motor systems. However, evidence that the human motor cortex is necessary for action language memory is meager. To address this issue, in two groups of healthy individuals, we perturbed the left primary motor cortex (M1) by means of either anodal or cathodal transcranial direct current stimulation (tDCS), before participants had to memorize lists of manual action and attentional sentences. In each group, participants received sham and active tDCS in two separate sessions. Following anodal tDCS (a-tDCS), participants improved the recall of action sentences compared with sham tDCS. No similar effects were detected following cathodal tDCS (c-tDCS). Both a-tDCS and c-tDCS induced variable changes in motor excitability, as measured by motor-evoked potentials induced by transcranial magnetic stimulation. Remarkably, across groups, action-specific memory improvements were positively predicted by changes in motor excitability. We provide evidence that excitatory modulation of the motor cortex selectively improves performance in a task requiring comprehension and memory of action sentences. These findings indicate that M1 is necessary for accurate processing of linguistic meanings and thus provide causal evidence that high-order cognitive functions are grounded in the human motor system.
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Affiliation(s)
- Francesca Vitale
- Instituto Universitario de Neurociencia, Universidad de La Laguna, Santa Cruz de Tenerife 38200, Spain
| | - Iván Padrón
- Instituto Universitario de Neurociencia, Universidad de La Laguna, Santa Cruz de Tenerife 38200, Spain
| | - Alessio Avenanti
- Dipartimento di Psicologia, Centro studi e ricerche in Neuroscienze Cognitive, Alma Mater Studiorum-Università di Bologna, Cesena 47521, Italy
- Centro de Investigación en Neuropsicología y Neurociencias Cognitivas, Universidad Católica del Maule, Talca 3460000, Chile
| | - Manuel de Vega
- Instituto Universitario de Neurociencia, Universidad de La Laguna, Santa Cruz de Tenerife 38200, Spain
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Prefrontal transcranial direct-current stimulation improves early technical skills in surgery. Brain Stimul 2020; 13:1834-1841. [DOI: 10.1016/j.brs.2020.10.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 10/21/2020] [Accepted: 10/22/2020] [Indexed: 11/18/2022] Open
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