1
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Jin Z, Xie K, Ni X, Jin DG, Zhang J, Li L. Transcranial magnetic stimulation over the right dorsolateral prefrontal cortex modulates visuospatial distractor suppression. Eur J Neurosci 2021; 53:3394-3403. [PMID: 33650122 PMCID: PMC8252778 DOI: 10.1111/ejn.15164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 02/18/2021] [Accepted: 02/24/2021] [Indexed: 01/08/2023]
Abstract
Visual selective attention allows us to filter relevant inputs from irrelevant inputs during visual processing. In contrast to rich research exploring how the brain facilitates task‐relevant inputs, less is known about how the brain suppresses irrelevant inputs. In this study, we used transcranial magnetic stimulation (TMS) to investigate the causal role of the right dorsolateral prefrontal cortex (DLPFC), a crucial brain area for attentional control, in distractor suppression. Specifically, 10‐Hz repetitive TMS (rTMS) was applied to the right DLPFC and Vertex at the stimuli onset (stimuli‐onset TMS) or 500 ms prior to the stimuli onset (prestimuli TMS). In a variant of the Posner cueing task, participants were instructed to identify the shape of a white target while ignoring a white or colored distractor whose location was either cued in advance or uncued. As anticipated, either the location cue or the colored distractor led to faster responses. Notably, the location cueing effect was eliminated by stimuli‐onset TMS to the right DLPFC, but not by prestimuli TMS. Further analyses showed that stimuli‐onset TMS quickened responses to uncued trials, and this TMS effect was derived from the inhibition at the distractor in both visual fields. In addition, TMS over the right DLPFC had no specific effect on the colored distractor compared to the white one. Considered collectively, these findings indicate that the DLPFC plays a crucial role in visuospatial distractor suppression and acts upon stimuli presentation. Besides, it seems the DLPFC contributes more to location‐based distractor suppression than to color‐based one.
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Affiliation(s)
- Zhenlan Jin
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ke Xie
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Xuejin Ni
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Dong-Gang Jin
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Junjun Zhang
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ling Li
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
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2
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Anodal tDCS of right temporo-parietal junction promotes threat detection in low-spatial-frequency channels. Neuropsychologia 2020; 146:107552. [PMID: 32623011 DOI: 10.1016/j.neuropsychologia.2020.107552] [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: 07/21/2019] [Revised: 06/20/2020] [Accepted: 07/01/2020] [Indexed: 11/23/2022]
Abstract
Fast detection of threat is crucial for survival. Previous studies have suggested the involvement of low- and high-spatial-frequency (LSF and HSF) information in the process of threat detection. However, the specific contributions of LSF and HSF information to it are still controversial. Here we probed this issue by utilizing a prime procedure coupled with the transcranial direct current stimulation (tDCS) technique. Specifically, in a single-blind design, participants were exposed to LSF or HSF faces prior to the presentation of looming or receding spheres. Meanwhile, tDCS was applied over the right or left temporo-parietal junction (TPJ), which has been found to be preferentially associated with the processing of LSF and HSF information, respectively. The results showed significant LSF-related facilitation of threat detection when anodal tDCS was applied to the right TPJ. However, HSF-related facilitation of threat detection was not observed when anodal tDCS was applied to the left TPJ. The findings support the idea that LSF information can facilitate threat detection, and provide direct evidence that the right TPJ is vital for LSF-related facilitation of threat detection.
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3
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Lanssens A, Pizzamiglio G, Mantini D, Gillebert CR. Role of the dorsal attention network in distracter suppression based on features. Cogn Neurosci 2019; 11:37-46. [PMID: 31674886 PMCID: PMC6882310 DOI: 10.1080/17588928.2019.1683525] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Selective attention allows us to prioritize the processing of relevant information and filter out irrelevant information. Human functional neuroimaging and lesion-based studies have highlighted the fronto-parietal dorsal attention network (DAN) as an important network in this process. In this study, we investigated the role of the DAN in distracter suppression by dynamically modifying the priority of visual information (target > high priority distracter > low priority distracter) based on features only. To this end, we collected fMRI data in 24 healthy subjects, who performed a feature-based variant of the sustained attention to response task. Participants had to select one or attend two stream(s) of overlapping digits that differed in color and respond to each digit in the task-relevant stream(s) except to a single non-target digit. Results showed higher DAN activity when a target was co-presented with a high versus low priority distracter. Furthermore, higher DAN activity was observed when selectively attending one (target + high/low priority distracter) versus simultaneously attending two (target + target) stream(s) of digits. In conclusion, our study highlights the contribution of the DAN in the feature-based suppression of task-irrelevant information.
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Affiliation(s)
- Armien Lanssens
- Department of Brain and Cognition, KU Leuven, Leuven, Belgium
| | | | - Dante Mantini
- Research Center for Motor Control and Neuroplasticity, KU Leuven, Leuven, Belgium.,Brain Imaging and Neural Dynamics Research Group, IRCCS San Camillo Hospital, Venice, Italy
| | - Celine R Gillebert
- Department of Brain and Cognition, KU Leuven, Leuven, Belgium.,Department of Experimental Psychology, University of Oxford, Oxford, UK
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4
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Filetti M, Barral O, Jacucci G, Ravaja N. Motivational intensity and visual word search: Layout matters. PLoS One 2019; 14:e0218926. [PMID: 31335873 PMCID: PMC6650057 DOI: 10.1371/journal.pone.0218926] [Citation(s) in RCA: 5] [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: 10/01/2018] [Accepted: 06/13/2019] [Indexed: 01/28/2023] Open
Abstract
Motivational intensity has been previously linked to information processing. In particular, it has been argued that affects which are high in motivational intensity tend to narrow cognitive scope. A similar effect has been attributed to negative affect, which has been linked to narrowing of cognitive scope. In this paper, we investigated how these phenomena manifest themselves during visual word search. We conducted three studies in which participants were instructed to perform word category identification. We manipulated motivational intensity by controlling reward expectations and affect via reward outcomes. Importantly, we altered visual search paradigms, assessing the effects of affective manipulations as modulated by information arrangement. We recorded multiple physiological signals (EEG, EDA, ECG and eye tracking) to assess whether motivational states can be predicted by physiology. Across the three studies, we found that high motivational intensity narrowed visual attentional scope by altering visual search strategies, especially when information was displayed sparsely. Instead, when information was vertically listed, approach-directed motivational intensity appeared to improve memory encoding. We also observed that physiology, in particular eye tracking, may be used to detect biases induced by motivational intensity, especially when information is sparsely organised.
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Affiliation(s)
- Marco Filetti
- Helsinki Institute for Information Technology HIIT, University of Helsinki, Helsinki, Finland
- * E-mail:
| | - Oswald Barral
- Helsinki Institute for Information Technology HIIT, University of Helsinki, Helsinki, Finland
| | - Giulio Jacucci
- Helsinki Institute for Information Technology HIIT, University of Helsinki, Helsinki, Finland
| | - Niklas Ravaja
- Helsinki Institute for Information Technology HIIT, Aalto University, Helsinki, Finland
- Department of Information and Service Economy, School of Business, Aalto University, Helsinki, Finland
- Department of Social Research, University of Helsinki, Finland
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5
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No Effect of cathodal tDCS of the posterior parietal cortex on parafoveal preprocessing of words. Neurosci Lett 2019; 705:219-226. [DOI: 10.1016/j.neulet.2019.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 04/12/2019] [Accepted: 05/03/2019] [Indexed: 11/19/2022]
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6
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Li Y, Wang Y, Li S. Recurrent Processing of Contour Integration in the Human Visual Cortex as Revealed By fMRI-Guided TMS. Cereb Cortex 2019; 29:17-26. [PMID: 29161359 DOI: 10.1093/cercor/bhx296] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Indexed: 11/13/2022] Open
Abstract
Contour integration is a critical step in visual perception because it groups discretely local elements into perceptually global contours. Previous investigations have suggested that striate and extrastriate visual areas are involved in this mid-level processing of visual perception. However, the temporal dynamics of these areas in the human brain during contour integration is less understood. The present study used functional magnetic resonance imaging-guided transcranial magnetic stimulation (TMS) to briefly disrupt 1 of 2 visual areas (V1/V2 and V3B) and examined the causal contributions of these areas to contour detection. The results demonstrated that the earliest critical time window at which behavioral detection performance was impaired by TMS pluses differed between V1/V2 and V3B. The first critical window of V3B (90-110 ms after stimulus onset) was earlier than that of V1/V2 (120-140 ms after stimulus onset), thus indicating that feedback connection from higher to lower area was necessary for complete contour integration. These results suggested that the fine processing of contour-related information in V1/V2 follows the generation of a coarse template in the higher visual areas, such as V3B. Our findings provide direct causal evidence that a recurrent mechanism is necessary for the integration of contours from cluttered background in the human brain.
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Affiliation(s)
- Ya Li
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Yonghui Wang
- School of Psychology, Shaanxi Normal University, Xi'an, China
| | - Sheng Li
- School of Psychological and Cognitive Sciences, Peking University, Beijing, China.,Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, China.,PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China.,Key Laboratory of Machine Perception (Ministry of Education), Peking University, Beijing, China
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7
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Visuomotor Correlates of Conflict Expectation in the Context of Motor Decisions. J Neurosci 2018; 38:9486-9504. [PMID: 30201772 DOI: 10.1523/jneurosci.0623-18.2018] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Revised: 07/28/2018] [Accepted: 09/01/2018] [Indexed: 01/18/2023] Open
Abstract
Many behaviors require choosing between conflicting options competing against each other in visuomotor areas. Such choices can benefit from top-down control processes engaging frontal areas in advance of conflict when it is anticipated. Yet, very little is known about how this proactive control system shapes the visuomotor competition. Here, we used electroencephalography in human subjects (male and female) to identify the visual and motor correlates of conflict expectation in a version of the Eriksen Flanker task that required left or right responses according to the direction of a central target arrow surrounded by congruent or incongruent (conflicting) flankers. Visual conflict was either highly expected (it occurred in 80% of trials; mostly incongruent blocks) or very unlikely (20% of trials; mostly congruent blocks). We evaluated selective attention in the visual cortex by recording target- and flanker-related steady-state visual-evoked potentials (SSVEPs) and probed action selection by measuring response-locked potentials (RLPs) in the motor cortex. Conflict expectation enhanced accuracy in incongruent trials, but this improvement occurred at the cost of speed in congruent trials. Intriguingly, this behavioral adjustment occurred while visuomotor activity was less finely tuned: target-related SSVEPs were smaller while flanker-related SSVEPs were higher in mostly incongruent blocks than in mostly congruent blocks, and incongruent trials were associated with larger RLPs in the ipsilateral (nonselected) motor cortex. Hence, our data suggest that conflict expectation recruits control processes that augment the tolerance for inappropriate visuomotor activations (rather than processes that downregulate their amplitude), allowing for overflow activity to occur without having it turn into the selection of an incorrect response.SIGNIFICANCE STATEMENT Motor choices made in front of discordant visual information are more accurate when conflict can be anticipated, probably due to the engagement of top-down control from frontal areas. How this control system modulates activity within visual and motor areas is unknown. Here, we show that, when control processes are recruited in anticipation of conflict, as evidenced by higher midfrontal theta activity, visuomotor activity is less finely tuned: visual processing of the goal-relevant location was reduced and the motor cortex displayed more inappropriate activations, compared with when conflict was unlikely. We argue that conflict expectation is associated with an expansion of the distance-to-selection threshold, improving accuracy while the need for online control of visuomotor activity is reduced.
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8
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Almousa A, Alajaji R, Alaboudi M, Al-Sultan F, Bashir S. Safety of Transcranial Direct Current Stimulation of Frontal, Parietal, and Cerebellar Regions in Fasting Healthy Adults. Behav Sci (Basel) 2018; 8:bs8090081. [PMID: 30201910 PMCID: PMC6162609 DOI: 10.3390/bs8090081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 09/02/2018] [Accepted: 09/06/2018] [Indexed: 11/18/2022] Open
Abstract
(1) Background: Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation modality that has been investigated in a large number of studies in terms of it is effects on brain function, safety of use, and future implications. The principal aim of this study was to investigate the safety of 1.5-mA tDCS of three brain areas, that is, frontal, partial, and cerebellar cortices, in fasting healthy individuals during the month of Ramadan. (2) Methods: In a single-blinded, sham-controlled study, we assessed the safety of a 20-min tDCS current (1.5 mA, 35 cm2) over the right frontal, parietal, and cerebellar cortex areas after 8 h of fasting in healthy right-handed adult subjects using a standard safety questionnaire. (3) Results: A total of 49 subjects completed the tDCS sessions and safety questionnaire. None of the sessions were stopped due to pain or discomfort during stimulation. Moreover, no subject experienced serious adverse events such as seizures or loss of consciousness. (4) Conclusions: There was no significant difference in the frequency or type of side effects between active and sham stimulation sessions. The tDCS protocol applied in this study was found to be safe in fasting healthy adults.
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Affiliation(s)
- Abdullah Almousa
- Department of Medicine, King Saud University, Riyadh, P.O. 11445, Saudi Arabia.
| | - Reema Alajaji
- Department of Medicine, King Saud University, Riyadh, P.O. 11445, Saudi Arabia.
| | - Malak Alaboudi
- Department of Medicine, King Saud University, Riyadh, P.O. 11445, Saudi Arabia.
| | - Fahad Al-Sultan
- Department of Medicine, King Saud University, Riyadh, P.O. 11445, Saudi Arabia.
| | - Shahid Bashir
- Neuroscience Center, King Fahad Specialist Hospital Dammam, Dammam, P.O. 15215, Saudi Arabia.
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9
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Wang M, Yang P, Wan C, Jin Z, Zhang J, Li L. Evaluating the Role of the Dorsolateral Prefrontal Cortex and Posterior Parietal Cortex in Memory-Guided Attention With Repetitive Transcranial Magnetic Stimulation. Front Hum Neurosci 2018; 12:236. [PMID: 29930501 PMCID: PMC5999747 DOI: 10.3389/fnhum.2018.00236] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 05/22/2018] [Indexed: 11/13/2022] Open
Abstract
The contents of working memory (WM) can affect the subsequent visual search performance, resulting in either beneficial or cost effects, when the visual search target is included in or spatially dissociated from the memorized contents, respectively. The right dorsolateral prefrontal cortex (rDLPFC) and the right posterior parietal cortex (rPPC) have been suggested to be associated with the congruence/incongruence effects of the WM content and the visual search target. Thus, in the present study, we investigated the role of the dorsolateral prefrontal cortex and the PPC in controlling the interaction between WM and attention during a visual search, using repetitive transcranial magnetic stimulation (rTMS). Subjects maintained a color in WM while performing a search task. The color cue contained the target (valid), the distractor (invalid) or did not reappear in the search display (neutral). Concurrent stimulation with the search onset showed that relative to rTMS over the vertex, rTMS over rPPC and rDLPFC further decreased the search reaction time, when the memory cue contained the search target. The results suggest that the rDLPFC and the rPPC are critical for controlling WM biases in human visual attention.
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Affiliation(s)
- Min Wang
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ping Yang
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Chaoyang Wan
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Zhenlan Jin
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Junjun Zhang
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ling Li
- Key Laboratory for NeuroInformation of Ministry of Education, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Information in Medicine, School of Life Sciences and Technology, University of Electronic Science and Technology of China, Chengdu, China
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10
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Di Rosa E, Bardi L, Umiltà C, Masina F, Forgione M, Mapelli D. Transcranial direct current stimulation (tDCS) reveals a dissociation between SNARC and MARC effects: Implication for the polarity correspondence account. Cortex 2017. [PMID: 28623718 DOI: 10.1016/j.cortex.2017.05.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The concept of stimulus response compatibility (SRC) refers to the existence of a privileged association between a specific stimulus feature and a specific response feature. Two examples of SRC are the Spatial Numerical Association of Response Codes (SNARC) and the Markedness Association of Response Codes (MARC) effects. According to the polarity correspondence principle, these two SRC effects occur because of a match between the most salient dimensions of stimulus and response. Specifically, the SNARC effect would be caused by a match between right-sided responses and large numbers, while a match between right-sided responses and even numbers would give rise to the MARC effect. The aim of the present study was to test the validity of the polarity correspondence principle in explaining these two SRC effects. To this end, we applied transcranial direct current stimulation (tDCS) over left and right posterior parietal cortex (PPC), which is thought to be the neural basis of salience processing, during a parity judgement task. Results showed that cathodal tDCS over the PPC significantly reduced the MARC effect but did not affect the SNARC effect, suggesting a dissociation between the two effects. That is, the MARC would rely on a salience processing mechanism, whereas the SNARC would not. Despite this interpretation is in need of further experimental confirmations (i.e., testing different tasks or using different tDCS montages), our results suggest that the polarity correspondence principle can be a plausible explanation only for the MARC effect but not for the SNARC effect.
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Affiliation(s)
- Elisa Di Rosa
- Department of General Psychology, University of Padova, Padova, Italy; Department of Neuroscience, University of Padova, Italy.
| | - Lara Bardi
- Department of Experimental Psychology, University of Gent, Gent, Belgium
| | - Carlo Umiltà
- Department of General Psychology, University of Padova, Padova, Italy
| | - Fabio Masina
- Department of General Psychology, University of Padova, Padova, Italy
| | | | - Daniela Mapelli
- Department of General Psychology, University of Padova, Padova, Italy; Human Inspired Technologies Research Center, University of Padova, Padova, Italy
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11
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Zuanazzi A, Cattaneo L. The right hemisphere is independent from the left hemisphere in allocating visuospatial attention. Neuropsychologia 2017; 102:197-205. [PMID: 28602998 DOI: 10.1016/j.neuropsychologia.2017.06.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2016] [Revised: 06/07/2017] [Accepted: 06/08/2017] [Indexed: 01/17/2023]
Abstract
The capacity to allocate visuospatial attention is traditionally considered right-lateralized according to the effects of unilateral cerebral lesions. Contralateral hemi-spatial neglect occurs much more frequently after lesions of the right hemisphere, which has therefore been dubbed as 'dominant'. This pattern of symptoms is supported by functional models that postulate either independence or reciprocal influences between the two hemispheres. Here we specifically explored the dependency of the right hemisphere (RH) from the left hemisphere (LH) in spatial attention. We capitalized on the well-known effect of online transcranial magnetic stimulation (TMS) on the RH in healthy individuals, consisting in transient neglect-like manifestations in the left hemi-space. We assessed whether prior stimulation of the left posterior parietal cortex with a long-lasting neuromodulatory procedure (transcranial direct current stimulation - tDCS) affected the acute effects of TMS on the right posterior parietal cortex. We performed a within-subjects factorial study with two factors: LH tDCS (sham or real) and RH TMS (sham or real), resulting in a 2×2 design. The effects on spatial attention were examined separately for the two hemi-spaces by means of a modified line-bisection task. The results indicated that TMS over the RH produced a spatial attention deficit in the left hemi-space alone and the behavioural effects of TMS were not modulated by prior stimulation of the LH. Interestingly, additional analyses showed that tDCS over the LH alone produced a deficit in spatial attention to the right hemi-space. We interpret the current results as evidence for a largely independent contribution of each hemisphere to the allocation of visuospatial attention limited to the contralateral hemi-space.
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Affiliation(s)
| | - Luigi Cattaneo
- Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy.
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12
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Gerván P, Soltész P, Filep O, Berencsi A, Kovács I. Posterior-Anterior Brain Maturation Reflected in Perceptual, Motor and Cognitive Performance. Front Psychol 2017; 8:674. [PMID: 28512442 PMCID: PMC5411422 DOI: 10.3389/fpsyg.2017.00674] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 04/13/2017] [Indexed: 11/13/2022] Open
Abstract
Based on several postmortem morphometric and in vivo imaging studies it has been postulated that brain maturation roughly follows a caudal to rostral direction. In this study, we linked this maturational pattern to psychological function employing a series of well-established behavioral tasks. We addressed three distinct functions and brain regions with a perceptual (contour integration, CI), motor (finger tapping, FT), and executive control (Navon global–local) task. Our purpose was to investigate basic visual integration functions relying on primary visual cortex (V1) in CI; motor coordination function related to primary motor cortex (M1) in FT, and the executive control component, switching, related to the dorsolateral prefrontal region of the brain in the Navon task. 122 volunteer subjects were recruited to participate in this study between the ages of 10 and 20 (females n = 63, males n = 59). Employing conventional statistical methods, we found that 10 and 12 year olds are performing significantly weaker than 20 year olds in all three tasks. In the CI and Navon global–local tasks, even 14 years old perform poorer than adults. We have also investigated the developmental trajectories by fitting sigmoid curves on our data streams. The analysis of the developmental trajectories of the three tasks showed a posterior to anterior pattern in the emergence of the developmental functions with the earliest development in the visual CI task (V1), followed by motor development in the FT task (M1), and cognitive development as measured in the Navon global–local task (DLPC) being the slowest. Gender difference was also present in FT task showing an earlier maturation for girls in the motor domain.
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Affiliation(s)
- Patrícia Gerván
- Department of General Psychology, Institute of Psychology, Pázmány Péter Catholic UniversityBudapest, Hungary.,Laboratory for Psychological Research, Pázmány Péter Catholic UniversityBudapest, Hungary
| | - Péter Soltész
- Laboratory for Psychological Research, Pázmány Péter Catholic UniversityBudapest, Hungary
| | - Orsolya Filep
- Laboratory for Psychological Research, Pázmány Péter Catholic UniversityBudapest, Hungary
| | - Andrea Berencsi
- Laboratory for Psychological Research, Pázmány Péter Catholic UniversityBudapest, Hungary.,Bárczi Gusztáv Faculty of Special Education, Institute for Methodology of Special Education and Rehabilitation, Eötvös Loránd UniversityBudapest, Hungary
| | - Ilona Kovács
- Department of General Psychology, Institute of Psychology, Pázmány Péter Catholic UniversityBudapest, Hungary.,Laboratory for Psychological Research, Pázmány Péter Catholic UniversityBudapest, Hungary
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13
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Reteig LC, Talsma LJ, van Schouwenburg MR, Slagter HA. Transcranial Electrical Stimulation as a Tool to Enhance Attention. JOURNAL OF COGNITIVE ENHANCEMENT 2017. [DOI: 10.1007/s41465-017-0010-y] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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14
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Optimal random frequency range in transcranial pulsed current stimulation indexed by quantitative electroencephalography. Neuroreport 2016; 26:747-52. [PMID: 26154494 DOI: 10.1097/wnr.0000000000000415] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Given the recent results provided by previous investigations on transcranial pulsed current stimulation (tPCS) demonstrating its modulatory effects on cortical connectivity; we aimed to explore the application of different random pulsed frequencies. The utility of tPCS as a neuromodulatory technique for cognition performance will come as additional frequency ranges are tested with the purpose to find optimal operational parameters for tPCS. This study was designed to analyze the effects of tPCS using the following random frequencies; 1-5, 6-10, and 11-15 Hz compared with sham on quantitative electroencephalographic changes in the spectral power and interhemispheric coherence of each electroencephalographic frequency band. This was a parallel, randomized, double-blinded, sham-controlled trial. Forty healthy individuals older than 18 years were eligible to participate. The main outcomes were differences in the spectral power analysis and interhemispheric coherence as measured by quantitative electroencephalography. Participants were randomly allocated to four groups of random frequency stimulation and received a single session of stimulation for 20 min with a current intensity of 2 mA delivered by bilateral periauricular electrode clips. We found that a random pulsed frequency between 6-10 Hz significantly increased the power and coherence in frontal and central areas for the alpha band compared with sham stimulation, while 11-15 Hz tPCS decreased the power for the alpha and theta bandwidth. Our findings corroborate the hypothesis that a random frequency ranging into the boundaries of 6-10 Hz induces changes in the naturally occurring alpha oscillatory activity, providing additional data for further studies with tPCS.
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15
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Transcranial direct current stimulation as a tool in the study of sensory-perceptual processing. Atten Percept Psychophys 2016; 77:1813-40. [PMID: 26139152 DOI: 10.3758/s13414-015-0932-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulatory technique with increasing popularity in the fields of basic research and rehabilitation. It is an affordable and safe procedure that is beginning to be used in the clinic, and is a tool with potential to contribute to the understanding of neural mechanisms in the fields of psychology, neuroscience, and medical research. This review presents examples of investigations in the fields of perception, basic sensory processes, and sensory rehabilitation that employed tDCS. We highlight some of the most relevant efforts in this area and discuss possible limitations and gaps in contemporary tDCS research. Topics include the five senses, pain, and multimodal integration. The present work aims to present the state of the art of this field of research and to inspire future investigations of perception using tDCS.
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Li LM, Leech R, Scott G, Malhotra P, Seemungal B, Sharp DJ. The effect of oppositional parietal transcranial direct current stimulation on lateralized brain functions. Eur J Neurosci 2015; 42:2904-14. [PMID: 26414683 PMCID: PMC4737321 DOI: 10.1111/ejn.13086] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Revised: 09/15/2015] [Accepted: 09/23/2015] [Indexed: 11/30/2022]
Abstract
Cognitive functions such as numerical processing and spatial attention show varying degrees of lateralization. Transcranial direct current stimulation (tDCS) can be used to investigate how modulating cortical excitability affects performance of these tasks. This study investigated the effect of bi-parietal tDCS on numerical processing, spatial and sustained attention. It was hypothesized that tDCS would have distinct effects on these tasks because of varying lateralization (numerical processing left, spatial attention right) and that these effects are partly mediated by modulation of sustained attention. A single-blinded, crossover, sham-controlled study was performed. Eighteen healthy right-handed participants performed cognitive tasks during three sessions of oppositional parietal tDCS stimulation: sham; right anodal with left cathodal (RA/LC); and right cathodal with left anodal (RC/LA). Participants performed a number comparison task, a modified Posner task, a choice reaction task (CRT) and the rapid visual processing task (RVP). RA/LC tDCS impaired number comparison performance compared with sham, with slower responses to numerically close numbers pairs. RA/LC and RC/LA tDCS had distinct effects on CRT performance, specifically affecting vigilance level during the final block of the task. No effect of stimulation on the Posner task or RVP was found. It was demonstrated that oppositional parietal tDCS affected both numerical performance and vigilance level in a polarity-dependent manner. The effect of tDCS on numerical processing may partly be due to attentional effects. The behavioural effects of tDCS were specifically observed under high task demands, demonstrating the consequences of an interaction between stimulation type and cognitive load.
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Affiliation(s)
- Lucia M Li
- Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Division of Brain Sciences, Department of Medicine, Imperial College London, C3NL 3rd Floor Burlington Danes Building, Du Cane Road, Fulham, London, W12 0NN, UK
| | - Rob Leech
- Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Division of Brain Sciences, Department of Medicine, Imperial College London, C3NL 3rd Floor Burlington Danes Building, Du Cane Road, Fulham, London, W12 0NN, UK
| | - Gregory Scott
- Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Division of Brain Sciences, Department of Medicine, Imperial College London, C3NL 3rd Floor Burlington Danes Building, Du Cane Road, Fulham, London, W12 0NN, UK
| | - Paresh Malhotra
- Centre for Restorative Neuroscience, Imperial College London, London, UK
| | - Barry Seemungal
- Neuro-Otology Unit, Division of Brain Sciences, Imperial College London, London, UK
| | - David J Sharp
- Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Division of Brain Sciences, Department of Medicine, Imperial College London, C3NL 3rd Floor Burlington Danes Building, Du Cane Road, Fulham, London, W12 0NN, UK
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Khalighinejad N, Haggard P. Modulating human sense of agency with non-invasive brain stimulation. Cortex 2015; 69:93-103. [DOI: 10.1016/j.cortex.2015.04.015] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2015] [Revised: 03/12/2015] [Accepted: 04/18/2015] [Indexed: 01/01/2023]
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Schaal NK, Javadi AH, Halpern AR, Pollok B, Banissy MJ. Right parietal cortex mediates recognition memory for melodies. Eur J Neurosci 2015; 42:1660-6. [PMID: 25959620 PMCID: PMC4737257 DOI: 10.1111/ejn.12943] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 05/06/2015] [Accepted: 05/06/2015] [Indexed: 11/13/2022]
Abstract
Functional brain imaging studies have highlighted the significance of right‐lateralized temporal, frontal and parietal brain areas for memory for melodies. The present study investigated the involvement of bilateral posterior parietal cortices (PPCs) for the recognition memory of melodies using transcranial direct current stimulation (tDCS). Participants performed a recognition task before and after tDCS. The task included an encoding phase (12 melodies), a retention period, as well as a recognition phase (24 melodies). Experiment 1 revealed that anodal tDCS over the right PPC led to a deterioration of overall memory performance compared with sham. Experiment 2 confirmed the results of Experiment 1 and further showed that anodal tDCS over the left PPC did not show a modulatory effect on memory task performance, indicating a right lateralization for musical memory. Furthermore, both experiments revealed that the decline in memory for melodies can be traced back to an interference of anodal stimulation on the recollection process (remember judgements) rather than to familiarity judgements. Taken together, this study revealed a causal involvement of the right PPC for memory for melodies and demonstrated a key role for this brain region in the recollection process of the memory task.
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Affiliation(s)
- Nora K Schaal
- Department of Experimental Psychology, Heinrich-Heine-University, Universitätsstraße 1, 40225, Düsseldorf, Germany
| | - Amir-Homayoun Javadi
- Department of Experimental Psychology, Institute of Behavioural Neuroscience, University College London, London, UK
| | - Andrea R Halpern
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
| | - Bettina Pollok
- Medical Faculty, Institute of Clinical Neuroscience and Medical Psychology, Heinrich-Heine-University, Düsseldorf, Germany
| | - Michael J Banissy
- Department of Psychology, Goldsmiths, University of London, London, SE14 6NW, UK.,Institute of Cognitive Neuroscience, University College London, London, UK
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Li LM, Uehara K, Hanakawa T. The contribution of interindividual factors to variability of response in transcranial direct current stimulation studies. Front Cell Neurosci 2015; 9:181. [PMID: 26029052 PMCID: PMC4428123 DOI: 10.3389/fncel.2015.00181] [Citation(s) in RCA: 282] [Impact Index Per Article: 31.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2015] [Accepted: 04/25/2015] [Indexed: 01/08/2023] Open
Abstract
There has been an explosion of research using transcranial direct current stimulation (tDCS) for investigating and modulating human cognitive and motor function in healthy populations. It has also been used in many studies seeking to improve deficits in disease populations. With the slew of studies reporting “promising results” for everything from motor recovery after stroke to boosting memory function, one could be easily seduced by the idea of tDCS being the next panacea for all neurological ills. However, huge variability exists in the reported effects of tDCS, with great variability in the effect sizes and even contradictory results reported. In this review, we consider the interindividual factors that may contribute to this variability. In particular, we discuss the importance of baseline neuronal state and features, anatomy, age and the inherent variability in the injured brain. We additionally consider how interindividual variability affects the results of motor-evoked potential (MEP) testing with transcranial magnetic stimulation (TMS), which, in turn, can lead to apparent variability in response to tDCS in motor studies.
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Affiliation(s)
- Lucia M Li
- Department of Advanced Neuroimaging, Integrative Brain Imaging Center, National Center of Neurology and Psychiatry Tokyo, Japan ; Computational, Cognitive and Clinical Neuroimaging Laboratory, Division of Restorative Neurosciences, Imperial College London London, UK
| | - Kazumasa Uehara
- Department of Advanced Neuroimaging, Integrative Brain Imaging Center, National Center of Neurology and Psychiatry Tokyo, Japan ; Research Fellow of the Japan Society for the Promotion of Science Tokyo Japan
| | - Takashi Hanakawa
- Department of Advanced Neuroimaging, Integrative Brain Imaging Center, National Center of Neurology and Psychiatry Tokyo, Japan
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The causal role of the occipital face area (OFA) and lateral occipital (LO) cortex in symmetry perception. J Neurosci 2015; 35:731-8. [PMID: 25589766 DOI: 10.1523/jneurosci.3733-14.2015] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Symmetry is an important cue in face and object perception. Here we used fMRI-guided transcranial magnetic stimulation (TMS) to shed light on the role of the occipital face area (OFA), a key region in face processing, and the lateral occipital (LO) cortex, a key area in object processing, in symmetry detection. In the first experiment, we applied TMS over the rightOFA, its left homolog (leftOFA), rightLO, and vertex (baseline) while participants were discriminating between symmetric and asymmetric dot patterns. Stimulation of rightOFA and rightLO impaired performance, causally implicating these two regions in detection of symmetry in low-level dot configurations. TMS over rightLO but not rightOFA also significantly impaired detection of nonsymmetric shapes defined by collinear Gabor patches, demonstrating that rightOFA responds to symmetry but not to all cues mediating figure-ground segregation. The second experiment showed a causal role for rightOFA but not rightLO in facial symmetry detection. Overall, our results demonstrate that both the rightOFA and rightLO are sensitive to symmetry in dot patterns, whereas only rightOFA is causally involved in facial symmetry detection.
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Understanding the behavioural consequences of noninvasive brain stimulation. Trends Cogn Sci 2015; 19:13-20. [DOI: 10.1016/j.tics.2014.10.003] [Citation(s) in RCA: 171] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2014] [Revised: 10/19/2014] [Accepted: 10/29/2014] [Indexed: 01/05/2023]
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Weinbach N, Henik A. Alerting enhances attentional bias for salient stimuli: Evidence from a global/local processing task. Cognition 2014; 133:414-9. [DOI: 10.1016/j.cognition.2014.07.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Revised: 06/11/2014] [Accepted: 07/15/2014] [Indexed: 10/24/2022]
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Vallence AM, Ridding MC. Non-invasive induction of plasticity in the human cortex: Uses and limitations. Cortex 2014; 58:261-71. [DOI: 10.1016/j.cortex.2013.12.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Revised: 10/01/2013] [Accepted: 12/16/2013] [Indexed: 10/25/2022]
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Transcranial direct current stimulation (tDCS) of left parietal cortex facilitates gesture processing in healthy subjects. J Neurosci 2014; 33:19205-11. [PMID: 24305816 DOI: 10.1523/jneurosci.4714-12.2013] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Gesture processing deficits constitute a key symptom of apraxia, a disorder of motor cognition frequently observed after left-hemispheric stroke. The clinical relevance of apraxia stands in stark contrast to the paucity of therapeutic options available. Transcranial direct current stimulation (tDCS) is a promising tool for modulating disturbed network function after stroke. Here, we investigate the effect of parietal tDCS on gesture processing in healthy human subjects. Neuropsychological and imaging studies suggest that the imitation and matching of hand gestures involve the left inferior parietal lobe (IPL). Using neuronavigation based on cytoarchitectonically defined anatomical probability maps, tDCS was applied over left IPL-areas PF, PFm, or PG in healthy participants (n = 26). Before and after tDCS, subjects performed a gesture matching task and a person discrimination task for control. Changes in error rates and reaction times were analyzed for the effects of anodal and cathodal tDCS (compared with sham tDCS). Matching of hand gestures was specifically facilitated by anodal tDCS applied over the cytoarchitectonically defined IPL-area PFm, whereas tDCS over IPL-areas PF and PG did not elucidate significant effects. Taking into account tDCS electrode size and the central position of area PFm within IPL, it can be assumed that the observed effect is rather the result of a combined stimulation of the supramarginal and angular gyrus than an isolated PFm stimulation. Our data confirm the pivotal role of the left IPL in gesture processing. Furthermore, anatomically guided tDCS of the left IPL may constitute a promising approach to neurorehabilitation of apraxic patients with gesture processing deficits.
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Bona S, Herbert A, Toneatto C, Silvanto J, Cattaneo Z. The causal role of the lateral occipital complex in visual mirror symmetry detection and grouping: an fMRI-guided TMS study. Cortex 2013; 51:46-55. [PMID: 24360359 DOI: 10.1016/j.cortex.2013.11.004] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Revised: 09/26/2013] [Accepted: 11/11/2013] [Indexed: 11/29/2022]
Abstract
Despite the fact that bilateral mirror symmetry is an important characteristic of the visual world, few studies have investigated its neural basis. Here we addressed this issue by investigating whether the object-selective lateral occipital (LO) cortex, a key brain region in object and shape processing, is causally involved in bilateral symmetry detection. Participants were asked to discriminate between symmetric and asymmetric dot patterns, while fMRI-guided repetitive TMS was delivered online over either the left LO, the right LO or two control sites in the occipital cortex. We found that the application of TMS over both right and left LO impaired symmetry judgments, with disruption being greater following right LO than left LO TMS, indicative of right hemisphere lateralization in symmetry processing. TMS over LO bilaterally also affected a visual contour detection task, with no evidence for hemispheric difference in this task. Overall, our results demonstrates that LO bilaterally plays a causal role in symmetry detection possibly due to symmetry acting as a strong cue in Gestalt processes mediating object recognition.
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Affiliation(s)
- Silvia Bona
- Brain Research Unit, OV Lounasmaa Laboratory, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, Helsinki University Central Hospital, Helsinki, Finland; Advanced Magnetic Imaging Centre, Aalto Neuroimaging, OV Lounasmaa Laboratory, School of Science, Aalto University, Espoo, Finland
| | - Andrew Herbert
- Department of Psychology, Rochester Institute of Technology, Rochester, NY, USA
| | - Carlo Toneatto
- Department of Psychology, University of Milano, Milano, Italy
| | - Juha Silvanto
- Brain Research Unit, OV Lounasmaa Laboratory, Aalto University School of Science, Espoo, Finland; Department of Psychology, Faculty of Science and Technology, University of Westminster, UK
| | - Zaira Cattaneo
- Department of Psychology, University of Milano, Milano, Italy; Brain Connectivity Center, IRCCS Mondino, Pavia, Italy.
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Arshad Q, Nigmatullina Y, Roberts RE, Bhrugubanda V, Asavarut P, Bronstein AM. Left cathodal trans-cranial direct current stimulation of the parietal cortex leads to an asymmetrical modulation of the vestibular-ocular reflex. Brain Stimul 2013; 7:85-91. [PMID: 23941985 PMCID: PMC3893485 DOI: 10.1016/j.brs.2013.07.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2013] [Revised: 06/06/2013] [Accepted: 07/04/2013] [Indexed: 11/29/2022] Open
Abstract
Multi-sensory visuo-vestibular cortical areas within the parietal lobe are important for spatial orientation and possibly for descending modulation of the vestibular-ocular reflex (VOR). Functional imaging and lesion studies suggest that vestibular cortical processing is localized primarily in the non-dominant parietal lobe. However, the role of inter-hemispheric parietal balance in vestibular processing is poorly understood. Therefore, we tested whether experimentally induced asymmetries in right versus left parietal excitability would modulate vestibular function. VOR function was assessed in right-handed normal subjects during caloric ear irrigation (30 °C), before and after trans-cranial direct current stimulation (tDCS) was applied bilaterally over the parietal cortex. Bilateral tDCS with the anode over the right and the cathode over the left parietal region resulted in significant asymmetrical modulation of the VOR, with highly suppressed responses during the right caloric irrigation (i.e. rightward slow phase nystagmus). In contrast, we observed no VOR modulation during either cathodal stimulation of the right parietal cortex or SHAM tDCS conditions. Application of unilateral tDCS revealed that the left cathodal stimulation was critical in inducing the observed modulation of the VOR. We show that disruption of parietal inter-hemispheric balance can induce asymmetries in vestibular function. This is the first report using neuromodulation to show right hemisphere dominance for vestibular cortical processing.
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Affiliation(s)
- Qadeer Arshad
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK
| | - Yuliya Nigmatullina
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK
| | - R Edward Roberts
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK
| | - Vamsee Bhrugubanda
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK
| | - Paladd Asavarut
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK
| | - Adolfo M Bronstein
- Department of Nero-otology, Division of Brain Sciences, Charing Cross Hospital Campus, Imperial College London, Fulham Palace Road, London W6 8RF, UK.
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