Program in Cognitive and Brain Sciences, Department of Psychology, University of Nevada Reno, NV, USA.
Front Psychol. 2014 Jul 25;5:800. doi: 10.3389/fpsyg.2014.00800. eCollection 2014.
The popularity of non-invasive brain stimulation techniques in basic, commercial, and applied settings grew tremendously over the last decade. Here, we focus on one popular neurostimulation method: transcranial direct current stimulation (tDCS). Many assumptions regarding the outcomes of tDCS are based on the results of stimulating motor cortex. For instance, the primary motor cortex is predictably suppressed by cathodal tDCS or made more excitable by anodal tDCS. However, wide-ranging studies testing cognition provide more complex and sometimes paradoxical results that challenge this heuristic. Here, we first summarize successful efforts in applying tDCS to cognitive questions, with a focus on working memory (WM). These recent findings indicate that tDCS can result in cognitive task improvement or impairment regardless of stimulation site or direction of current flow. We then report WM and response inhibition studies that failed to replicate and/or extend previously reported effects. From these opposing outcomes, we present a series of factors to consider that are intended to facilitate future use of tDCS when applied to cognitive questions. In short, common pitfalls include testing too few participants, using insufficiently challenging tasks, using heterogeneous participant populations, and including poorly motivated participants. Furthermore, the poorly understood underlying mechanism for long-lasting tDCS effects make it likely that other important factors predict responses. In conclusion, we argue that although tDCS can be used experimentally to understand brain function its greatest potential may be in applied or translational research.
在过去的十年中,非侵入性脑刺激技术在基础、商业和应用环境中的普及程度大大提高。在这里,我们专注于一种流行的神经刺激方法:经颅直流电刺激(tDCS)。许多关于 tDCS 结果的假设都是基于刺激运动皮层的结果。例如,阴极 tDCS 可预测地抑制初级运动皮层,而阳极 tDCS 可使其更兴奋。然而,广泛的测试认知的研究提供了更复杂的、有时甚至是矛盾的结果,这对这种启发式方法提出了挑战。在这里,我们首先总结了将 tDCS 应用于认知问题的成功尝试,重点是工作记忆(WM)。这些最近的发现表明,tDCS 可以导致认知任务的改善或损害,而与刺激部位或电流方向无关。然后,我们报告了 WM 和反应抑制研究,这些研究未能复制和/或扩展先前报告的效应。从这些相反的结果中,我们提出了一系列需要考虑的因素,旨在促进将来将 tDCS 应用于认知问题时的使用。简而言之,常见的陷阱包括测试参与者太少、使用挑战性不够的任务、使用异质的参与者群体以及包括缺乏动力的参与者。此外,tDCS 对持久效应的潜在机制理解不足,这使得其他重要因素很可能预测反应。总之,我们认为,尽管 tDCS 可以在实验中用于了解大脑功能,但它最大的潜力可能在于应用或转化研究。