Tremblay Sara, Larochelle-Brunet Félix, Lafleur Louis-Philippe, El Mouderrib Sofia, Lepage Jean-François, Théoret Hugo
Département de Psychologie, Université de Montréal, Montréal, QC, Canada.
Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, 33 Queen Square, London, WC1N 3BG, UK.
Eur J Neurosci. 2016 Sep;44(5):2184-90. doi: 10.1111/ejn.13321. Epub 2016 Jul 12.
Since the initial demonstration of linear effects of stimulation duration and intensity on the strength of after-effects associated with transcranial direct current stimulation (tDCS), few studies have systematically assessed how varying these parameters modulates corticospinal excitability. Therefore, the objective of this study was to systematically evaluate the effects of anodal tDCS on corticospinal excitability at two stimulation intensities (1 mA, 2 mA) and durations (10 min, 20 min), and determine the value of several variables in predicting response. Two groups of 20 individuals received, in two separate sessions, 1 and 2 mA anodal tDCS (left primary motor cortex (M1)-right supra-orbital montage) for either 10- or 20-min. Transcranial magnetic stimulation was delivered over left M1 and motor evoked potentials (MEPs) of the contralateral hand were recorded prior to tDCS and every 5 min for 20-min post-tDCS. The following predictive variables were evaluated: I-wave recruitment, stimulation intensity, baseline M1 excitability and inter-trial MEP variability. Results show that anodal tDCS failed to significantly modulate corticospinal excitability in all conditions. Furthermore, low response rates were identified across all parameter combinations. No baseline measure was significantly correlated with increases in MEP amplitude. However, a decrease in inter-trial MEP variability was linked to response to anodal tDCS. In conclusion, the present findings are consistent with recent reports showing high levels of inter-subject variability in the neurophysiological response to tDCS, which may partly explain inconsistent group results. Furthermore, the level of variability in the neurophysiological outcome measure, i.e. MEPs, appears to be related to response.
自从首次证明经颅直流电刺激(tDCS)的刺激持续时间和强度对后效应强度具有线性影响以来,很少有研究系统地评估改变这些参数如何调节皮质脊髓兴奋性。因此,本研究的目的是系统评估阳极tDCS在两种刺激强度(1 mA、2 mA)和持续时间(10分钟、20分钟)下对皮质脊髓兴奋性的影响,并确定几个变量在预测反应方面的价值。两组各20名个体在两个单独的时段中,分别接受10分钟或20分钟的1 mA和2 mA阳极tDCS(左初级运动皮层(M1)-右眶上电极连接方式)。在tDCS之前以及tDCS后20分钟内每隔5分钟,对左M1进行经颅磁刺激,并记录对侧手部的运动诱发电位(MEP)。评估了以下预测变量:I波募集、刺激强度、基线M1兴奋性和MEP试验间变异性。结果表明,在所有条件下阳极tDCS均未能显著调节皮质脊髓兴奋性。此外,在所有参数组合中均发现反应率较低。没有基线测量值与MEP波幅增加显著相关。然而,MEP试验间变异性的降低与对阳极tDCS的反应有关。总之,本研究结果与最近的报告一致,即tDCS的神经生理反应存在高水平的个体间变异性,这可能部分解释了组间结果的不一致性。此外,神经生理结果测量指标(即MEP)的变异性水平似乎与反应有关。