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The Effects of Monophasic Anodal Transcranial Pulsed Current Stimulation on Corticospinal Excitability and Motor Performance in Healthy Young Adults: A Randomized Double-Blinded Sham-Controlled Study.

作者信息

Dissanayaka Thusharika, Zoghi Maryam, Farrell Michael, Egan Gary, Jaberzadeh Shapour

机构信息

Non-invasive Brain Stimulation & Neuroplasticity Laboratory, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.

Department of Rehabilitation, Nutrition and Sport, School of Allied health, La Trobe University, Bundoora, Melbourne, Australia.

出版信息

Brain Connect. 2022 Apr;12(3):260-274. doi: 10.1089/brain.2020.0949. Epub 2022 Feb 16.


DOI:10.1089/brain.2020.0949
PMID:34963309
Abstract

Transcranial pulsed current stimulation (tPCS) could be used to deliver electrical pulses at different frequencies to entrain the cortical neurons of the brain. Frequency dependence of these pulses in the induction of changes in corticospinal excitability (CSE) has not been reported. We aimed to assess the effect of anodal tPCS (a-tPCS) at theta (4 Hz), and gamma (75 Hz) frequencies on CSE as assessed by the peak-to-peak amplitude of transcranial magnetic stimulation (TMS)-induced motor-evoked potentials (MEPs) and motor performance. In a randomized, double-blinded, sham-controlled, crossover design study, 17 healthy participants attended 3 experimental sessions and received either a-tPCS at 4 and 75 Hz, or sham a-tPCS with 1.5 mA for 15 min. The amplitude of TMS-induced resting MEPs and time for completion of the grooved pegboard test were recorded at baseline, immediately after, and 30 min after a-tPCS. Both a-tPCS at 75 and 4 Hz showed significantly increased CSE compared with sham. The a-tPCS at 75 Hz induced significantly higher CSE changes compared with 4 Hz. There was a significant increase in intracortical facilitation and a significant reduction in short-interval intracortical inhibition with both 4 and 75 Hz stimulations. However, the inhibition and facilitation did not correlate with CSE. Motor performance was unaffected by the interventions. The high CSE changes in M1 in a-tPCS at 75 Hz provide an initial understanding of the frequency-specific effect of a-tPCS. More research is needed to establish this concept and to assess its behavioral relevance. Impact statement Transcranial pulsed current stimulation (tPCS) is a novel brain stimulation technique that can modulate neural oscillation the pulsatile current induced by the stimulation. Using anodal tPCS, we demonstrate the neuromodulatory effect induced by the stimulation at theta and gamma frequencies. Our findings recommend anodal tPCS as a potential therapeutic tool for treating many neurological conditions with altered theta and gamma neural oscillatory activity.

摘要

相似文献

[1]
The Effects of Monophasic Anodal Transcranial Pulsed Current Stimulation on Corticospinal Excitability and Motor Performance in Healthy Young Adults: A Randomized Double-Blinded Sham-Controlled Study.

Brain Connect. 2022-4

[2]
The effects of a single-session cathodal transcranial pulsed current stimulation on corticospinal excitability: A randomized sham-controlled double-blinded study.

Eur J Neurosci. 2020-12

[3]
The Effect of Transcranial Pulsed Current Stimulation at 4 and 75 Hz on Electroencephalography Theta and High Gamma Band Power: A Pilot Study.

Brain Connect. 2020-11

[4]
Anodal transcranial pulsed current stimulation: A novel technique to enhance corticospinal excitability.

Clin Neurophysiol. 2013-9-26

[5]
The effects of concurrent bilateral anodal tDCS of primary motor cortex and cerebellum on corticospinal excitability: a randomized, double-blind sham-controlled study.

Brain Struct Funct. 2022-9

[6]
Sham transcranial electrical stimulation and its effects on corticospinal excitability: a systematic review and meta-analysis.

Rev Neurosci. 2018-2-23

[7]
Determination of anodal tDCS duration threshold for reversal of corticospinal excitability: An investigation for induction of counter-regulatory mechanisms.

Brain Stimul. 2020-2-26

[8]
Cumulative effects of single TMS pulses during beta-tACS are stimulation intensity-dependent.

Brain Stimul. 2017-7-27

[9]
Excitability modulation of the motor system induced by transcranial direct current stimulation: a multimodal approach.

Neuroimage. 2013-7-9

[10]
Does transcranial electrical stimulation enhance corticospinal excitability of the motor cortex in healthy individuals? A systematic review and meta-analysis.

Eur J Neurosci. 2017-8-2

引用本文的文献

[1]
Effects of a Single Session 400 Hz Transcranial Pulsed Current Stimulation on Corticospinal and Corticocortical Excitability and Hand Dexterity: A Double-Blind RCT.

Psychophysiology. 2025-7

[2]
Investigating the Effects of Anodal Transcranial Pulsed Current Stimulation at Low Frequencies (0.5 to 5 Hz) on Corticospinal and Corticocortical Excitability.

Psychophysiology. 2025-6

[3]
Exploring sensory, motor, and pain responses as potential side or therapeutic effects of sub-2 mA, 400 Hz transcranial pulsed current stimulation.

PLoS One. 2023

[4]
Effect of Transcranial Pulsed Current Stimulation on Fatigue Delay after Medium-Intensity Training.

Int J Environ Res Public Health. 2022-6-8

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