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非侵入性脑刺激:对认知的多重影响。

Noninvasive Brain Stimulation: Multiple Effects on Cognition.

机构信息

Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.

School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.

出版信息

Neuroscientist. 2023 Oct;29(5):639-653. doi: 10.1177/10738584221113806. Epub 2022 Jul 29.

Abstract

Noninvasive brain stimulation (NIBS) techniques are widely used tools for the study and rehabilitation of cognitive functions. Different NIBS approaches aim to enhance or impair different cognitive processes. The methodological focus for achieving this has been on stimulation protocols that are considered either inhibitory or facilitatory. However, despite more than three decades of use, their application is based on incomplete and overly simplistic conceptualizations of mechanisms of action. Such misconception limits the usefulness of these approaches in the basic science and clinical domains. In this review, we challenge this view by arguing that stimulation protocols themselves are neither inhibitory nor facilitatory. Instead, we suggest that all induced effects reflect complex interactions of internal and external factors. Given these considerations, we present a novel model in which we conceptualize NIBS effects as an interaction between brain activity and the characteristics of the external stimulus. This interactive model can explain various phenomena in the brain stimulation literature that have been considered unexpected or paradoxical. We argue that these effects no longer seem paradoxical when considered from the viewpoint of state dependency.

摘要

非侵入性脑刺激 (NIBS) 技术是研究和康复认知功能的广泛应用工具。不同的 NIBS 方法旨在增强或损害不同的认知过程。为了实现这一目标,方法学的重点一直放在被认为具有抑制或促进作用的刺激方案上。然而,尽管已经使用了三十多年,但它们的应用是基于对作用机制的不完整和过于简单化的概念化。这种误解限制了这些方法在基础科学和临床领域的有用性。在这篇综述中,我们通过争辩刺激方案本身既不是抑制性的也不是促进性的来挑战这种观点。相反,我们认为所有诱导的效应都反映了内部和外部因素的复杂相互作用。有鉴于此,我们提出了一个新的模型,我们将 NIBS 效应概念化为大脑活动与外部刺激特征之间的相互作用。这种交互式模型可以解释脑刺激文献中被认为是意外或自相矛盾的各种现象。我们认为,从状态依存的角度来看,这些效应不再显得自相矛盾。

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