Department of Biomedical Engineering, The City College of New York, The City University of New York, New York, NY, USA.
Advanced Science Research Center at the Graduate Center of the City University of New York, USA.
Brain Stimul. 2023 Jan-Feb;16(1):56-67. doi: 10.1016/j.brs.2022.12.011. Epub 2022 Dec 24.
BACKGROUND AND OBJECTIVES: Motor learning experiments with transcranial direct current stimulation (tDCS) at 2 mA have produced mixed results. We hypothesize that tDCS boosts motor learning provided sufficiently high field intensity on the motor cortex. METHODS: In a single-blinded design, 108 healthy participants received either anodal (N = 36) or cathodal (N = 36) tDCS at 4 mA total, or no stimulation (N = 36) while they practiced a 12-min sequence learning task. Anodal stimulation was delivered across four electrode pairs (1 mA each), with anodes above the right parietal lobe and cathodes above the right frontal lobe. Cathodal stimulation, with reversed polarities, served as an active control for sensation, while the no-stimulation condition established baseline performance. fMRI-localized targets on the primary motor cortex in 10 subjects were used in current flow models to optimize electrode placement for maximal field intensity. A single electrode montage was then selected for all participants. RESULTS: We found a significant difference in performance with anodal vs. cathodal stimulation (Cohen's d = 0.71) and vs. no stimulation (d = 0.56). This effect persisted for at least 1 h, and subsequent learning for a new sequence and the opposite hand also improved. Sensation ratings were comparable in the active groups and did not exceed moderate levels. Current flow models suggest the new electrode montage can achieve stronger motor cortex polarization than alternative montages. CONCLUSION: The present paradigm shows a medium to large effect size and is well-tolerated. It may serve as a go-to experiment for future studies on motor learning and tDCS.
背景与目的:采用 2 mA 经颅直流电刺激(tDCS)的运动学习实验结果不一。我们假设 tDCS 可增强运动皮层的场强足够高时的运动学习。
方法:在单盲设计中,108 名健康参与者接受了 4 mA 总电流的阳极(N=36)或阴极(N=36)tDCS,或无刺激(N=36),同时他们练习 12 分钟的序列学习任务。阳极刺激通过四个电极对(每个 1 mA)传递,阳极位于右顶叶上方,阴极位于右额叶上方。阴极刺激采用相反的极性作为感觉的主动对照,而无刺激条件则建立了基线性能。在 10 名受试者的初级运动皮层中进行 fMRI 定位的靶点,用于在电流流动模型中优化电极放置以实现最大场强。然后为所有参与者选择了单个电极组合。
结果:我们发现阳极与阴极刺激(Cohen's d=0.71)和无刺激(d=0.56)之间的表现存在显著差异。这种效果至少持续 1 小时,并且随后对新序列和相反手的学习也有所提高。在活性组中,感觉评分相似且未超过中度水平。电流流动模型表明,新的电极组合可以实现比替代组合更强的运动皮层极化。
结论:本研究方案显示出中等至较大的效应大小,且耐受性良好。它可能成为未来运动学习和 tDCS 研究的首选实验。
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