Spaulding Neuromodulation Center, Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, 1575 Cambridge Street, Boston, MA, United States of America.
Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru.
Exp Brain Res. 2024 Sep;242(9):2069-2081. doi: 10.1007/s00221-024-06876-x. Epub 2024 Jul 4.
Bilateral transcutaneous auricular vagus nerve stimulation (taVNS) - a non-invasive neuromodulation technique - has been investigated as a safe and feasible technique to treat many neuropsychiatric conditions. such as epilepsy, depression, anxiety, and chronic pain. Our aim is to investigate the effect of taVNS on neurophysiological processes during emotional and Go/No-Go tasks, and changes in frontal alpha asymmetry. We performed a randomized, double-blind, sham-controlled trial with 44 healthy individuals who were allocated into two groups (the active taVNS group and the sham taVNS group). Subjects received one session of taVNS (active or sham) for 60 min. QEEG was recorded before and after the interventions, and the subjects were assessed while exposed to emotional conditions with sad and happy facial expressions, followed by a Go/No-Go trial. The results demonstrated a significant increase in N2 amplitude in the No-Go condition for the active taVNS post-intervention compared to the sham taVNS after adjusting by handedness, mood, and fatigue levels (p = 0.046), significantly reduced ERD during sad conditions after treatment (p = 0.037), and increased frontal alpha asymmetry towards the right frontal hemisphere during the emotional task condition (p = 0.046). Finally, we observed an interesting neural signature in this study that suggests a bottom-up modulation from brainstem/subcortical to cortical areas as characterized by improved lateralization of alpha oscillations towards the frontal right hemisphere, and changes in ERP during emotional and Go/No-Go tasks that suggests a better subcortical response to the tasks. Such bottom-up effects may mediate some of the clinical effects of taVNS.
双侧经皮耳迷走神经刺激(taVNS) - 一种非侵入性神经调节技术 - 已被研究作为一种安全且可行的技术,用于治疗许多神经精神疾病。如癫痫、抑郁、焦虑和慢性疼痛。我们的目的是研究 taVNS 对情绪和 Go/No-Go 任务期间神经生理过程的影响,以及额部 alpha 不对称的变化。我们进行了一项随机、双盲、假对照试验,共有 44 名健康个体被分配到两组(主动 taVNS 组和假 taVNS 组)。受试者接受了 60 分钟的 taVNS 治疗(主动或假)。干预前后记录了 QEEG,并且在暴露于悲伤和快乐面部表情的情绪条件下对受试者进行了评估,然后进行 Go/No-Go 试验。结果表明,与假 taVNS 后干预相比,主动 taVNS 后干预的 No-Go 条件下 N2 振幅显著增加,调整手性、情绪和疲劳水平后(p=0.046),治疗后悲伤条件下 ERD 显著减少(p=0.037),并且在情绪任务条件下右侧额区的 alpha 不对称性增加(p=0.046)。最后,我们在这项研究中观察到了一个有趣的神经特征,表明从脑干/皮质下到皮质的自上而下的调制,表现为 alpha 振荡向右侧额区的侧化改善,以及情绪和 Go/No-Go 任务期间 ERP 的变化,表明对任务的皮质下反应更好。这种自上而下的影响可能介导了 taVNS 的一些临床效果。
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