Modulation of iTBS after-effects via concurrent directional TDCS: A proof of principle study.

Brain Stimul

Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, UK.

Published: February 2018

Background: Polarising currents can modulate membrane potentials in animals, affecting the after-effect of theta burst stimulation (TBS) on synaptic strength.

Objective: We examined whether a similar phenomenon could also be observed in human motor cortex (M1) using transcranial direct current stimulation (TDCS) during monophasic intermittent TBS (iTBS).

Methods: TDCS was applied during posterior-anterior iTBS using three different conditions: posterior-anterior TDCS (anode 3.5 cm posterior to M1, cathode 3.5 cm anterior to M1), anterior-posterior TDCS (cathode 3.5 cm posterior to M1, anode 3.5 cm anterior to M1), and sham TDCS.

Results: When the direction of TDCS (posterior-anterior) matched the direction of the electrical field induced by iTBS, we found a 19% non-significant increase in excitability changes in comparison with iTBS combined with sham TDCS. When the TDCS was reversed (anterior-posterior), the excitatory effect of iTBS was abolished.

Conclusion: Our findings suggest that excitatory after-effects of iTBS can be modulated by directionally-specific TDCS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487022PMC
http://dx.doi.org/10.1016/j.brs.2017.03.009DOI Listing

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