Transcranial direct current stimulation: before, during, or after motor training?

Neuroreport. 2015 Aug 5;26(11):618-22. doi: 10.1097/WNR.0000000000000397.

Abstract

Noninvasive brain stimulation has recently been used to augment motor training-induced plasticity. However, the exact time during which noninvasive brain stimulation can be combined with motor therapy to maximize neuroplasticity and behavioral changes is unknown. We conducted a randomized sham-controlled crossover trial to examine when (before, during, or after training) transcranial direct current stimulation (tDCS) should be applied to best reinforce motor training-induced plasticity in 12 healthy right-handed participants (mean age: 21.8±1.6) who underwent active or sham tDCS combined with motor training. Transcranial magnetic stimulation-elicited motor-evoked potentials from the right first dorsal interosseous muscle were recorded before (baseline) and immediately after each session. The training task comprised four practice trials - 3 min each (30 s pause between trials) - of repetitive finger movements (thumb abduction/adduction) with the right hand. Anodal tDCS (1 mA, 13 min, on the motor primary cortex) was applied before, during, and after the training. Compared with baseline motor-evoked potentials and the sham condition, tDCS that was applied before, but not during or after, the motor task enhanced corticospinal excitability. These data suggest that tDCS performed before - not during or after - promotes optimization of motor training-induced plasticity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Double-Blind Method
  • Evoked Potentials, Motor / physiology*
  • Female
  • Humans
  • Male
  • Motor Activity / physiology*
  • Motor Cortex / physiology*
  • Teaching / methods*
  • Transcranial Direct Current Stimulation*
  • Young Adult