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

Tremblay, S; Hannah, R; Rawji, V; Rothwell, JC; (2017) Modulation of iTBS after-effects via concurrent directional TDCS: a proof of principle study. Brain Stimulation , 10 (4) pp. 744-747. 10.1016/j.brs.2017.03.009. Green open access

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Abstract

BACKGROUND: Experiments in animals have shown that electrical polarisation of neurons in the hippocampus can modulate the long-term effects of theta burst stimulation 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) to polarise neurons during unidirectional intermittent theta burst stimulation (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. RESULT: We found that when the direction of TDCS (posterior-anterior) matched the direction of the electrical field induced by iTBS, excitability changes were increased by 12% 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.

Type: Article
Title: Modulation of iTBS after-effects via concurrent directional TDCS: a proof of principle study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.brs.2017.03.009
Publisher version: http://dx.doi.org/10.1016/j.brs.2017.03.009
Language: English
Additional information: © 2017 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Transcranial magnetic stimulation; Intermittent theta burst stimulation; Transcranial direct current stimulation; Primary motor cortex
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences
URI: https://discovery.ucl.ac.uk/id/eprint/1546284
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