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Stimulation Location Determination using a 3D Digitizer with High-Definition Transcranial Direct Current Stimulation
Published on: December 20, 2019
Manipulation of Human Verticality Using High-Definition Transcranial Direct Current Stimulation
Taiza E G Santos1, Diandra B Favoretto1, Iman Ghodratti Toostani2,3
1Department of Neuroscience and Behavioral Sciences, Ribeirao Preto Medical School University of Sao Paulo, Ribeirão Preto, Brazil.
High-definition transcranial direct current stimulation (HD-tDCS) over the temporo-parietal junction modulates visual and postural control. This study establishes dose-response effects for potential clinical applications.
Area of Science:
- Neuroscience
- Neuromodulation
- Clinical Trials
Background:
- Conventional transcranial direct current stimulation (tDCS) can alter subjective visual vertical (SVV) and postural control.
- High-definition tDCS (HD-tDCS) offers improved cortical stimulation focality compared to conventional tDCS.
- Establishing dose-response effects for HD-tDCS is crucial for clinical relevance.
Purpose of the Study:
- Investigate polarity and intensity-dependent effects of HD-tDCS on the right temporo-parietal junction (TPJ).
- Assess behavioral (SVV, weight-bearing asymmetry) and physiological (EEG-PSD) outcomes.
- Determine the feasibility, safety, and tolerability of the HD-tDCS protocol.
Main Methods:
- Three randomized, double-blind, crossover phase I clinical trials in healthy adults.
- HD-tDCS3x1 montage over the right TPJ.
- Tested 1, 2, and 3 mA intensities with anode center, cathode center, or sham stimulation.
Main Results:
- Significant SVV deviation observed with cathode center stimulation, increasing with intensity.
- Significant weight-bearing asymmetry (WBA) dependent on stimulation polarity.
- Increased gamma band EEG power spectral density (PSD) at 3 mA under cathode stimulation.
Conclusions:
- Converging evidence supports focal neuromodulation via HD-tDCS over the right TPJ.
- Modulation of physiology and behavior has potential clinical applications.
- The tested HD-tDCS protocol is feasible, safe, and tolerable.
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