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Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Transcranial direct current stimulation to dorsolateral prefrontal cortex improves performance of obstacle avoidance
Akihiro Matsuura1, Ryohei Shinoda2, Tetsuya Karita2
1Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University.
Neuroreport
|July 3, 2023
Summary
Transcranial direct current stimulation (tDCS) enhances cognitive-motor dual-task performance by improving obstacle avoidance and cognitive task accuracy. This suggests the left dorsolateral prefrontal cortex (DLPFC) is crucial for managing complex walking and cognitive loads.
Area of Science:
- Neuroscience
- Cognitive Science
- Motor Control
Background:
- Dual-tasking, combining cognitive and motor activities, often leads to performance decrements.
- The dorsolateral prefrontal cortex (DLPFC) is implicated in executive functions and cognitive-motor integration.
Purpose of the Study:
- To investigate dual-task interference between cognitive (subtraction) and obstacle avoidance walking tasks.
- To examine the effect of transcranial direct current stimulation (tDCS) on cognitive-motor dual-task performance.
Main Methods:
- Healthy young adults performed single and dual tasks (cognitive and obstacle avoidance) before and after sham or anodal tDCS to the left DLPFC.
- Performance metrics included cognitive accuracy, obstacle clearance height, and foot placement relative to obstacles.
- Repeated-measures ANOVA analyzed the effects of tDCS, time, and task conditions.
Main Results:
- Dual-tasking significantly impacted performance compared to single-tasking.
- Anodal tDCS over the left DLPFC improved cognitive task accuracy (increased correct subtractions).
- tDCS also enhanced motor performance by increasing obstacle clearance height and reducing foot proximity to obstacles.
Conclusions:
- Dual-task performance in complex walking scenarios is causally linked to left DLPFC activation.
- Anodal tDCS over the left DLPFC can improve information processing capacity during overloaded cognitive-motor tasks.

