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Neuroplasticity-based novel brain stimulation support intervention options for autistic population
Pushpal Desarkar1,2,3
1Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Frontiers in Human Neuroscience
|March 3, 2025
Summary
Autistic adults may have hyper-plasticity, an overactive brain plasticity, impacting motor and executive functions. This study proposes repetitive transcranial magnetic stimulation (rTMS) to reduce hyper-plasticity and improve these functions.
Area of Science:
- Neuroscience
- Neuropsychiatry
- Developmental Neuroscience
Background:
- Autism Spectrum Disorder (ASD) affects ~1% of the global population, characterized by atypical neuroplasticity.
- Repetitive transcranial magnetic stimulation (rTMS) shows therapeutic potential for neuropsychiatric conditions, including autism.
- Recent studies suggest autistic adults exhibit hyper-plasticity, specifically excessive long-term potentiation (LTP) in the motor cortex.
Purpose of the Study:
- To investigate neuroplasticity differences in autistic adults compared to neurotypical controls.
- To propose novel rTMS protocols targeting motor, sensory, and executive functions in autism.
- To evaluate the efficacy of bilateral rTMS in reducing hyper-plasticity and improving functional outcomes.
Main Methods:
- Utilizing transcranial magnetic stimulation (TMS) paradigms, including theta-burst stimulation (TBS).
- Developing a framework to assess neuroplasticity in motor, sensory, and dorsolateral prefrontal cortices.
- Proposing intervention protocols using bilateral rTMS.
Main Results:
- Hypothesized hyper-plasticity in motor, sensory, and prefrontal cortices of autistic adults.
- Anticipated link between hyper-plasticity and difficulties in motor, sensory, and executive functions.
- Proposed investigation into the therapeutic effects of bilateral rTMS on these functions.
Conclusions:
- Hyper-plasticity may underlie functional challenges in autistic adults.
- Neuroplasticity-based rTMS interventions offer a potential therapeutic avenue for autism.
- This research aims to enhance autism treatments and provide biological insights into brain mechanisms.

