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Updated: Jul 14, 2026

Understanding the Effects of Non-Invasive Transauricular Vagus Nerve Stimulation on EEG and HRV
Published on: January 19, 2024
Transcutaneous auricular vagus nerve stimulation during a 3-back task: a high-density functional near-infrared
Michal Holowacz1, Caitlin Illingworth1, Jasmine Swalwell1
1Sheffield Institute for Translational Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Transcutaneous vagus nerve stimulation (tVNS) did not show significant differences in working memory task performance compared to sham stimulation. High-density functional near-infrared spectroscopy (HD-fNIRS) confirmed task-related brain activity but no tVNS effect.
Area of Science:
- Neuroscience
- Cognitive Science
- Biomedical Engineering
Background:
- Working memory deficits significantly impair individuals with neurological disorders.
- Transcutaneous vagus nerve stimulation (tVNS) is a potential non-invasive neuromodulatory technique to enhance cognitive functions, including working memory.
- High-density functional near-infrared spectroscopy (HD-fNIRS) offers a method to assess cortical hemodynamics during cognitive tasks.
Purpose of the Study:
- To investigate the effects of tVNS on working memory performance and prefrontal cortex activity using HD-fNIRS.
- To evaluate the feasibility and tolerability of simultaneous HD-fNIRS and tVNS during a working memory task.
Main Methods:
- Twenty-two healthy adults performed a 3-back task while undergoing HD-fNIRS monitoring of the prefrontal cortex.
- Active tVNS was applied to the tragus during the second task block, while sham tVNS was applied to the earlobe during the first block.
- Group-level statistical analyses examined task-related brain activity and differences between active and sham tVNS conditions.
Main Results:
- Task performance elicited robust activation in lateral frontal cortical areas under both active and sham tVNS conditions.
- No significant differences in cortical activity or behavioral performance were observed between active and sham tVNS.
- The study demonstrated the feasibility and tolerability of combining HD-fNIRS with tVNS.
Conclusions:
- While simultaneous HD-fNIRS and tVNS are feasible for studying working memory, the current stimulation parameters and fixed-order design did not yield significant differences.
- Future research should consider alternative designs to mitigate potential fatigue or habituation effects.
- HD-fNIRS shows promise for investigating neuromodulation effects on working memory in both healthy individuals and clinical populations.
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