High-definition transcranial direct current stimulation modulates theta response during a Go-NoGo task in traumatic brain injury.

High-definition transcranial direct current stimulation modulates theta response during a Go-NoGo task in traumatic brain injury.
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DOI:
10.1016/j.clinph.2022.08.015
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发表时间:
2022-11
期刊:
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
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高清晰度经颅直流电刺激(HD-tDCS)已被证明可以改善慢性创伤性脑损伤(TBI)患者的认知能力,尽管电生理机制尚不清楚。创伤性脑损伤退伍军人接受了针对前辅助运动区(前sma)的活跃阳极(N = 15)和假(N = 10) HD-tDCS。Go-NoGo任务在基线和干预完成后与脑电图(EEG)同时进行。我们发现,在主动HD-tDCS干预后,在前sma上的额叶中线电极上,Go期间的θ事件相关谱扰动(ERSP)和试验间相相干性(ITPC)增加,但假手术后没有增加。我们还发现,激活HD-tDCS后,Go期间额叶中线和左后脑区域之间的θ相相干性增加。在活跃的HD-tDCS后,发现左中央区α - θ ERSP晚期增加。值得注意的是,只有在活动组,较低的额中线区域基线θ ERSP/ITPC预示着干预后围棋成绩的改善。在慢性脑外伤中,HD-tDCS调节反应存在局部和区域间振荡变化。这些发现可以指导未来利用脑电图时频指标的研究,不仅可以测量介入效果,还可以选择可能对治疗有最佳反应的候选人。
High Definition transcranial Direct Current Stimulation (HD-tDCS) has been shown to improve cognitive performance in individuals with chronic traumatic brain injury (TBI), although electrophysiological mechanisms remain unclear. Veterans with TBI underwent active anodal (N = 15) vs sham (N = 10) HD-tDCS targeting the pre-supplementary motor area (pre-SMA). A Go-NoGo task was conducted simultaneously with electroencephalography (EEG) at baseline and after intervention completion. We found increased theta event-related spectral perturbation (ERSP) and inter-trial phase coherence (ITPC) during Go in the frontal midline electrodes overlying the pre-SMA after active HD-tDCS intervention, but not after sham. We also found increased theta phase coherence during Go between the frontal midline and left posterior regions after active HD-tDCS. A late increase in alpha-theta ERSP was found in the left central region after active HD-tDCS. Notably, lower baseline theta ERSP/ITPC in the frontal midline region predicted more post-intervention improvement in Go performance only in the active group. There are local and interregional oscillatory changes in response to HD-tDCS modulation in chronic TBI. These findings may guide future research in utilizing EEG time-frequency metrics not only to measure interventional effects, but also in selecting candidates who may optimally respond to treatment.
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