Abstract
Background
Focal
brain
lesions
following
a
stroke
of
the
middle
cerebral
artery
induce
large-scale
network
disarray
with
potential
to
impact
multiple
cognitive
and
behavioral
domains.
Over
last
20
years,
non-invasive
neuromodulation
via
electrical
(tCS)
stimulation
has
shown
promise
modulate
motor
deficits
contribute
recovery.
However,
weak,
inconsistent,
or
at
times
heterogeneous
outcomes
using
these
techniques
have
also
highlighted
need
for
novel
strategies
assessment
their
efficacy
in
ad
hoc
controlled
clinical
trials.
Methods
We
here
present
double-blind,
sham-controlled,
single-center,
randomized
pilot
trial
involving
participants
having
suffered
unilateral
(MCA)
resulting
paralysis
contralateral
upper
limb.
Patients
will
undergo
10-day
regime
(5
days
week
2
consecutive
weeks)
newly
designed
high-definition
transcranial
direct
current
(HD-tDCS)
protocol.
Clinical
evaluations
(e.g.,
Fugl
Meyer,
NIHSS),
computer-based
assessments
(visuo-motor
adaptation
AX-CPT
attention
tasks),
electroencephalography
(resting-state
task-evoked
EEG)
be
carried
out
3
time
points:
(I)
Baseline,
(II)
Post-tDCS,
(III)
Follow-up.
The
study
consists
four-arm
comparing
on
recovery
three
active
anodal
tDCS
conditions:
ipsilesional
DLPFC
tDCS,
contralesional
cerebellar
combined
+
sham
intervention.
Fugl-Meyer
Assessment
extremity
(FMA-UE)
is
selected
as
primary
outcome
measure
quantify
In
every
session,
receive
min
high-density
(up
0.63
mA/
$${\mathrm{cm}}^{2}$$
cm2
)
$${\mathrm{\pi
cm}}^{2}$$
π
electrodes.
Electrode
scalp
positioning
relative
cortical
surface
(anodes
cathodes)
intensities
are
based
biophysical
optimization
model
distribution
ensuring
0.25
V/m
each
chosen
targets.
Discussion
Our
gauge
therapeutic
accumulative
sessions
HD-tDCS
improve
limb
dysfunctions
presented
by
patients.
parallel,
we
aim
characterizing
changes
electroencephalographic
(EEG)
activity
biomarkers
effects
identifying
interactions
between
performance
outcomes.
work
enrich
our
mechanistic
understanding
prefrontal
contributions
function
its
rehabilitation
damage.
Trial
registration
ClinicalTrials.gov
NCT05329818.
April
15,
2022.
Bioengineering,
Год журнала:
2024,
Номер
11(8), С. 744 - 744
Опубликована: Июль 23, 2024
Transcranial
alternating
current
stimulation
(tACS)
delivered
to
the
primary
motor
cortex
(M1)
can
increase
cortical
excitability,
entrain
neuronal
firing
patterns,
and
skill
acquisition
in
simple
tasks.
The
aim
of
this
study
was
assess
impact
tACS
applied
M1
over
three
consecutive
days
practice
on
learning
a
challenging
overhand
throwing
task
young
adults.
secondary
examine
influence
excitability.
This
implemented
double-blind,
randomized,
SHAM-controlled,
between-subjects
experimental
design.
A
total
24
healthy
adults
were
divided
into
SHAM
groups
performed
identical
sessions
that
comprised
blocks
trials
right
dominant
arm
concurrent
with
application
left
M1.
Performance
quantified
as
endpoint
error.
Motor
evoked
potentials
(MEPs)
assessed
first
dorsal
interosseus
(FDI)
muscle
transcranial
magnetic
(TMS)
quantify
changes
Endpoint
error
significantly
decreased
post-tests
compared
pre-tests
when
averaged
(
Imaging Neuroscience,
Год журнала:
2024,
Номер
2, С. 1 - 25
Опубликована: Янв. 1, 2024
Abstract
The
present
meta-analysis
investigated
the
impact
of
non-invasive
stimulation,
using
transcranial
direct
current
stimulation
(tDCS)
and
magnetic
(TMS)
targeting
posterior
cerebellum,
on
social
emotional
mentalizing
about
others.
Prior
research
has
convincingly
shown
that
cerebellum
supports
cognition.
We
identified
14
studies
with
appropriate
control
conditions
(i.e.,
sham,
site),
which
exclude
general
learning
effects
task
or
placebo
effects.
included
29
where
before
during
a
was
applied
healthy
samples.
results
showed
significant
evidence
sustained
anodal
tDCS
TMS
generally
improved
performance
after
in
comparison
sham
conditions,
small
effect
size.
In
contrast,
cathodal
mixed
facilitatory
inhibitory
results.
addition,
short
pulses,
administered
aim
interfering
ongoing
processes,
induced
but
consistent
effect.
Control
tasks
without
components
also
improvement
TMS,
suggesting
may
improve
other
functions.
This
not
case
for
did
modulate
non-social
non-emotional
tasks.
Taken
together,
this
shows
cerebellar
neurostimulation
confirms
causal
role
socio-emotional
cognition,
improving
skills,
may,
therefore,
have
important
clinical
applications
pathologies
cognition
is
impaired.
The Cerebellum,
Год журнала:
2024,
Номер
23(6), С. 2487 - 2496
Опубликована: Окт. 22, 2024
Motor
adaptation
is
critical
to
update
motor
tasks
in
new
or
modified
environmental
conditions.
While
the
cerebellum
supports
error-based
adaptations,
its
neural
implementation
partially
known.
By
controlling
frequency
of
cerebellar
transcranial
alternating
current
stimulation
(c-tACS),
we
can
test
influence
oscillation
from
for
adaptation.
Two
independent
experiments
were
conducted.
In
Experiment
1,
16
participants
received
four
c-tACS
protocols
(45
Hz,
50
55
and
sham)
on
different
days
while
they
practiced
a
visuomotor
task
(30
degrees
CCW)
with
variable
intensity
(within-subject
design).
2,
45
separated
into
three
groups
effect
Hz
c-tACS,
sham,
respectively
(between-subject
design),
performing
same
fixed
(0.9
mA).
accelerated
when
performed
only
first
time,
time
interval
between
sessions
intensity.
The
active
was
ratified
where
benefits
during
complete
practice
period.
Reaction
velocity,
duration
reaching
are
not
affected
by
c-tACS.
Cerebellar
an
effective
strategy
potentiate
adaptations.
Frequency-dependent
effects
gamma
band,
especially
ratify
oscillatory
profile
processes
behind
This
be
exploited
future
interventions
enhance
learning.
Frontiers in Neuroscience,
Год журнала:
2023,
Номер
17
Опубликована: Апрель 27, 2023
Background
Cerebellar
ataxia
(CA)
is
a
movement
disorder
that
can
affect
balance
and
gait,
limb
movement,
oculomotor
control,
cognition.
Multiple
system
atrophy-cerebellar
type
(MSA-C)
spinocerebellar
3
(SCA3)
are
the
most
common
forms
of
CA,
for
which
no
effective
treatment
currently
available.
Transcranial
alternating
current
stimulation
(tACS)
non-invasive
method
brain
supposed
to
alter
cortical
excitability
electrical
activity,
modulating
functional
connectivity
within
brain.
The
cerebellar
tACS
modulate
outflow
cerebellum-linked
behavior
it
proven
safe
technique
humans.
Therefore,
aim
this
study
1)
examine
whether
improves
severity
various
non-motor
symptoms
in
homogeneous
cohort
CA
patients
consisting
MSA-C
SCA3,
2)
explore
time
course
these
effects,
3)
assess
safety
tolerance
all
participants.
Methods/design
This
2-week,
triple-blind,
randomised,
sham-controlled
study.
164
(MSA-C:
84,
SCA3:
80)
will
be
recruited
randomly
assigned
either
active
or
sham
tACS,
1:1
ratio.
Patients,
investigators,
outcome
assessors
unaware
allocation.
(40
min,
2
mA,
ramp-up
down
periods
10s
each)
delivered
over
10
sessions,
distributed
two
groups
five
consecutive
days
with
two-day
break
between.
Outcomes
assessed
after
tenth
(T1),
1
month
(T2)
months
(T3).
primary
measure
difference
between
proportion
an
improvement
1.5
points
Scale
Assessment
Rating
Ataxia
(SARA)
score
weeks
treatment.
In
addition,
effects
on
variety
symptoms,
quality
life,
autonomic
nerve
dysfunctions
via
relative
scales.
Gait
imbalance,
dysarthria,
finger
dexterity
objectively
valued
tools.
Finally,
magnetic
resonance
imaging
performed
possible
mechanism
effects.
Discussion
results
inform
repeated
sessions
benefit
form
might
novel
therapeutic
approach
consider
neuro-rehabilitation
setting.
Clinical
Trial
Registration
:
ClinicalTrials.gov
,
identifier
NCT05557786;
https://www.clinicaltrials.gov/ct2/show/NCT05557786
.
Frontiers in Human Neuroscience,
Год журнала:
2024,
Номер
17
Опубликована: Янв. 9, 2024
Fear
is
a
vital
defense
mechanism
to
potential
threats,
which
influenced
by
the
cerebellum.
While
cerebellum’s
role
in
acquiring
fear
responses
well
understood,
limited
knowledge
exists
about
its
involvement
extinction.
In
this
study,
we
investigated
effects
of
cerebellar
theta
band
transcranial
alternating
current
stimulation
(ctACS)
administered
during
extinction
training,
based
on
previous
evidence
from
animal
studies
suggesting
oscillations
associative
memory
formation.
To
end,
thirty-seven
healthy
right-handed
male
participants
were
recruited
for
two-day
differential
renewal
paradigm.
On
day
1,
they
underwent
acquisition
training
context
A
followed
B.
2,
recall
was
tested
contexts
and
One
group
received
ctACS
(6
Hz)
training.
The
other
sham
ctACS.
Although
both
groups
demonstrated
ability
previously
learned
distinguish
between
low
high
threat
stimuli,
no
significant
differences
observed
groups,
indicating
that
at
frequency
range
did
not
impact
acquired
study.
Nevertheless,
using
could
still
be
useful
future
research,
including
brain
imaging
studies,
better
understand
how
cerebellum
involved
processes.
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 15, 2024
Abstract
Currently,
there
are
no
treatments
to
alter
the
natural
course
of
spinocerebellar
ataxia
type
3
(SCA3).
Transcranial
alternating
current
stimulation
(tACS)
have
sustainable
potential
alleviate
SCA3.
Therefore,
we
conducted
a
randomized
controlled
trial
enrolling
158
patients
with
SCA3
investigate
safety
and
efficacy
tACS
(NCT05557786).
Enrolled
participants
received
Active-tACS
or
Sham-tACS
treatment
5
days/week
for
2
weeks.
The
primary
outcome
was
proportion
whose
Scale
Assessment
Rating
Ataxia
score
improved
by
at
least
1.5
points
compared
baseline
on
assessments
immediately
after
1-month
3-month
follow-up
visits.
assessed
in
intention-to-treat
population
met
32
40
active-tACS
group
(80%)
4
sham-tACS
(OR,
2.04[95%
CI,
1.75
2.38;
P
<
0.001]).
These
promising
findings
motivate
additional
study
establish
guidelines
as
clinically
recommended
cerebellar
diseases.
Transcranial
alternating
current
stimulation
of
the
cerebellum
(ctACS)
is
an
emerging
neuromodulation
technique
that
can
potentially
be
leveraged
to
treat
neurological
disorders
and
improve
learning
in
healthy
individuals.
Yet,
effects
ctACS
on
neuronal
circuits
elusive.
We
implanted
carbon
fiber
bundle
electrodes
interpositus
nucleus
array
electrode
posterior
surface
skull
for
chronic
rats.
Multi-unit
activities
(MUA)
were
recorded
from
three
unanesthetized
quietly
resting
animals
during
transcranial
application
stimuli
at
various
frequencies
(10
Hz-300
Hz)
amplitudes
as
well
after
harmaline
induced
tremors.
A
frequency-spectrum
based
method
assessing
modulation
strength
MUA
was
developed.
The
results
show
modulated
transcranially
a
range
with
peak
around
50
Hz.
This
agrees
earlier
report
general
[1]
although
frequency
lower.
study
demonstrates
feasibility
entraining
activity
cerebellar
nuclear
cells
awake
by
AC
stimulation,
detection
tremor
MUAs.
Future
research
will
directed
towards
testing
this
animal
model
essential
tremor.
Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Янв. 10, 2023
Abstract
Background
Focal
brain
lesions
following
a
stroke
of
the
middle
cerebral
artery
induce
large-scale
network
disarray
which
has
potential
to
impact
multiple
cognitive
and
behavioral
domains.
Over
last
20
years,
non-invasive
neuromodulation
via
electrical
(tCS)
stimulation
shown
modulate
motor
deficits
contribute
recovery.
However,
weak,
inconsistent,
or
at
times
heterogeneous
outcomes
using
these
techniques
have
also
highlighted
need
for
novel
strategies
assessment
their
efficacy
in
ad
hoc
controlled
trials.
Methods
We
here
present
double-blind,
sham-controlled,
single-center,
randomized
clinical
trial
involving
participants
having
suffered
unilateral
(MCA)
resulting
paralysis
contralateral
upper
limb
who
will
undergo
10-days
regime
(5
days
week
2
consecutive
weeks)
newly
designed
high-definition
transcranial
direct
current
(HD-tDCS)
protocol.
Clinical
scale-based
evaluations
(e.g.,
Fugl
Meyer,
NIHSS,
etc.),
computer-based
assessments
(visuo-motor
adaptation
AX-CPT
attention
tasks),
electroencephalography
(resting-state
task-evoked
EEG)
be
carried
out
3
time-points:
I)
Baseline,
II)
Post-tDCS,
III)
Follow-up.
The
study
consists
four-arm
comparing
on
recovery
three
active
anodal
tDCS
conditions:
ipsilesional
DLPFC
tDCS,
contralesional
cerebellar
combined
+
sham
intervention.
In
every
session,
receive
min
high-density
(up
063mA/\({\text{c}\text{m}}^{2}\))
with
\({{\pi
}\text{c}\text{m}}^{2}\)
electrodes.
Electrode-scalp
positioning
relative
cortical
surface
(anodes
cathodes)
intensities
are
based
biophysical
optimization
model
distribution
ensuring
0.25V/m
each
two
chosen
targets.
Discussion
Our
gauge
therapeutic
accumulative
sessions
HD-tDCS
improve
dysfunctions
presented
by
patients.
parallel,
we
aim
characterizing
changes
electroencephalographic
(EEG)
activity
as
biomarkers
effects
identify
possible
interactions
between
outcomes.
work
enrich
our
mechanistic
understanding
prefrontal
contributions
function
its
rehabilitation
damage.
Trial
registration
This
been
registered
ClinicalTrials.gov
(NCT05329818)
Rhythmic
limb
multi-joint
movement
like
locomotion
is
controlled
by
intralimb
coordination.
Intralimb
coordination
changes
entail
immediate
alterations
in
patterns
and
be
related
with
cerebellum
function.
Synchronized
activity
has
known
to
modulate
the
frequency
of
walking,
but
not
effect
only
The
purpose
this
study
was
reveal
synchronized
unsynchronized
on
movements
unilateral
leg
young
elderly
people.
To
achieve
our
purpose,
we
applied
transcranial
alternating
current
stimulation
during
cyclic
visual
tracking
task.
results
showed
that
reduction
comprehensive
synchrony
between
targets
through
trials
had
no
significant
differences
under
all
stimulus
conditions
However,
variation
synchronization
significantly
smaller
condition
both
groups.
Variation
remarkably
reduced
for
group.
This
movement-synchronized
contributes
reducing
fluctuations
coordinating
movements.
Moreover,
remarkable
Advanced Journal of Graduate Research,
Год журнала:
2023,
Номер
13(1), С. 29 - 36
Опубликована: Фев. 24, 2023
Essential
tremor
(ET)
is
the
most
common
movement
disorder
and
affects
tens
of
millions
individuals
worldwide.
It
characterized
by
isolated
upper-limb
tremors
for
at
least
three
years
without
other
neurological
signs
or
in
locations.
Despite
ET
being
a
widespread
disorder,
its
etiology
pathophysiology
are
poorly
understood.
This
lack
understanding
poses
significant
challenges
towards
development
treatments
cures.
There
no
cure
ET,
current
limited
often
insufficient.
symptoms
can
differ
greatly
between
patients,
phenotyping
only
method
diagnosis.
overlaps
with
disorders
including
dystonia
Parkinson’s
disease,
which
further
complicates
diagnosis
treatment.
Current
begin
pharmacotherapy,
progress
to
surgical
options
drug-resistant
patients.
ongoing
research
into
non-invasive
electrical
stimulation
that
may
prove
be
safe
effective;
however,
needed.
The
aim
this
review
assess
literature
summarize
why
so
difficult
treat.
We
evaluate
efficacy
treatments,
potential
future
treatments.
four
reasons
remains
treat:
1)
unknown
pathophysiology,
2)
suitable
animal
model,
3)
difficulties
diagnosis,
4)
absence
personalized
challenges,
an
active
area
novel
experimental
produce
effective
therapeutic
ET.