Background:
Transcranial
Alternating
Current
Stimulation
(tACS)
employs
low-intensity
sinusoidal
currents
to
influence
cortical
plasticity
and
motor
function.
Despite
extensive
research,
inconsistent
results
require
a
comprehensive
review
of
tACS
efficacy.
Objective:
This
study
systematically
assesses
effects
on
corticospinal
intracortical
excitability,
function
over
the
cortex
(M1),
focusing
alpha,
beta,
gamma
frequencies.
Methods:
Relevant
studies
were
identified
through
database
searches
citations
tracked
until
July
10,
2023.
The
methodological
quality
included
(29)
was
evaluated
by
Downs
Black.
Data
synthesis
involved
meta-analysis
(n=25)
best
evidence
(n=5).
Results:
Meta-analysis
showed
that
alpha
beta
(>1
mA)
increased
excitability
(CSE).
Alpha,
improved
Sub-analysis
both
≤1
mA
function,
whilst
at
2
Notably,
online
offline
regardless
stimulation
factors.
Conclusion:
modulates
CSE
improves
with
outcomes
dependent
parameters
timing.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(12), С. 10093 - 10093
Опубликована: Июнь 13, 2023
Migraine
is
among
the
most
common
and
debilitating
neurological
disorders
typically
affecting
people
of
working
age.
It
characterised
by
a
unilateral,
pulsating
headache
often
associated
with
severe
pain.
Despite
intensive
research,
there
still
little
understanding
pathophysiology
migraine.
At
electrophysiological
level,
altered
oscillatory
parameters
have
been
reported
within
alpha
gamma
bands.
molecular
glutamate
GABA
concentrations
reported.
However,
has
cross-talk
between
these
lines
research.
Thus,
relationship
activity
neurotransmitter
remains
to
be
empirically
traced.
Importantly,
how
indices
link
back
sensory
processing
clearly
established
as
yet.
Accordingly,
pharmacologic
treatments
mostly
symptom-based,
yet
sometimes
proving
ineffective
in
resolving
pain
or
related
issues.
This
review
provides
an
integrative
theoretical
framework
excitation-inhibition
imbalance
for
current
evidence
address
outstanding
questions
concerning
We
propose
use
computational
modelling
rigorous
formulation
testable
hypotheses
on
mechanisms
homeostatic
development
mechanism-based
pharmacological
neurostimulation
interventions.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 19, 2024
Abstract
Objective
Non-invasive
oscillatory
brain
stimulation
techniques
target
the
activity
of
and
have
several
potential
therapeutic
applications
in
clinical
context.
The
aim
these
analyses
from
routine
EEG
recordings
was
to
provide
normative
values
physiological
age-related
(periodic)
non-rhythmic
(aperiodic)
activity.
Methods
We
analyzed
532
EEGs
patients
between
8
92
years
age.
segments
were
preprocessed,
power
spectrum
computed
using
a
multitaper
method.
decomposed
into
periodic
(peak
power,
frequency,
bandwidth)
aperiodic
(intercept
exponent)
components.
Linear
regression
models
used
investigate
changes
parameters.
Results
observed
significant
global
alpha
(-
0.015
Hz/year)
gamma
(+
0.013
+
0.031Hz/year)
peak
frequency
as
well
exponent
0.003
-
0.004
μV
2
/Hz/year).
In
other
parameters
there
solely
regional
or
no
changes.
Conclusions
Decomposing
components
allows
for
characterization
Significance
This
study
provides
first
spectrum-wide
activity,
relevant
non-invasive
with
alternating
current
targeting
ongoing
Highlights
Alpha
decreases
age,
while
accelerates.
Age-related
theta
result
flattening
slope,
not
decreased
is
essential
when
characterizing
Frontiers in Psychiatry,
Год журнала:
2025,
Номер
15
Опубликована: Янв. 14, 2025
Introduction
Transcranial
alternating
current
stimulation
(tACS)
is
a
promising
tool
for
modulating
brain
oscillations.
This
study
investigated
whether
5
Hz
tACS
could
modulate
neural
oscillations
in
the
prefrontal
cortex
and
how
this
modulation
impacts
performance
working
memory
(WM)
tasks.
Method
In
two
sessions,
28
healthy
participants
received
or
sham
over
left
dorsolateral
(DLPFC)
while
performing
tasks
with
high
low
WM
loads.
Resting-state
EEG
was
recorded
before
after
stimulations
minutes.
power
measured
at
electrodes
surrounding
site.
Results
The
results
showed
that
significantly
improved
reaction
time
(RT)
compared
to
stimulation.
effect
task-specific,
as
RT
hit
responses
only
load
trials,
no
impact
on
low-load
trials.
Moreover,
increased
theta
band
pre-stimulation
levels.
Discussion
These
findings
demonstrate
applied
DLPFC
modulates
post-stimulation
sites
–
known
after-effects.
Furthermore,
suggest
enhances
response
speed
by
elevating
task-related
activity
an
optimal
level
task
performance.
Conclusion
summary,
highlight
potential
of
technique
specific
oscillations,
implications
research
therapeutic
interventions.
CNS Neuroscience & Therapeutics,
Год журнала:
2025,
Номер
31(4)
Опубликована: Апрель 1, 2025
ABSTRACT
Background
Deep
brain
stimulation
(DBS)
is
a
novel
therapy
for
severe
Alzheimer's
disease
(AD).
However,
there
an
ongoing
debate
regarding
the
optimal
target
DBS,
particularly
fornix
and
basal
ganglia
of
Meynert
(NBM).
Objective
This
study
aimed
to
investigate
safety
efficacy
DBS
AD
compare
NBM
as
potential
targets.
Methods
We
conducted
prospective,
nonrandomized
clinical
involving
20
patients
with
(MMSE
score
0
10,
CDR
level
3)
from
January
2015
August
2022,
comprising
12
males
eight
females,
mean
age
59.05
±
6.45
years.
All
underwent
treatment,
among
which
14
received
bilateral
implantation,
while
six
implantation
in
NBM.
Electrical
commenced
1
month
postoperatively.
assessed
before
surgery,
followed
by
evaluations
at
month,
3
months,
6
months
poststimulation.
Primary
outcome
measures
focused
on
changes
cognitive
function,
using
MMSE,
MoCA,
ADAS‐Cog,
scales.
Secondary
encompassed
quality
life,
caregiver
burden,
neuropsychiatric
symptoms,
sleep
disturbances,
evaluated
through
BI,
FAQ,
FIM,
ZBI,
NPI,
HAMA,
HAMD,
PSQI
Results
tolerated
well,
no
serious
adverse
effects
reported.
Early
on,
significantly
improved
function
life.
Long‐term
benefits
include
improvement
symptoms
disorders
alleviation
burden.
Comparison
between
targeting
revealed
significant
differences
overall
scale
scores.
upon
deeper
analysis,
NBM‐DBS
exhibited
more
pronounced
NPI
Conclusion
therapeutic
approach
AD,
capable
improving
patients'
symptoms.
Notably,
showed
distinct
advantages
ameliorating
providing
valuable
insights
clinically
selecting
target.
Trial
Registration
ClinicalTrials.gov
identifier:
NCT03115814
Frontiers in Human Neuroscience,
Год журнала:
2025,
Номер
19
Опубликована: Май 14, 2025
Research
on
the
influence
of
transcranial
alternating
current
stimulation
over
alpha
functional
connectivity
(FC)
is
scarce,
even
when
it
poses
as
a
potential
treatment
for
various
diseases.
This
study
aimed
to
investigate
effects
individual
frequency
tACS
(IAF-tACS)
FC
within
default
mode
network
(DMN)
in
healthy
individuals,
particularly
following
triple
model.
27
participants
were
recruited,
who
underwent
20-min
IAF-tACS
session
parieto-occipital
areas
and
three
magnetoencephalography
(MEG)
recordings:
two
pre-stimulation
one
post-stimulation.
Participants
randomly
assigned
either
or
sham
group.
Both
dynamic
(dFC)
static
(sFC)
evaluated
through
leakage
corrected
amplitude
envelope
correlation
(AEC-c).
Statistical
analyses
compared
both
Pre-Post
ratio
between
groups
t-tests
intragroup
changes
repeated
measures
t-tests,
with
FDR
correction
applied
account
multiple
comparisons.
An
additional
analysis
simulated
cortical
folding
effect
FC.
significantly
decreased
sFC
intra-
inter-DMN
links
group
group,
special
antero-posterior
hubs
DMN.
Negative
correlations
found
AEC-c
power
alterations
posterior
DMN
areas,
suggesting
complex
interaction
electric
field
direction.
On
other
hand,
dFC
increased
groups,
no
between-group
differences
found.
Against
our
initial
hypothesis,
reduced
DMN,
possibly
due
phase
disparities
introduced
by
gyrification.
These
findings
suggest
that
might
modulate
more
manner
than
previously
thought,
highlighting
need
further
research
into
personalized
application
neuromodulation
techniques,
well
its
therapeutic
implications
conditions
like
Alzheimer's
disease.
Mounting
evidence
suggests
that
transcranial
alternating
current
stimulation
can
enhance
response
inhibition,
a
cognitive
process
crucial
for
sustained
effort
and
decision-making.
However,
most
studies
have
focused
on
within-session
effects,
with
limited
investigation
into
the
effects
of
repeated
applications,
which
are
clinical
applications.
We
examined
bifocal
targeting
right
inferior
frontal
gyrus
pre-supplementary
motor
area
functional
connectivity,
simulated
driving
performance.
Thirty
young
adults
(18-35
yr)
received
either
sham
or
(20
Hz,
20
min)
across
5
sessions
over
2
wk.
Resting-state
electroencephalography
assessed
connectivity
between
at
baseline,
final
session,
7-d
follow-up.
Response
inhibition
was
measured
using
stop-signal
task,
performance
before
after
intervention.
The
results
showed
significant
improvements
in
group
sessions,
though
braking
remained
unchanged.
while
not
targeted
behavior,
general
potentially
improved
following
stimulation,
participants
maintaining
stable
behavior
alongside
increased
spare
attentional
capacity.
These
findings
suggest
may
cortical
related
cognitive-motor
processes,
supporting
its
potential
BMJ Open,
Год журнала:
2024,
Номер
14(7), С. e078281 - e078281
Опубликована: Июль 1, 2024
Introduction
Therapeutic
interventions
for
disorders
of
consciousness
lack
consistency;
evidence
supports
non-invasive
brain
stimulation,
but
few
studies
assess
neuromodulation
in
acute-to-subacute
brain-injured
patients.
This
study
aims
to
validate
the
feasibility
and
effect
a
multi-session
transcranial
alternating
current
stimulation
(tACS)
intervention
subacute
patients
on
recovery
consciousness,
related
oscillations
network
dynamics.
Methods
analyses
The
is
comprised
two
phases:
validation
phase
(n=12)
randomised
controlled
trial
(n=138).
Both
phases
will
be
conducted
medically
stable
adult
(traumatic
injury
hypoxic-ischaemic
encephalopathy),
with
Glasgow
Coma
Scale
score
≤12
after
continuous
sedation
withdrawal.
Recruitment
occur
at
intensive
care
unit
Level
1
Trauma
Centre
Montreal,
Quebec,
Canada.
includes
20
min
10
Hz
tACS
mA
intensity
or
sham
session
over
parieto-occipital
cortical
sites,
repeated
five
consecutive
days.
current’s
frequency
targets
alpha
(8–13
Hz),
known
associated
consciousness.
Resting-state
electroencephalogram
(EEG)
recorded
four
times
daily
days:
pre
post-intervention,
60
120
post-tACS.
Two
additional
recordings
included:
24
hours
1-week
post-protocol.
Multimodal
measures
(blood
samples,
pupillometry,
behavioural
assessments
(Coma
Recovery
Scale-revised),
actigraphy
measures)
acquired
from
baseline
up
week
stimulation.
EEG
signal
analysis
focus
bandwidth
Hz)
using
spectral
functional
analyses.
Phone
3,
6
12
months
post-tACS,
measure
long-term
recovery,
quality
life
caregivers’
burden.
Ethics
dissemination
Ethical
approval
this
has
been
granted
by
Research
Board
CIUSSS
du
Nord-de-l’Île-de-Montréal
(Project
ID
2021–2279).
findings
two-phase
submitted
publication
peer-reviewed
academic
journal
presentation
conferences.
trial’s
results
published
public
registry
database
(ClinicalTrials.gov).
Trial
registration
number
NCT05833568
.