Effect of transcranial direct current stimulation in addition to visuomotor training on choice reaction time and cognition function in amateur soccer players (FAST trial): a randomized control trial

2021 ◽  
pp. 136346
Author(s):  
Eduardo de Moura Neto ◽  
Edilaine Aparecida da Silva ◽  
Hélio Rubens de Carvalho Nunes ◽  
Luciane Aparecida Pascucci Sande de Souza ◽  
Gustavo José Luvizutto
2015 ◽  
Vol 28 (2) ◽  
pp. 341-347 ◽  
Author(s):  
Greg J. Elder ◽  
Michael J. Firbank ◽  
Hrishikesh Kumar ◽  
Payel Chatterjee ◽  
Titas Chakraborty ◽  
...  

ABSTRACTBackground:Individuals with Lewy body dementia (LBD) typically exhibit impairments in attentional and executive function. Current pharmacological treatments have limited efficacy, with associated side effects. Transcranial direct current stimulation (tDCS) may represent an alternative treatment, as cognitive improvements have been demonstrated in healthy individuals. However, no studies to date have assessed the feasibility of tDCS in an LBD population. The aim of this preliminary study, therefore, was to assess the tolerability of tDCS, as well as its effects upon attentional and visuoperceptual performance, in LBD patients.Methods:Thirteen participants completed attentional (simple reaction time, choice reaction time, and digit vigilance) and forced-choice visuoperceptual (angle and motion perception) tasks before and after one 20-min session of active tDCS (0.08 mA/cm2). The anodal electrode was applied to the left dorsolateral prefrontal cortex and the cathodal electrode was applied to the right deltoid. Attentional (task accuracy and reaction time to correct answers) and visuoperceptual (task accuracy and difficulty) outcome measures were compared using paired t-tests.Results:All participants tolerated stimulation and did not report any side effects during or immediately after stimulation. Post-stimulation improvements were observed in the choice reaction time (increased percentage of correct answers; p = 0.01) and digit vigilance (reduced mean reaction time to correct answers; p = 0.02) attention tasks. Visuoperceptual task performance did not improve (all p-values > 0.05).Conclusions:Attentional, but not visuoperceptual, improvements were observed following stimulation in LBD patients. Larger-scale, placebo-controlled trials are needed to confirm whether tDCS is a useful treatment option for attentional deficits in LBD.


2020 ◽  
Author(s):  
Eduaro de Moura Neto ◽  
Gustavo José Luvizutto ◽  
Luciane Aparecida Pascucci Sande de Souza

Abstract Background: Studies examining the effects of transcranial direct current stimulation (tDCS) and reaction time (RT) training on choice RT in the lower limb during a specific task linked to soccer practice, such as kicking, are lacking. Accordingly, this proposal aimed to evaluate the efficacy and safety of tDCS and RT training in choice RT and cognitive function during recreational soccer. Methods: In this single-center, randomized, placebo-controlled, double-blind, parallel-group study of 30 recreational soccer players, tDCS will be applied in the primary motor cortex (M1). Participants will be divided into (1) anodal tDCS plus RT training and (2) sham tDCS plus RT training. The investigator will be blinded to patient treatment before the first session, last session, and 1 day after the last tDCS session. In total, 15 sessions will be performed using a schedule of three times a week for 5 weeks. The RT training protocol will be delivered during tDCS and will comprise kicking a ball from a platform, placed on either the right or the left side, depending on a light cue, during a 10-min interval (between minute 5 and minute 15 after 20-min stimulation). Changes in choice RT in the upper and lower limbs will be considered primary outcome measures, and changes in Trail Making Test and Digit Span Test will be considered secondary outcome measures. Any adverse effects during the study period will be reported. To detect changes in continuous outcomes, a the anodal tDCS and the sham mode will be compared using a t-test for normal distribution, or the nonparametric Mann-Whitney test for non-normal distribution; changes will be considered significant at p < 0.05. Discussion: The FAST trial is a new proposal that uses a novel method of evaluation and training of choice RT in soccer players through a functional task. The anodal tDCS along with choice RT training with a functional task can be an efficient tool for athletes to prevent injuries. Our findings may be useful for soccer athletes to have enhanced responses during a game, and to improve performances in championships. Trial Registration: Registro Brasileiro de Ensaios Clínicos (Rebec) - RBR-9bjttcDate of registration: 02/28/2020Last Update: 04/20/2020


2021 ◽  
pp. 003151252110212
Author(s):  
Alexandre Moreira ◽  
Daniel Gomes da Silva Machado ◽  
Marom Bikson ◽  
Gozde Unal ◽  
Paul S. Bradley ◽  
...  

This study investigated the effect of transcranial direct current stimulation (tDCS) combined with a recovery training session on the well-being and self-perceived recovery of professional female soccer players after official matches. Data from 13 world-class players were analyzed after participating in four official soccer matches of the first division of the Brazilian Women’s Soccer Championship (7-, 10-, and 13-day intervals). We applied anodal tDCS (a-tDCS) over the left dorsolateral prefrontal cortex with 2 mA for 20 minutes (+F3/−F4 montage) the day after each match. Participants underwent two randomly ordered sessions of a-tDCS or sham. Players completed the Well-Being Questionnaire (WBQ) and the Total Quality Recovery (TQR) scale before each experimental condition and again the following morning. A two-way repeated-measures ANOVA showed a significant time x condition interaction on the WBQ (F(1,11)=5.21; p=0.043; ηp2=0.32), but not on the TQR (F(1,12) = 0.552; p = 0.47; ηp2 = 0.044). There was a large effect size (ES) for a-tDCS for the WBQ score (ES = 1.02; 95%CI = 0.17;1.88), and there was a moderate WBQ score increase (ES = 0.53; 95%CI = −0.29;1.34) for the sham condition. We found similar increases in the TQR score for a-tDCS (ES = 1.50; 95%CI = 0.63–2.37) and the sham condition (ES = 1.36; 95%CI = 0.51–2.22). These results suggest that a-tDCS (+F3/−F4 montage) combined with a recovery training session may slightly improve perceived well-being beyond the level of improvement after only the recovery training session among world-class female soccer players. Prior to widely adopting this recovery approach, further study is needed with larger and more diverse samples, including for female teams of different performance levels.


Author(s):  
Anjali Sivaramakrishnan ◽  
Sangeetha Madhavan

Aerobic exercise (AE) and transcranial direct current stimulation (tDCS) are priming techniques that have been studied for their potential neuromodulatory effects on corticomotor excitability (CME), however the synergistic effects of AE and tDCS are not explored in stroke. Here we investigated the synergistic effects of AE and tDCS on CME, intracortical and transcallosal inhibition, and motor control for the lower limb in stroke. 26 stroke survivors participated in three sessions - tDCS, AE and AE + tDCS. AE included moderate intensity exercise and tDCS included 1 mA of anodal tDCS to the lower limb motor cortex with or without AE. Outcomes included measures of CME, short interval intracortical inhibition (SICI), ipsilateral silent period (iSP) (an index of transcallosal inhibition) for the tibialis anterior and ankle reaction time. Ipsilesional CME significantly decreased for AE compared to AE + tDCS and tDCS. No differences were noted in SICI, iSP measures or reaction time between all three sessions. Our findings suggest that a combination of exercise and tDCS, and tDCS demonstrate greater excitability of the ipsilesional hemisphere compared to exercise only, however these effects were specific to the descending corticomotor pathways. No additive priming effects of exercise and tDCS over tDCS was observed. Novelty: • An exercise and tDCS paradigm upregulated the descending motor pathways from the ipsilesional lower limb M1 compared to exercise. • Exercise or tDCS administered alone or in combination did not affect intracortical or transcallosal inhibition or reaction time.


Sign in / Sign up

Export Citation Format

Share Document