Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations

The transcranial application of weak currents to the human brain has enjoyed a decade of success, providing a simple and powerful tool for non-invasively altering human brain function. However, our understanding of current delivery and its impact upon neural circuitry leaves much to be desired. We a...

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Main Authors: Archy Otto De Berker, Marom eBikson, Sven eBestmann
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-10-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00613/full
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author Archy Otto De Berker
Marom eBikson
Sven eBestmann
author_facet Archy Otto De Berker
Marom eBikson
Sven eBestmann
author_sort Archy Otto De Berker
collection DOAJ
description The transcranial application of weak currents to the human brain has enjoyed a decade of success, providing a simple and powerful tool for non-invasively altering human brain function. However, our understanding of current delivery and its impact upon neural circuitry leaves much to be desired. We argue that the credibility of conclusions drawn with tDCS is contingent upon realistic explanations of how tDCS works, and that our present understanding of tDCS limits the technique’s use to localize function in the human brain. We outline two central issues where progress is required: the localization of currents, and predicting their functional consequence. We encourage experimenters to eschew simplistic explanations of mechanisms of transcranial current stimulation. We suggest the use of individualized current modelling, together with computational neurostimulation to inform mechanistic frameworks in which to interpret the physiological impact of tDCS. We hope that through mechanistically richer descriptions of current flow and action, insight into the biological processes by which transcranial currents influence behaviour can be gained, leading to more effective stimulation protocols and empowering conclusions drawn with tDCS.
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spelling doaj.art-023f2480328a45258bf700c3964b105c2022-12-22T02:34:15ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612013-10-01710.3389/fnhum.2013.0061360948Predicting the behavioural impact of transcranial direct current stimulation: issues and limitationsArchy Otto De Berker0Marom eBikson1Sven eBestmann2Institute of Neurology, University College LondonThe City College of New York of CUNYInstitute of Neurology, University College LondonThe transcranial application of weak currents to the human brain has enjoyed a decade of success, providing a simple and powerful tool for non-invasively altering human brain function. However, our understanding of current delivery and its impact upon neural circuitry leaves much to be desired. We argue that the credibility of conclusions drawn with tDCS is contingent upon realistic explanations of how tDCS works, and that our present understanding of tDCS limits the technique’s use to localize function in the human brain. We outline two central issues where progress is required: the localization of currents, and predicting their functional consequence. We encourage experimenters to eschew simplistic explanations of mechanisms of transcranial current stimulation. We suggest the use of individualized current modelling, together with computational neurostimulation to inform mechanistic frameworks in which to interpret the physiological impact of tDCS. We hope that through mechanistically richer descriptions of current flow and action, insight into the biological processes by which transcranial currents influence behaviour can be gained, leading to more effective stimulation protocols and empowering conclusions drawn with tDCS.http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00613/fullmodellingNeuromodulationneuroenhancementcomputational neurostimulationnon-invasive neurostimulation
spellingShingle Archy Otto De Berker
Marom eBikson
Sven eBestmann
Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
Frontiers in Human Neuroscience
modelling
Neuromodulation
neuroenhancement
computational neurostimulation
non-invasive neurostimulation
title Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
title_full Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
title_fullStr Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
title_full_unstemmed Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
title_short Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations
title_sort predicting the behavioural impact of transcranial direct current stimulation issues and limitations
topic modelling
Neuromodulation
neuroenhancement
computational neurostimulation
non-invasive neurostimulation
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00613/full
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AT maromebikson predictingthebehaviouralimpactoftranscranialdirectcurrentstimulationissuesandlimitations
AT svenebestmann predictingthebehaviouralimpactoftranscranialdirectcurrentstimulationissuesandlimitations