Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients

In healthy subjects, dual hemisphere transcranial direct current stimulation (tDCS) over the primary (S1) and secondary somatosensory cortices (S2) has been found to transiently enhance tactile performance. However, the effect of dual hemisphere tDCS on tactile performance in stroke patients with se...

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Main Authors: Shuhei eFujimoto, Noriko eKon, Yohei eOtaka, Tomofumi eYamaguchi, Takeo eNakayama, Kunistugu eKondo, Patrick eRagert, Satoshi eTanaka
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-03-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00128/full
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author Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Noriko eKon
Yohei eOtaka
Yohei eOtaka
Tomofumi eYamaguchi
Tomofumi eYamaguchi
Takeo eNakayama
Kunistugu eKondo
Patrick eRagert
Patrick eRagert
Satoshi eTanaka
author_facet Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Noriko eKon
Yohei eOtaka
Yohei eOtaka
Tomofumi eYamaguchi
Tomofumi eYamaguchi
Takeo eNakayama
Kunistugu eKondo
Patrick eRagert
Patrick eRagert
Satoshi eTanaka
author_sort Shuhei eFujimoto
collection DOAJ
description In healthy subjects, dual hemisphere transcranial direct current stimulation (tDCS) over the primary (S1) and secondary somatosensory cortices (S2) has been found to transiently enhance tactile performance. However, the effect of dual hemisphere tDCS on tactile performance in stroke patients with sensory deficits remains unknown. The purpose of this study was to investigate whether dual hemisphere tDCS over S1 and S2 could enhance tactile discrimination in stroke patients. We employed a double-blind, crossover, sham-controlled experimental design. Eight chronic stroke patients with sensory deficits participated in this study. We used a grating orientation task (GOT) to measure the tactile discriminative threshold of the index finger on the lesioned side before, during, and 10 min after four tDCS conditions. For both the S1 and S2 conditions, we placed an anodal electrode over the lesioned hemisphere and a cathodal electrode over the opposite hemisphere. We applied tDCS at an intensity of 2 mA for 15 min in both S1 and S2 conditions. We included two sham conditions in which the positions of the electrodes and the current intensity were identical to that in the S1 and S2 conditions except that current was delivered for the initial 15 s only. We found that GOT thresholds during and 10 min after the S1 and S2 conditions were significantly lower compared with each sham condition. GOT thresholds were not significantly different between the S1 and S2 conditions at any time point. We concluded that dual-hemisphere tDCS over S1 and S2 can transiently enhance tactile discriminative task performance in chronic stroke patients with sensory dysfunction.
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spelling doaj.art-92f43fcbec6948c3894256e2d1c275be2022-12-22T01:16:58ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2016-03-011010.3389/fnins.2016.00128181336Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patientsShuhei eFujimoto0Shuhei eFujimoto1Shuhei eFujimoto2Shuhei eFujimoto3Noriko eKon4Yohei eOtaka5Yohei eOtaka6Tomofumi eYamaguchi7Tomofumi eYamaguchi8Takeo eNakayama9Kunistugu eKondo10Patrick eRagert11Patrick eRagert12Satoshi eTanaka13Tokyo Bay Rehabilitation HospitalHamamatsu University School of MedicineKyoto University Graduate School of Public HealthMEDLEY,IncKyoto University Graduate School of Public HealthTokyo Bay Rehabilitation HospitalKeio University School of MedicineTokyo Bay Rehabilitation HospitalKeio University School of MedicineKyoto University Graduate School of Public HealthTokyo Bay Rehabilitation HospitalMax Planck Institute for Human Cognitive and Brain SciencesUniversity of LeipzigHamamatsu University School of MedicineIn healthy subjects, dual hemisphere transcranial direct current stimulation (tDCS) over the primary (S1) and secondary somatosensory cortices (S2) has been found to transiently enhance tactile performance. However, the effect of dual hemisphere tDCS on tactile performance in stroke patients with sensory deficits remains unknown. The purpose of this study was to investigate whether dual hemisphere tDCS over S1 and S2 could enhance tactile discrimination in stroke patients. We employed a double-blind, crossover, sham-controlled experimental design. Eight chronic stroke patients with sensory deficits participated in this study. We used a grating orientation task (GOT) to measure the tactile discriminative threshold of the index finger on the lesioned side before, during, and 10 min after four tDCS conditions. For both the S1 and S2 conditions, we placed an anodal electrode over the lesioned hemisphere and a cathodal electrode over the opposite hemisphere. We applied tDCS at an intensity of 2 mA for 15 min in both S1 and S2 conditions. We included two sham conditions in which the positions of the electrodes and the current intensity were identical to that in the S1 and S2 conditions except that current was delivered for the initial 15 s only. We found that GOT thresholds during and 10 min after the S1 and S2 conditions were significantly lower compared with each sham condition. GOT thresholds were not significantly different between the S1 and S2 conditions at any time point. We concluded that dual-hemisphere tDCS over S1 and S2 can transiently enhance tactile discriminative task performance in chronic stroke patients with sensory dysfunction.http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00128/fullGrating OrientationTranscranial magnetic stimulation (TMS)transcranial direct current stimulation (tDCS)Cortical PlasticityPalsyinter-hemispheric inhibition
spellingShingle Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Shuhei eFujimoto
Noriko eKon
Yohei eOtaka
Yohei eOtaka
Tomofumi eYamaguchi
Tomofumi eYamaguchi
Takeo eNakayama
Kunistugu eKondo
Patrick eRagert
Patrick eRagert
Satoshi eTanaka
Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
Frontiers in Neuroscience
Grating Orientation
Transcranial magnetic stimulation (TMS)
transcranial direct current stimulation (tDCS)
Cortical Plasticity
Palsy
inter-hemispheric inhibition
title Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
title_full Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
title_fullStr Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
title_full_unstemmed Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
title_short Transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
title_sort transcranial direct current stimulation over the primary and secondary somatosensory cortices transiently improves tactile spatial discrimination in stroke patients
topic Grating Orientation
Transcranial magnetic stimulation (TMS)
transcranial direct current stimulation (tDCS)
Cortical Plasticity
Palsy
inter-hemispheric inhibition
url http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00128/full
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