Neuro-stimulation, doping, and the spirit of sport

There is increasing interest in using neuro-stimulation devices to achieve an ergogenic effect in elite athletes. Although the World Anti-Doping Authority (WADA) does not currently prohibit neuro-stimulation techniques, a number of researchers have called on WADA to consider its position on this iss...

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Main Authors: Pugh, J, Pugh, C
Format: Journal article
Language:English
Published: Springer 2020
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author Pugh, J
Pugh, C
author_facet Pugh, J
Pugh, C
author_sort Pugh, J
collection OXFORD
description There is increasing interest in using neuro-stimulation devices to achieve an ergogenic effect in elite athletes. Although the World Anti-Doping Authority (WADA) does not currently prohibit neuro-stimulation techniques, a number of researchers have called on WADA to consider its position on this issue. Focusing on trans-cranial direct current stimulation (tDCS) as a case study of an imminent so-called ‘neuro-doping’ intervention, we argue that the emerging evidence suggests that tDCS may meet WADA’s own criteria (pertaining to safety, performance-enhancing effect, and incompatibility with the ‘spirit of sport’) for a method’s inclusion on its list of prohibited substances and methods. We begin by surveying WADA’s general approach to doping, and highlight important limitations to the current evidence base regarding the performance-enhancing effect of pharmacological doping substances. We then review the current evidence base for the safety and efficacy of tDCS, and argue that despite significant shortcomings, there may be sufficient evidence for WADA to consider prohibiting tDCS, in light of the comparable flaws in the evidence base for pharmacological doping substances. In the second half of the paper, we argue that the question of whether WADA ought to ban tDCS turns significantly on the question of whether it is compatible with the ‘spirit of sport’ criterion. We critique some of the previously published positions on this, and advocate our own sport-specific and application-specific approach. Despite these arguments, we finally conclude by suggesting that tDCS ought to be monitored rather than prohibited due to compelling non-ideal considerations.
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spelling oxford-uuid:d36daa0c-46f2-48ab-8043-7d5fdfadfe6f2023-05-18T07:43:15ZNeuro-stimulation, doping, and the spirit of sportJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d36daa0c-46f2-48ab-8043-7d5fdfadfe6fEnglishSymplectic ElementsSpringer2020Pugh, JPugh, CThere is increasing interest in using neuro-stimulation devices to achieve an ergogenic effect in elite athletes. Although the World Anti-Doping Authority (WADA) does not currently prohibit neuro-stimulation techniques, a number of researchers have called on WADA to consider its position on this issue. Focusing on trans-cranial direct current stimulation (tDCS) as a case study of an imminent so-called ‘neuro-doping’ intervention, we argue that the emerging evidence suggests that tDCS may meet WADA’s own criteria (pertaining to safety, performance-enhancing effect, and incompatibility with the ‘spirit of sport’) for a method’s inclusion on its list of prohibited substances and methods. We begin by surveying WADA’s general approach to doping, and highlight important limitations to the current evidence base regarding the performance-enhancing effect of pharmacological doping substances. We then review the current evidence base for the safety and efficacy of tDCS, and argue that despite significant shortcomings, there may be sufficient evidence for WADA to consider prohibiting tDCS, in light of the comparable flaws in the evidence base for pharmacological doping substances. In the second half of the paper, we argue that the question of whether WADA ought to ban tDCS turns significantly on the question of whether it is compatible with the ‘spirit of sport’ criterion. We critique some of the previously published positions on this, and advocate our own sport-specific and application-specific approach. Despite these arguments, we finally conclude by suggesting that tDCS ought to be monitored rather than prohibited due to compelling non-ideal considerations.
spellingShingle Pugh, J
Pugh, C
Neuro-stimulation, doping, and the spirit of sport
title Neuro-stimulation, doping, and the spirit of sport
title_full Neuro-stimulation, doping, and the spirit of sport
title_fullStr Neuro-stimulation, doping, and the spirit of sport
title_full_unstemmed Neuro-stimulation, doping, and the spirit of sport
title_short Neuro-stimulation, doping, and the spirit of sport
title_sort neuro stimulation doping and the spirit of sport
work_keys_str_mv AT pughj neurostimulationdopingandthespiritofsport
AT pughc neurostimulationdopingandthespiritofsport