Anodal transcranial direct current stimulation of the motor cortex increases cortical voluntary activation and neural plasticity

Muscle Nerve. 2016 Nov;54(5):903-913. doi: 10.1002/mus.25143. Epub 2016 May 20.

Abstract

Introduction: We examined the cumulative effect of 4 consecutive bouts of noninvasive brain stimulation on corticospinal plasticity and motor performance, and whether these responses were influenced by the brain-derived neurotrophic factor (BDNF) polymorphism.

Methods: In a randomized double-blinded cross-over design, changes in strength and indices of corticospinal plasticity were analyzed in 14 adults who were exposed to 4 consecutive sessions of anodal and sham transcranial direct current stimulation (tDCS). Participants also undertook a blood sample for BDNF genotyping (N = 13).

Results: We observed a significant increase in isometric wrist flexor strength with transcranial magnetic stimulation revealing increased corticospinal excitability, decreased silent period duration, and increased cortical voluntary activation compared with sham tDCS.

Conclusions: The results show that 4 consecutive sessions of anodal tDCS increased cortical voluntary activation manifested as an improvement in strength. Induction of corticospinal plasticity appears to be influenced by the BDNF polymorphism. Muscle Nerve 54: 903-913, 2016.

Keywords: BDNF polymorphism; cortical voluntary activation; motor performance; neural plasticity; strength; transcranial direct current stimulation.

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Brain-Derived Neurotrophic Factor / genetics
  • Electromyography
  • Evoked Potentials, Motor / genetics
  • Evoked Potentials, Motor / physiology*
  • Female
  • Genotype
  • Humans
  • Isometric Contraction / genetics
  • Male
  • Methionine / genetics
  • Motor Cortex / physiology*
  • Muscle Strength
  • Mutation / genetics
  • Neural Inhibition / physiology
  • Neuronal Plasticity / genetics
  • Neuronal Plasticity / physiology*
  • Pyramidal Tracts / physiology
  • Transcranial Direct Current Stimulation*
  • Transcranial Magnetic Stimulation
  • Valine / genetics
  • Visual Analog Scale
  • Young Adult

Substances

  • Brain-Derived Neurotrophic Factor
  • Methionine
  • Valine