Modulation of N400 in chronic non-fluent aphasia using low frequency Repetitive Transcranial Magnetic Stimulation (rTMS)

Low frequency Repetitive Transcranial Magnetic Stimulation (rTMS) has previously been applied to language homologues in non-fluent populations of persons with aphasia yielding significant improvements in behavioral language function up to 43 months post stimulation. The present study aimed to investigate the electrophysiological correlates associated with the application of rTMS through measurement of the semantic based N400 Event-related brain potentials (ERP) component. Low frequency (1 Hz) rTMS was applied to the anterior portion of the homologue to Broca’s area (pars triangularis), for 20 min per day for 10 days, using a stereotactic neuronavigational system. Twelve non-fluent persons with aphasia, 2-6 years post stroke were stimulated. Six participants were randomly assigned to receive real stimulation and six participants were randomly assigned to receive a blind sham control condition. ERP measures were recorded at baseline, 1 week and 2 months subsequent to stimulation. The findings demonstrate treatment related changes observed in the stimulation group when compared to the placebo control group at 2 months post stimulation indicating neuromodulation of N400 as a result of rTMS. No treatment related changes were identified in the stimulation group, when compared to the sham group from baseline to 1 week post stimulation. The electrophysiological results represent the capacity of rTMS to modulate neural language networks and measures of lexical-semantic function in participants with non-fluent aphasia and suggest that time may be an important factor in brain reorganization subsequent to rTMS.     

The “simulation” of the facial expression of emotions in case of short and long stimulus duration. The effect of pre-motor cortex inhibition by rTMS

Embodied cognition model states that the “simulation process” is necessary to the recognition of emotional significance of face. The present research explored the contribution of frontal motor brain components (i.e. mainly premotor area) to embodied cognition by using rTMS stimulation, to produce a temporary disruption of this specific cortical site. Secondly, short and long stimulus duration conditions were included to verify the contribution of the “simulation process” in response to overt and covert emotional stimulus comprehension. Nineteen subjects were asked to detect emotion/no emotion (anger, fear, happiness, neutral) in these two experimental conditions, by using a backward masking procedure. Five-second rTMS (1 Hz) was delivered before the stimulus onset. False alarms (Fa) and RTs increased and Hits decreased when frontal premotor brain activity was disrupted, specifically in response to anger and fear, for both long and shortduration condition. Thus, the present results highlight the main role of the frontal motor system for emotion facial expression processing.     

工作记忆的神经振荡调控：基于神经振荡夹带现象

工作记忆的神经振荡机制研究是当前记忆领域的研究热点之一。那么, 神经振荡仅仅是工作记忆过程的伴随现象, 还是直接参与并调控了工作记忆的加工过程?已有研究发现, 大脑内部的神经振荡活动在外界节律性刺激的驱动下, 逐步与外界刺激节律相位同步化, 这一现象被称为“神经振荡夹带”。重复经颅磁刺激(repetitive Transcranial Magnetic Stimulation, rTMS)和经颅交流电刺激(transcranial Alternating Current Stimulation, tACS)干预研究基于此现象, 对大脑局部脑区施加节律性磁、电刺激, 进而调控工作记忆过程中特定频段的神经振荡活动、跨频段的神经振荡耦合或跨脑区的神经振荡相位同步, 为神经振荡参与工作记忆加工提供较为直接的因果证据。未来研究需考虑从脑网络的角度出发, 调控多个脑区之间的神经振荡活动, 进一步考察神经振荡对工作记忆的影响。此外, 还需注意探索和优化rTMS/tACS调控工作记忆的刺激方案, 并辅以客观的脑电记录, 提高该类研究的有效性和可重复性, 最终达到提高工作记忆能力的目的。     

Transcranial magnetic stimulation: neurophysiological applications and safety

TMS is a non-invasive tool for measuring neural conduction and processing time, activation thresholds, facilitation and inhibition in brain cortex, and neural connections in humans. It is used to study motor, visual, somatosensory, and cognitive functions. TMS does not appear to cause long-term adverse neurological, cardiovascular, hormonal, motor, sensory, or cognitive effects in healthy subjects. Single-pulse (<1Hz) TMS is safe in normal subjects. High frequency, high-intensity repetitive TMS (rTMS) can elicit seizures even in normal subjects. Safety guidelines for using rTMS have been published.     

得失情境下第三方惩罚决策差异的神经机制：基于rTMS的研究

本研究应用低频rTMS技术,通过在第三方惩罚（研究1）及第三方惩罚和第三方补偿（恢复性惩罚）并存的情况下（研究2）,对个体双侧vmPFC功能进行抑制,探索vmPFC在得失情境下第三方惩罚决策中的作用。研究1结果表明,rTMS抑制右侧vmPFC功能将降低损失情境下的第三方惩罚,收益情境下未发生改变。研究2得到与研究1一致的结果,且第三方惩罚减少程度更大,第三方补偿并未发生改变。这些结果强调了vmPFC与第三方惩罚紧密相关,在第三方判断得失情境的影响时起关键作用。     

Conscious and unconscious face recognition is improved by high-frequency rTMS on pre-motor cortex

Simulation process and mirroring mechanism appear to be necessary to the recognition of emotional facial expressions. Prefrontal areas were found to support this simulation mechanism. The present research analyzed the role of premotor area in processing emotional faces with different valence (positive vs. negative faces), considering both conscious and unconscious pathways. High-frequency rTMS (10 Hz) stimulation was applied to prefrontal area to induce an activation response when overt (conscious) and covert (unconscious) processing was implicated. Twenty-two subjects were asked to detect emotion/no emotion (anger, fear, happiness, neutral). Error rates (ERs) and response times (RTs) were considered in response to the experimental conditions. ERs and RTs decreased in case of premotor brain activation, specifically in response to fear, for both conscious and unconscious condition. The present results highlight the role of the premotor system for facial expression processing, supporting the existence of two analogous mechanisms for conscious and unconscious condition.     

Influence of Motor Cortex Stimulation During Motor Training on Neuroplasticity as a Potential Therapeutic Intervention

Rehabilitation options to promote neuroplasticity may be enhanced when patients are engaged in motor practice during repetitive transcranial magnetic stimulation (rTMS). Twelve participants completed 3 separate sessions: motor practice, motor practice with rTMS, and rTMS only: motor practice consisted of 30 isometric contractions and subthreshold rTMS was 30, 3-s trains at 10 Hz. Assessments included the Box and Block Test (BBT), force steadiness (10% of the maximum voluntary contraction), and TMS (cortical excitability, intracortical inhibition, and intracortical facilitation). Participants significantly increased BBT scores following the combined condition. Force steadiness improved after all 3 conditions (p < .05). TMS outcomes depended on intervention condition with significant increases in facilitation following the motor practice plus rTMS condition. All interventions influenced motor control, yet are likely modulated differently when combining motor practice plus rTMS. These results help guide the clinical utility of rTMS as an intervention to influence motor control.     

前额叶的无创神经干预对饮食控制的影响:基于rTMS和tDCS研究的综述

饮食控制缺陷可导致超重、肥胖和饮食失调。已有研究表明,肥胖和饮食失调者在前额叶认知控制神经环路上存在缺陷。无创神经干预-经颅直流电刺激(t DCS)和重复经颅磁刺激(r TMS)-通过调节前额叶皮层兴奋性来提高饮食控制能力,改善饮食失调症状。未来的研究应考虑不同刺激参数和刺激位点下的干预效应,融合其他神经生理技术考察无创神经干预改善饮食控制的作用机制,考虑个体差异性并结合客观的行为范式进行探究。