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      Enhancement of pinch force in the lower leg by anodal transcranial direct current stimulation

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          Abstract

          Transcranial direct current stimulation (tDCS) is a procedure to polarize human brain. It has been reported that tDCS over the hand motor cortex transiently improves the performance of hand motor tasks. Here, we investigated whether tDCS could also improve leg motor functions. Ten healthy subjects performed pinch force (PF) and reaction time (RT) tasks using the left leg before, during and after anodal, cathodal or sham tDCS over the leg motor cortex. The anodal tDCS transiently enhanced the maximal leg PF but not RT during its application. Neither cathodal nor sham stimulation changed the performance. None of the interventions affected hand PF or RT, showing the spatial specificity of the effect of tDCS. These results indicate that motor performance of not only the hands but also the legs can be enhanced by anodal tDCS. tDCS may be applicable to the neuro-rehabilitation of patients with leg motor disability.

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          Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation.

          In this paper we demonstrate in the intact human the possibility of a non-invasive modulation of motor cortex excitability by the application of weak direct current through the scalp. Excitability changes of up to 40 %, revealed by transcranial magnetic stimulation, were accomplished and lasted for several minutes after the end of current stimulation. Excitation could be achieved selectively by anodal stimulation, and inhibition by cathodal stimulation. By varying the current intensity and duration, the strength and duration of the after-effects could be controlled. The effects were probably induced by modification of membrane polarisation. Functional alterations related to post-tetanic potentiation, short-term potentiation and processes similar to postexcitatory central inhibition are the likely candidates for the excitability changes after the end of stimulation. Transcranial electrical stimulation using weak current may thus be a promising tool to modulate cerebral excitability in a non-invasive, painless, reversible, selective and focal way.
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            Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN committee.

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              Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke.

              Stroke is a leading cause of adult motor disability. Despite recent progress, recovery of motor function after stroke is usually incomplete. This double blind, Sham-controlled, crossover study was designed to test the hypothesis that non-invasive stimulation of the motor cortex could improve motor function in the paretic hand of patients with chronic stroke. Hand function was measured using the Jebsen-Taylor Hand Function Test (JTT), a widely used, well validated test for functional motor assessment that reflects activities of daily living. JTT measured in the paretic hand improved significantly with non-invasive transcranial direct current stimulation (tDCS), but not with Sham, an effect that outlasted the stimulation period, was present in every single patient tested and that correlated with an increment in motor cortical excitability within the affected hemisphere, expressed as increased recruitment curves (RC) and reduced short-interval intracortical inhibition. These results document a beneficial effect of non-invasive cortical stimulation on a set of hand functions that mimic activities of daily living in the paretic hand of patients with chronic stroke, and suggest that this interventional strategy in combination with customary rehabilitative treatments may play an adjuvant role in neurorehabilitation.
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                Author and article information

                Contributors
                +81-3-54525247 , +81-3-54525247 , tanaka@fennel.rcast.u-tokyo.ac.jp
                Journal
                Exp Brain Res
                Experimental Brain Research. Experimentelle Hirnforschung. Experimentation Cerebrale
                Springer-Verlag (Berlin/Heidelberg )
                0014-4819
                1432-1106
                29 May 2009
                July 2009
                : 196
                : 3
                : 459-465
                Affiliations
                [1 ]ERATO Shimojo Implicit Brain Function Project, Japan Science and Technology Agency (JST), Atsugi, Kanagawa 243-0198 Japan
                [2 ]Cognitive Science Laboratory, Research Center for Advanced Science and Technology, University of Tokyo, 4-6-1, Komaba, Meguro-ku, Tokyo 153-8904 Japan
                [3 ]Department of Cortical Function Disorders, National Institute of Neuroscience, Kodaira, Tokyo, 187-8502 Japan
                [4 ]PRESTO, JST, Kawaguchi, Saitama 332-0012 Japan
                [5 ]CRESTO, JST, Kawaguchi, Saitama 332-0012 Japan
                [6 ]Institute for Human Science and Biomedical Engineering, National Institutes of Advanced Science and Technology, Tsukuba, Ibaraki 305-8566 Japan
                Article
                1863
                10.1007/s00221-009-1863-9
                2700246
                19479243
                a6e3ed3f-3f6e-49bc-ae57-186e190de275
                © The Author(s) 2009
                History
                : 16 March 2009
                : 13 May 2009
                Categories
                Research Note
                Custom metadata
                © Springer-Verlag 2009

                Neurosciences
                transcranial magnetic stimulation,motor cortex,rehabilitation,gait,leg,transcranial direct current stimulation

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