Polarity-Dependent Misperception of Subjective Visual Vertical during and after Transcranial Direct Current Stimulation (tDCS)
Pathologic tilt of subjective visual vertical (SVV) frequently has adverse functional consequences for patients with stroke and vestibular disorders. Repetitive transcranial magnetic stimulation (rTMS) of the supramarginal gyrus can produce a transitory tilt on SVV in healthy subjects. However, the...
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creator | Santos-Pontelli, Taiza E G Rimoli, Brunna P Favoretto, Diandra B Mazin, Suleimy C Truong, Dennis Q Leite, Joao P Pontes-Neto, Octavio M Babyar, Suzanne R Reding, Michael Bikson, Marom Edwards, Dylan J |
description | Pathologic tilt of subjective visual vertical (SVV) frequently has adverse functional consequences for patients with stroke and vestibular disorders. Repetitive transcranial magnetic stimulation (rTMS) of the supramarginal gyrus can produce a transitory tilt on SVV in healthy subjects. However, the effect of transcranial direct current stimulation (tDCS) on SVV has never been systematically studied. We investigated whether bilateral tDCS over the temporal-parietal region could result in both online and offline SVV misperception in healthy subjects. In a randomized, sham-controlled, single-blind crossover pilot study, thirteen healthy subjects performed tests of SVV before, during and after the tDCS applied over the temporal-parietal region in three conditions used on different days: right anode/left cathode; right cathode/left anode; and sham. Subjects were blind to the tDCS conditions. Montage-specific current flow patterns were investigated using computational models. SVV was significantly displaced towards the anode during both active stimulation conditions when compared to sham condition. Immediately after both active conditions, there were rebound effects. Longer lasting after-effects towards the anode occurred only in the right cathode/left anode condition. Current flow models predicted the stimulation of temporal-parietal regions under the electrodes and deep clusters in the posterior limb of the internal capsule. The present findings indicate that tDCS over the temporal-parietal region can significantly alter human SVV perception. This tDCS approach may be a potential clinical tool for the treatment of SVV misperception in neurological patients. |
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Repetitive transcranial magnetic stimulation (rTMS) of the supramarginal gyrus can produce a transitory tilt on SVV in healthy subjects. However, the effect of transcranial direct current stimulation (tDCS) on SVV has never been systematically studied. We investigated whether bilateral tDCS over the temporal-parietal region could result in both online and offline SVV misperception in healthy subjects. In a randomized, sham-controlled, single-blind crossover pilot study, thirteen healthy subjects performed tests of SVV before, during and after the tDCS applied over the temporal-parietal region in three conditions used on different days: right anode/left cathode; right cathode/left anode; and sham. Subjects were blind to the tDCS conditions. Montage-specific current flow patterns were investigated using computational models. SVV was significantly displaced towards the anode during both active stimulation conditions when compared to sham condition. Immediately after both active conditions, there were rebound effects. Longer lasting after-effects towards the anode occurred only in the right cathode/left anode condition. Current flow models predicted the stimulation of temporal-parietal regions under the electrodes and deep clusters in the posterior limb of the internal capsule. The present findings indicate that tDCS over the temporal-parietal region can significantly alter human SVV perception. This tDCS approach may be a potential clinical tool for the treatment of SVV misperception in neurological patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0152331</identifier><identifier>PMID: 27031726</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Anode effect ; Behavioral sciences ; Biology and Life Sciences ; Biomedical engineering ; Blindness ; Brain - physiology ; Brain research ; Care and treatment ; Cathodes ; Computational neuroscience ; Direct current ; Electrodes ; Engineering ; Engineering and Technology ; Female ; Finite Element Analysis ; Health aspects ; Healthy Volunteers ; Humans ; Laboratories ; Magnetic brain stimulation ; Magnetic fields ; Male ; Medical research ; Medical schools ; Medicine and Health Sciences ; Neurology ; Neurosciences ; Patients ; Physical Sciences ; Polarity ; Research and Analysis Methods ; Social Sciences ; Stroke ; Stroke patients ; Transcranial Direct Current Stimulation ; Transcranial magnetic stimulation ; Treatment outcome ; Vestibular system ; Visual Perception - physiology</subject><ispartof>PloS one, 2016-03, Vol.11 (3), p.e0152331-e0152331</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Santos-Pontelli et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Santos-Pontelli et al 2016 Santos-Pontelli et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-6b0e10b410bb8c713eab84be248743feda8464b04263d75e6822e5c50a7d3c533</citedby><cites>FETCH-LOGICAL-c758t-6b0e10b410bb8c713eab84be248743feda8464b04263d75e6822e5c50a7d3c533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816520/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816520/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27031726$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Antal, Andrea</contributor><creatorcontrib>Santos-Pontelli, Taiza E G</creatorcontrib><creatorcontrib>Rimoli, Brunna P</creatorcontrib><creatorcontrib>Favoretto, Diandra B</creatorcontrib><creatorcontrib>Mazin, Suleimy C</creatorcontrib><creatorcontrib>Truong, Dennis Q</creatorcontrib><creatorcontrib>Leite, Joao P</creatorcontrib><creatorcontrib>Pontes-Neto, Octavio M</creatorcontrib><creatorcontrib>Babyar, Suzanne R</creatorcontrib><creatorcontrib>Reding, Michael</creatorcontrib><creatorcontrib>Bikson, Marom</creatorcontrib><creatorcontrib>Edwards, Dylan J</creatorcontrib><title>Polarity-Dependent Misperception of Subjective Visual Vertical during and after Transcranial Direct Current Stimulation (tDCS)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pathologic tilt of subjective visual vertical (SVV) frequently has adverse functional consequences for patients with stroke and vestibular disorders. Repetitive transcranial magnetic stimulation (rTMS) of the supramarginal gyrus can produce a transitory tilt on SVV in healthy subjects. However, the effect of transcranial direct current stimulation (tDCS) on SVV has never been systematically studied. We investigated whether bilateral tDCS over the temporal-parietal region could result in both online and offline SVV misperception in healthy subjects. In a randomized, sham-controlled, single-blind crossover pilot study, thirteen healthy subjects performed tests of SVV before, during and after the tDCS applied over the temporal-parietal region in three conditions used on different days: right anode/left cathode; right cathode/left anode; and sham. Subjects were blind to the tDCS conditions. Montage-specific current flow patterns were investigated using computational models. SVV was significantly displaced towards the anode during both active stimulation conditions when compared to sham condition. Immediately after both active conditions, there were rebound effects. Longer lasting after-effects towards the anode occurred only in the right cathode/left anode condition. Current flow models predicted the stimulation of temporal-parietal regions under the electrodes and deep clusters in the posterior limb of the internal capsule. The present findings indicate that tDCS over the temporal-parietal region can significantly alter human SVV perception. 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Repetitive transcranial magnetic stimulation (rTMS) of the supramarginal gyrus can produce a transitory tilt on SVV in healthy subjects. However, the effect of transcranial direct current stimulation (tDCS) on SVV has never been systematically studied. We investigated whether bilateral tDCS over the temporal-parietal region could result in both online and offline SVV misperception in healthy subjects. In a randomized, sham-controlled, single-blind crossover pilot study, thirteen healthy subjects performed tests of SVV before, during and after the tDCS applied over the temporal-parietal region in three conditions used on different days: right anode/left cathode; right cathode/left anode; and sham. Subjects were blind to the tDCS conditions. Montage-specific current flow patterns were investigated using computational models. SVV was significantly displaced towards the anode during both active stimulation conditions when compared to sham condition. Immediately after both active conditions, there were rebound effects. Longer lasting after-effects towards the anode occurred only in the right cathode/left anode condition. Current flow models predicted the stimulation of temporal-parietal regions under the electrodes and deep clusters in the posterior limb of the internal capsule. The present findings indicate that tDCS over the temporal-parietal region can significantly alter human SVV perception. This tDCS approach may be a potential clinical tool for the treatment of SVV misperception in neurological patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27031726</pmid><doi>10.1371/journal.pone.0152331</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analysis Anode effect Behavioral sciences Biology and Life Sciences Biomedical engineering Blindness Brain - physiology Brain research Care and treatment Cathodes Computational neuroscience Direct current Electrodes Engineering Engineering and Technology Female Finite Element Analysis Health aspects Healthy Volunteers Humans Laboratories Magnetic brain stimulation Magnetic fields Male Medical research Medical schools Medicine and Health Sciences Neurology Neurosciences Patients Physical Sciences Polarity Research and Analysis Methods Social Sciences Stroke Stroke patients Transcranial Direct Current Stimulation Transcranial magnetic stimulation Treatment outcome Vestibular system Visual Perception - physiology |
title | Polarity-Dependent Misperception of Subjective Visual Vertical during and after Transcranial Direct Current Stimulation (tDCS) |
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