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Combining TMS and tACS for Closed-Loop Phase-Dependent Modulation of Corticospinal Excitability: A Feasibility Study

Overview of attention for article published in Frontiers in Cellular Neuroscience, May 2016
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Title
Combining TMS and tACS for Closed-Loop Phase-Dependent Modulation of Corticospinal Excitability: A Feasibility Study
Published in
Frontiers in Cellular Neuroscience, May 2016
DOI 10.3389/fncel.2016.00143
Pubmed ID
Authors

Valerio Raco, Robert Bauer, Srikandarajah Tharsan, Alireza Gharabaghi

Abstract

The corticospinal excitability indexed by motor evoked potentials (MEPs) following transcranial magnetic stimulation (TMS) of the sensorimotor cortex is characterized by large variability. The instantaneous phase of cortical oscillations at the time of the stimulation has been suggested as a possible source of this variability. To explore this hypothesis, a specific phase needs to be targeted by TMS pulses with high temporal precision. The aim of this feasibility study was to introduce a methodology capable of exploring the effects of phase-dependent stimulation by the concurrent application of alternating current stimulation (tACS) and TMS. We applied online calibration and closed-loop TMS to target four specific phases (0°, 90°, 180° and 270°) of simultaneous 20 Hz tACS over the primary motor cortex (M1) of seven healthy subjects. The integrated stimulation system was capable of hitting the target phase with high precision (SD ± 2.05 ms, i.e., ± 14.45°) inducing phase-dependent MEP modulation with a phase lag (CI95% = -40.37° to -99.61°) which was stable across subjects (p = 0.001). The combination of different neuromodulation techniques facilitates highly specific brain state-dependent stimulation, and may constitute a valuable tool for exploring the physiological and therapeutic effect of phase-dependent stimulation, e.g., in the context of neurorehabilitation.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 114 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 114 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 25 22%
Student > Master 23 20%
Researcher 20 18%
Student > Bachelor 7 6%
Professor > Associate Professor 6 5%
Other 16 14%
Unknown 17 15%
Readers by discipline Count As %
Neuroscience 33 29%
Psychology 17 15%
Engineering 12 11%
Agricultural and Biological Sciences 10 9%
Medicine and Dentistry 10 9%
Other 11 10%
Unknown 21 18%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 May 2016.
All research outputs
#13,661,887
of 23,577,654 outputs
Outputs from Frontiers in Cellular Neuroscience
#1,818
of 4,388 outputs
Outputs of similar age
#172,485
of 337,802 outputs
Outputs of similar age from Frontiers in Cellular Neuroscience
#30
of 82 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,388 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 337,802 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 82 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.