
AbstractBackgroundTranscranial alternating current stimulation (tACS) and transcranial random noise stimulation (tRNS) have been shown to have physiological and functional effects on brain excitability and motor behavior. Yet, little is known about their effects in the swallowing system.AimTo examine the effects and optimal stimulation parameters of tACS and tRNS for modulating excitability of human pharyngeal motor cortex.Methods10 Hz (alpha), 20 Hz (beta), 70 Hz (gamma) tACS, 0.1–640 Hz (full‐spectrum) tRNS, and sham were applied over pharyngeal motor cortices at 1.5 mA current intensity for 10 min in 15 healthy participants. Pharyngeal motor–evoked and thenar motor–evoked potentials (PMEPs and TMEPs) were assessed before and up to 2 h after stimulation with single‐pulse transcranial magnetic stimulation. Averaged MEP amplitude and latency changes were analyzed using repeated measures ANOVA (rmANOVA).Key ResultsTwo‐way rmANOVA across all active interventions demonstrated a significant MEP interaction both in the stimulated pharyngeal cortex (F (4, 56) = 1.731, p = 0.038) and in the ipsilateral thenar cortex (F (4, 56) = 1.506, p = 0.048). Compared to sham, subsequent post hoc tests showed site‐specific and sustained (60–120 min) increases in PMEPs with gamma tACS and tRNS (p = 0.005, p = 0.027, respectively) and for TMEPs with beta tACS (p = 0.006).Conclusions and InferencesOur findings suggest that the effects of tACS and tRNS are frequency‐dependent and cortical (representation) site‐specific with both gamma tACS and full‐spectrum tRNS enhancing human pharyngeal cortical excitability. These techniques hold promise as potential treatments for neurological dysphagia.
Adult, Male, transcranial alternating current stimulation, Adolescent, Motor Cortex, 610, Middle Aged, Evoked Potentials, Motor, Transcranial Direct Current Stimulation, gamma frequency, Transcranial Magnetic Stimulation, Deglutition, transcranial random noise stimulation, Young Adult, pharyngeal cortical excitability, Cortical Excitability, Humans, Pharynx, Female, ORIGINAL ARTICLES, swallowing, ORIGINAL ARTICLE
Adult, Male, transcranial alternating current stimulation, Adolescent, Motor Cortex, 610, Middle Aged, Evoked Potentials, Motor, Transcranial Direct Current Stimulation, gamma frequency, Transcranial Magnetic Stimulation, Deglutition, transcranial random noise stimulation, Young Adult, pharyngeal cortical excitability, Cortical Excitability, Humans, Pharynx, Female, ORIGINAL ARTICLES, swallowing, ORIGINAL ARTICLE
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