Concurrent effects of EMG-triggered NMES and anodal tDCS on cortical and behavioural outcome measures: The role of ipsilateral versus contralateral anodal stimulation.
Hamed Alanazi, Prue Morgan, Shapour Jaberzadeh
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In 30 seconds
This randomized controlled trial investigated the effects of concurrent electromyography-triggered neuromuscular electrical stimulation (EMG-triggered NMES) and anodal transcranial direct current stimulation (a-tDCS) on corticospinal excitability (CSE) and motor performance in 20 healthy adults. The study found that EMG-triggered NMES combined with contralateral a-tDCS significantly increased CSE, while ipsilateral a-tDCS improved maximal voluntary contraction and choice reaction time without affecting CSE.
Key findings
- CSE increased significantly after EMG-triggered NMES + contralateral a-tDCS (p < 0.001).
- EMG-triggered NMES + ipsilateral a-tDCS improved maximal voluntary contraction (P = 0.021).
- Choice reaction time task performance improved with EMG-triggered NMES + ipsilateral a-tDCS (P = 0.035).
- Contralateral a-tDCS reduced short-interval intracortical inhibition (P = 0.029).
Why it matters
Understanding the differential effects of neuromodulatory interventions on motor performance and corticospinal excitability can inform rehabilitation strategies aimed at enhancing neuroplasticity and functional recovery in patients with motor impairments.