Age-dependent non-linear neuroplastic effects of cathodal tDCS in the elderly population: a titration study
Open accessAbstract
BACKGROUND: Neuromodulatory effects of transcranial direct current stimulation (tDCS) in older humans have shown heterogeneous results, possibly due to sub-optimal stimulation protocols associated with limited knowledge about optimized stimulation parameters in this age group. We systematically explored the association between the stimulation dosage of cathodal tDCS and induced after-effects on motor cortex excitability in the elderly. METHOD: Thirty-nine healthy volunteers in two age groups, namely Pre-Elderly (50-65 years) and Elderly (66-80 years), participated in the study. Ten sessions of cathodal tDCS, with a combination of four intensities (1, 2, 3 mA and sham) and three durations (15, 20, 30 min) were conducted over the M1 in each participant. Cortical excitability changes were monitored with TMS-induced motor evoked potentials (MEPs) for up to 2 h after stimulation. RESULTS: Motor cortex excitability was reduced by cathodal stimulation intensities of 1 and 3 mA in both age groups, in accordance with results observed in the younger age groups of previous studies. For the 2 mA stimulation condition, an age-dependent conversion of plasticity into a stimulation duration-dependent excitability enhancement was observed in the Pre-Elderly group, whereas in the Elderly group, LTD-like plasticity was preserved, or abolished, depending on stimulation duration. CONCLUSION: The LTD-like plasticity effects induced by cathodal tDCS originally described in young adults are also observable in older humans, but non-linearities of the resulting plasticity were partially preserved only in the Pre-Elderly, but not the Elderly group. These results aid in understanding age-dependent plasticity dynamics in humans, and to define more efficient tDCS protocols in the aging brain.
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Adults ages 50-65 experience increased excitability underneath the cathode at 2mA/20min motor cortex parameters.
“Adults ages 50–65 also experience increased excitability underneath the cathode at these parameters, while older adults ages 66–80 demonstrate slight reductions in excitability [57].”
From Primary outcome from the augmenting cognitive training in older adults study (ACT): A tDCS and cognitive training randomized clinical trial (2023) · cites this paper as [57]
Older adults ages 66-80 demonstrate slight reductions in excitability at 2mA/20min motor cortex parameters.
“Adults ages 50–65 also experience increased excitability underneath the cathode at these parameters, while older adults ages 66–80 demonstrate slight reductions in excitability [57].”
From Primary outcome from the augmenting cognitive training in older adults study (ACT): A tDCS and cognitive training randomized clinical trial (2023) · cites this paper as [57]
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A Scalable Framework for Closed-Loop Neuromodulation with Deep LearningPreprint
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Optogenetic insights into short- and long-duration random noise electrical stimulation
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- Authors
- Ghasemian-Shirvan, E., Mosayebi-Samani, M., Farnad, L., Kuo, M.-F., Meesen, R. L. J., & Nitsche, M. A.
- Affiliations
- Leibniz Research Centre for Working Environment and Human Factors (DE)
- Hasselt University (BE)
- BG University Hospital Bergmannsheil Bochum (DE)
- Corresponding author
- Nitsche, Michael A.
- Venue
- Brain Stimulation
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 15
- Issue
- 2
- Pages
- 296-305
- ISSN
- 1876-4754 (ISSN-L)
- 1935-861X
- OpenAlex
- W4206968992
- Cited by
- 34
- References
- 81
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 11 · 2023: 7 · 2022: 8
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Brain stimulation (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Document Server@UHasselt (UHasselt) (submittedVersion, cc-by)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- Funders
- Bundesministerium für Bildung und Forschung (01EE1501, 01GQ1424E)
- Universiteit Hasselt (BOF17BL03)
- Bijzonder Onderzoeksfonds UGent
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- cathodal transcranial direct current stimulation, neuroplasticity, aging, older adults, motor cortex excitability, long-term potentiation, long-term depression, stimulation intensity, stimulation duration, age-dependent plasticity, motor evoked potentials
- MeSH terms
- Cortical Excitability, Aged, Humans, Middle Aged, Motor Cortex, Neuronal Plasticity, Evoked Potentials, Motor, Transcranial Magnetic Stimulation, Young Adult, Transcranial Direct Current Stimulation
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