Enhancement of human cognitive performance using transcranial magnetic stimulation (TMS)
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Here we review the usefulness of transcranial magnetic stimulation (TMS) in modulating cortical networks in ways that might produce performance enhancements in healthy human subjects. To date over sixty studies have reported significant improvements in speed and accuracy in a variety of tasks involving perceptual, motor, and executive processing. Two basic categories of enhancement mechanisms are suggested by this literature: direct modulation of a cortical region or network that leads to more efficient processing, and addition-by-subtraction, which is disruption of processing which competes or distracts from task performance. Potential applications of TMS cognitive enhancement, including research into cortical function, rehabilitation therapy in neurological and psychiatric illness, and accelerated skill acquisition in healthy individuals are discussed, as are methods of optimizing the magnitude and duration of TMS-induced performance enhancement, such as improvement of targeting through further integration of brain imaging with TMS. One technique, combining multiple sessions of TMS with concurrent TMS/task performance to induce Hebbian-like learning, appears to be promising for prolonging enhancement effects. While further refinements in the application of TMS to cognitive enhancement can still be made, and questions remain regarding the mechanisms underlying the observed effects, this appears to be a fruitful area of investigation that may shed light on the basic mechanisms of cognitive function and their therapeutic modulation.
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Evidence supports pro-cognitive effects of TMS in healthy individuals and in patients with neurologic and psychiatric illnesses such as mild to moderate Alzheimer's disease, mild cognitive impairment, stroke, schizophrenia, and bipolar disorder.
“Evidence supports the pro-cognitive effects of TMS in healthy individuals (Luber & Lisanby, 2014) and in patients with neurologic and psychiatric illnesses such as mild to moderate Alzheimer's disease (Cheng et al., 2018;Chou et al., 2020;Lin et al., 2019;Wang et al., 2020), mild cognitive impairment (MCI; Chou et al., 2020;Drumond Marra et al., 2015;Jiang et al., 2021), stroke (M.Liu et al., 2021”
From Neurocognitive effects of theta burst stimulation for treatment-resistant depression in adults: A systematic review and recommendations for future research (2025) · cites this paper as Luber & Lisanby, 2014
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Depression of motor cortex excitability by low-frequency transcranial magnetic stimulation
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“…homeostatic (Jung et al., 2008), resisting changes caused by external disruptions such as TMS, generating reactions such as local habituation or adaptation (Chen et al., 1997) or systemic learning within the TMS context through conditioning (Luber et al., 2007b) or practice (Gagnon et al., 2011).”
Background<i>Sleep Deprivation and Vigilant Attention</i>
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Thickbroom, G. W. (2007) · Experimental Brain Research · doi:10.1007/s00221-007-0991-3 · Cited by 326 · see citing works
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Enhancing cognition with theta burst stimulation
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- Authors
- Luber, B., & Lisanby, S. H.
- Affiliations
- Duke University (US)
- Corresponding author
- Luber, Bruce
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 85
- Pages
- 961-970
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC4083569
- OpenAlex
- W2088326070
- Cited by
- 508
- References
- 4
- Citations by year
- 2026: 25 · 2025: 36 · 2024: 42 · 2023: 37 · 2022: 35 · 2021: 45 · 2020: 99 · 2019: 49 · 2018: 53 · 2017: 21 · 2016: 26 · 2015: 18 · 2014: 18 · 2013: 3
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (K01 AG031912)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroethics, Human Enhancement, Biomedical Innovations
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- transcranial magnetic stimulation, cognitive enhancement, perceptual processing, motor processes, executive function, Hebbian learning, skill acquisition, rehabilitation, healthy volunteers
- MeSH terms
- Brain, Cognition, Humans, Task Performance and Analysis, Biomedical Enhancement, Transcranial Magnetic Stimulation
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