Effects of online repetitive transcranial magnetic stimulation (rTMS) on cognitive processing: A meta-analysis and recommendations for future studies

被引：84

作者：

Beynel, Lysianne ^{[1
,2
]}

Appelbaum, Lawrence G. ^{[1
,2
]}

Luber, Bruce ^{[5
]}

Crowell, Courtney A. ^{[1
,2
]}

Hilbig, Susan A. ^{[1
,2
]}

Lim, Wesley ^{[1
,2
]}

Duy Nguyen ^{[1
,2
]}

Chrapliwy, Nicolas A. ^{[1
,2
]}

Davis, Simon W. ^{[3
]}

Cabeza, Roberto ^{[4
]}

Lisanby, Sarah H. ^{[1
,2
,5
]}

Deng, Zhi-De ^{[1
,2
,5
]}

机构：

[1] Duke Univ, Sch Med, Dept Psychiat, Durham, NC USA

[2] Duke Univ, Sch Med, Dept Behav Sci, Durham, NC USA

[3] Duke Univ, Sch Med, Dept Neurol, Durham, NC USA

[4] Duke Univ, Ctr Cognit Neurosci, Durham, NC USA

[5] NIMH, Noninvas Neuromodulat Unit, Expt Therapeut & Pathophysiol Branch, Intramural Res Program,NIH, Bethesda, MD 20892 USA

来源：

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS | 2019年 / 107卷

关键词：

Online rTMS; Cognition; Meta-analysis; MOTOR; TMS; PERFORMANCE; EXCITABILITY; INDUCTION; FIELD; TIME;

D O I：

10.1016/j.neubiorev.2019.08.018

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Online repetitive transcranial magnetic stimulation (rTMS), applied while subjects are performing a task, is widely used to disrupt brain regions underlying cognition. However, online YTMS has also induced "paradoxical enhancement". Given the rapid proliferation of this approach, it is crucial to develop a better understanding of how online stimulation influences cognition, and the optimal parameters to achieve desired effects. To accomplish this goal, a quantitative meta-analysis was performed with random-effects models fitted to reaction time (RT) and accuracy data. The final dataset included 126 studies published between 1998 and 2016, with 244 total effects for reaction times, and 202 for accuracy. Meta-analytically, rTMS at 10 Hz and 20 Hz disrupted accuracy for attention, executive, language, memory, motor, and perception domains, while no effects were found with 1 Hz or 5 Hz. Stimulation applied at and 10 and 20 Hz slowed down RTs in attention and perception tasks. No performance enhancement was found. Meta-regression analysis showed that fMRI-guided targeting and short inter-trial intervals are associated with increased disruptive effects with rTMS.

引用

页码：47 / 58

页数：12

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