Preconditioning of low-frequency repetitive transcranial magnetic stimulation with transcranial direct current stimulation: evidence for homeostatic plasticity in the human motor cortex

J Neurosci. 2004 Mar 31;24(13):3379-85. doi: 10.1523/JNEUROSCI.5316-03.2004.

Abstract

Recent experimental work in animals has emphasized the importance of homeostatic plasticity as a means of stabilizing the properties of neuronal circuits. Here, we report a phenomenon that indicates a homeostatic pattern of cortical plasticity in healthy human subjects. The experiments combined two techniques that can produce long-term effects on the excitability of corticospinal output neurons: transcranial direct current stimulation (TDCS) and repetitive transcranial magnetic stimulation (rTMS) of the left primary motor cortex. "Facilitatory preconditioning" with anodal TDCS caused a subsequent period of 1 Hz rTMS to reduce corticospinal excitability to below baseline levels for >20 min. Conversely, "inhibitory preconditioning" with cathodal TDCS resulted in 1 Hz rTMS increasing corticospinal excitability for at least 20 min. No changes in excitability occurred when 1 Hz rTMS was preceded by sham TDCS. Thus, changing the initial state of the motor cortex by a period of DC polarization reversed the conditioning effects of 1 Hz rTMS. These preconditioning effects of TDCS suggest the existence of a homeostatic mechanism in the human motor cortex that stabilizes corticospinal excitability within a physiologically useful range.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Conditioning, Psychological / physiology
  • Conditioning, Psychological / radiation effects
  • Electric Stimulation / instrumentation
  • Electric Stimulation / methods*
  • Electromagnetic Fields
  • Evoked Potentials, Motor / physiology
  • Evoked Potentials, Motor / radiation effects
  • Homeostasis / physiology*
  • Homeostasis / radiation effects
  • Humans
  • Male
  • Middle Aged
  • Motor Cortex / physiology*
  • Motor Cortex / radiation effects
  • Neuronal Plasticity / physiology*
  • Neuronal Plasticity / radiation effects
  • Pyramidal Tracts / physiology
  • Reaction Time / physiology
  • Reaction Time / radiation effects
  • Reference Values
  • Transcranial Magnetic Stimulation*