@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(3):133-138
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(3):133-138
Effect of Unilateral Transcranial Direct Current Stimulation on Reaction Time in Veterans and Athletes with Disabilities
ARTICLE INFO
Article Type
Original ResearchAuthors
Arastoo A.A. (1)Parsaei S. (*2)
Zahednejad Sh. (3)
Alboghebish S. (2)
BurBur A. (4)
(*2) Sports Psychology Department, Physical Education Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
(1) “Social Factors Affecting Health Research Center” and “Musculoskeletal Rehabilitation Research Center” and “Public Health Department, Health Faculty”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
(3) “Musculoskeletal Rehabilitation Research Center” and “Physical Therapy Department, Rehabilitation Faculty”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
(4) Physical Education Department, Literature & Human Sciences Faculty, Farhangian University, Tehran, Iran
Correspondence
Article History
Received: September 29, 2018Accepted: March 25, 2019
ePublished: July 21, 2019
BRIEF TEXT
... [1-5]. Disability in the person can lead to various emotions, including a lack of willingness to participate in social activities and subsequently a decrease in self-esteem, feeling inadequate and burdensomeness, feeling sad and depressed, etc. [6].
... [7-10]. Given the important and determining role of reaction time in sporting events, various methods are being used today to reduce reaction time among researchers, coaches, and athletes to increase the likelihood of success for athletes [11]. One of the techniques nowadays used by researchers in cognitive science and neuroscience to improve cognitive, sensory, attention, and motor functions, etc., is transcranial Direct Current Stimulation (tDCS) [12]. ... [13]. The efficacy of tDCS has been confirmed in a several cases, including depression, increased cognitive control, motor impairment in children and adolescents, improved retention in overactive children, cognitive functioning, and cognitive rehabilitation [14]. ... [15]. … [16]. Zamani et al. have shown that direct stimulation of the brain in the prefrontal cortex can improve working memory and decrease reaction time in athlete girls [17]. Vafai & Ramezani have shown that direct stimulation of the brain beyond the skull has significant therapeutic effects on the mental health of veterans with mental disorders [18]. [19].
The aim of this study was to investigate the effect of tDCS on reaction time in veterans and athletes with disabilities.
This research is a semi-experimental study with pre-test post-test design.
This research was conducted among all veterans and athletes with disabilities, who were members of Veterans and disabled board of Shiraz in 2018.
Twenty-four subjects were selected by convenience sampling method and were divided into two groups of experimental and artificial groups. Inclusion criteria included being an athlete (doing physical activity at least three days a week regularly), no surgery in the head area, no neurological and psychological disorders, no heart and psychological diseases, and no use of nervous system stimulants. Exclusion criteria included unwillingness to continue study, absence of one or more sessions in the research process, inability to perform visual and auditory reaction time tests, and severe sensitivity and obsession to electrical stimulation.
The following tools were used to conduct the study: 1- Transcranial electrical stimulation device: The NEUROSTIM2 transcranial electrical stimulation device (Medina Tabgaster Co., Iran) was used for brain stimulation. 2- Stroop effect device during psychological retardation: This device is capable of displaying audiovisual stimuli. The outputs can be displayed as an Excel file with the ability to display the response time in milliseconds and the selected response type for the first and second stimuli. Al-Boughbish et al. reported the reliability of this test as 0.80 [20]. First, all participants were given a simple and selective reaction time test. Each participant performed a reaction time test once and his best record was recorded as a pre-test score. Afterwards, participants were randomly divided into two groups of electrical stimulation and artificial group. The acquisition phase consisted of 3 sessions every other day. In the experimental transcranial electrical stimulation group, the anode electrode (3.5 cm2) was placed at the C4 point (based on 10-20 electroencephalography system) and the cathode electrode (3.5 cm2) was placed above the FP1, so that the distance between the two electrodes was at least 6 cm [21]. The duration of electrical stimulation in each session was 20 min by 1.5 mA. In the non-real stimulation groups, anode and cathode electrodes were as the experimental group positioned at C4 and FP1, respectively. However, the stimulation flow stopped after 30 s of stimulation. None of the subjects was aware of the type of intervention (real or non-real stimulation). After the last training session, the post-test was performed. Participation in the research process was completely voluntary, and all participants were informed that they are free to withdraw from the research process at any time. Moreover, the effectiveness and safety of tDCS was described to all participants. Data were analyzed by SPSS 22 software using independent T-test to compare demographic characteristics of the two groups and multivariate analysis of covariance to compare the simple and selective reaction time of the two groups in the pretest and posttest stages.
There was no significant difference between the two groups in terms of demographic characteristics and the two groups were homogeneous (p> 0.05; Table 1).In the post-test, there was a significant difference between the experimental group and the artificial group in the simple reaction time and choice reaction time and the performance of the experimental group was better than the artificial group (Tables 2 and 3).
The results of the present study are in line with those of Theo et al., Zamani et al., Vafai & Ramezani and Arias et al. [16-19]. ... [22-25]. Marquez et al. stated that the best and most common electrical stimulation protocol for the brain to improve hand-related movements, such as performing large-scale hand movements, hand grip force as well as the reaction time required to move the hand can be achieved when the anode electrode is at the CZ point and the cathode electrode is at the FP1 point [21]. Sotchk et al. reported the contradictory findings with this study. They showed by transcranial electrical stimulation of the posterior middle part of frontal cortex (dMFC), electrical stimulation of the dMFC did not affect the reaction time of the first task, but it significantly improved the second task. The differences can be due to the different types of stimulation, type of task and different part of stimulation. These factors led to different findings from the present study [26]. Vafai & Rezae in a study on veterans with mental health problems in Yasuj found that using 2 mA electrical stimulation could improve mental health in veterans with mental disorders [18] .... [27] , 28].
It is suggested that a similar study be performed to investigate changes in neural structures.
One of the limitations of this study was the lack of access to functional magnetic resonance imaging (fMRI) to examine changes in the participants' central nervous system and neuroplasticity due to electrical stimulation.
Anodal tDCS of C4 region can improve the simple and choice reaction time in veterans and athletes with disabilities.
We would like to thank all the participants in the research as well as the officials of the Veterans and Disabled Board of Shiraz.
None declared.
This study was approved by the Ethics Committee of Ahvaz Jundishapur University of Medical Sciences (Approval code: IR.AJUMS.REC.1397.401).
This article is extracted from a research at the Jundishapur University of Ahwaz.
TABLES and CHARTS
Show attach fileCITIATION LINKS
[1]Parsaee S, Alboghbish S, Abdolahi H, Alirajabi R, Anbari A. Effect of a period of selected SMR/Theta neurofeedback training on visual and auditory reaction time in veterans and disabled athletes. Iran J War Public Health. 2018;10(1):15-20. [Persian]
[2]Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, Mc Cartney JS, et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med. 2002;347(19):1483-92.
[3]Akbarzadeh B, Esmailie A, Rafat MS, Dadashzadeh M. Comparison of self-regulation components between the disabled and veteran athletes and non-athletes. Iran J War Public Health. 2018;10(3):121-25. [Persian]
[4]Bedirhan Üstün T, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the World Health Organization disability assessment schedule 2.0. Bull WHO. 2010;88:815-23.
[5]Drescher KD, Foy DW, Kelly C, Leshner A, Schutz K, Litz B. An exploration of the viability and usefulness of the construct of moral injury in war veterans. Traumatology. 2011;17(1):8-13.
[6]Shokri B, Zarei M, Sahraei OR. Comparing the mental health of the athletic and non-athletic sensory-disabled people. Q J Soc Work. 2015;4(3):37-43. [Persian]
[7]Mohamadtaghi B, Shamsipour Dehkordi P, Hejazi Dinan P. Effectiveness of physical activity on quality of life and pain self-efficacy in veterans and non-veterans with amputations of lower limbs. Iran J War Public Health. 2016;8(2):95-103. [Persian]
[8]Robertson EM. The serial reaction time task: Implicit motor skill learning?. J Neurosci. 2007;27(38):10073-5.
[9]Alikhani H, Vaez Mousavi M, Mokhtari P. The effect of cognitive and motivational imagery on choice reaction time. World Appl Sci J. 2011;12(6):792-6.
[10]Schmidt RA, Lee TD. Motor learning and performance: From principles to application. Champaign: Human Kinetics; 2018.
[11]Grouios G. On the reduction of reaction time with mental practice. J Sport Behav. 1992;15(2):141.
[12]Clark VP, Coffman BA, Trumbo MC, Gasparovic C. Transcranial Direct Current Stimulation (tDCS) produces localized and specific alterations in neurochemistry: A ¹H magnetic resonance spectroscopy study. Neurosci Lett. 2011;500(1):67-71.
[13]Brunoni AR, Amadera J, Berbel B, Volz MS, Rizzerio BG, Fregni F. A systematic review on reporting and assessment of adverse effects associated with transcranial direct current stimulation. Int J Neuropsychopharmacol. 2011;14(8):1133-45.
[14]Eslamizade MJ, Behbahanian Sh, Mahdavi SM, Oftadehal M. An introduction to neurotechnologies, transcranial magnetic stimulation and transcranial direct current stimulation: Their applications in the cognitive enhancement and rehabilitation. Shefaye Khatam. 2016;4(2):65-86. [Persian]
[15]Strobach T, Antonenko D. tDCS-induced effects on executive functioning and their cognitive mechanisms: A review. J Cogn Enhanc. 2017;1(1):49-64.
[16]Teo F, Hoy KE, Daskalakis ZJ, Fitzgerald PB. Investigating the role of current strength in tDCS modulation of working memory performance in healthy controls. Front Psychiatry. 2011;2:45.
[17]Zamani G, Doostan MR. The effect of transcranial direct current stimulation on working memory and reactiontime in athlete girls. Neuropsychology. 2017;3(3):51-62. [Persian]
[18]Vafaye Sisakht Sh, Ramezani Kh. The effects of transcranial direct current stimulation on mental health of veterans with psychiatric disorders. Shefaye Khatam. 2017;5(2):36-42. [Persian]
[19]Arias P, Corral-Bergantiños Y, Robles-García V, Madrid A, Oliviero A, Cudeiro J. Bilateral tDCS on primary motor cortex: Effects on fast arm reaching tasks. PLoS One. 2016;11(8):e0160063.
[20]Alboghebish S, Shetab Boushehri N, Danshfar A, Abedanzadeh R. Assiament facilitate and significant interference of Stroop effect on psychological refractory period. Neuropsychology. 2017;2(2):93-106. [Persian]
[21]Marquez J, Conley A, Karayanidis F, Lagopoulos J, Parsons M. Anodal direct current stimulation in the healthy aged: Effects determined by the hemisphere stimulated. Restor Neurol Neurosci. 2015;33(4):509-19.
[22]Shelton J, Kumar GP. Comparison between auditory and visual simple reaction times. Neurosci Med. 2010;1:30-2.
[23]Takai H, Tsubaki A, Sugawara K, Miyaguchi Sh, Oyanagi K, Matsumoto T, et al. Effect of transcranial direct current stimulation over the primary motor cortex on cerebral blood flow: A time course study using near-infrared spectroscopy. In: Elwell CE, Leung TS, Harrison DK, editors. Oxygen transport to tissue XXXVII. New York: Springer; 2016. pp. 335-41.
[24]Polanía R, Paulus W, Antal A, Nitsche MA. Introducing graph theory to track for neuroplastic alterations in the resting human brain: A transcranial direct current stimulation study. Neuroimage. 2011;54(3):2287-96.
[25]Ruohonen J, Karhu J. tDCS possibly stimulates glial cells. Clin Neurophysiol. 2012;123(10):2006-9.
[26]Soutschek A, Taylor PC, Schubert T. The role of the dorsal medial frontal cortex in central processing limitation: A transcranial magnetic stimulation study. Exp Brain Res. 2016;234(9):2447-55.
[27]Tavalaee SA, Habibi M, Asari Sh, Ghanei M, Naderi Z, Khateri Sh, et al. Quality of life in chemical weapon victims 15 years after exposure to mustard gas. J Behav Sci. 2007;1(1):17-25. [Persian]
[28]Cohen-Cline H, Turkheimer E, Duncan GE. Access to green space, physical activity and mental health: A twin study. J Epidemiol Community Health. 2015;69(6):523-9.
[2]Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, Mc Cartney JS, et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med. 2002;347(19):1483-92.
[3]Akbarzadeh B, Esmailie A, Rafat MS, Dadashzadeh M. Comparison of self-regulation components between the disabled and veteran athletes and non-athletes. Iran J War Public Health. 2018;10(3):121-25. [Persian]
[4]Bedirhan Üstün T, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the World Health Organization disability assessment schedule 2.0. Bull WHO. 2010;88:815-23.
[5]Drescher KD, Foy DW, Kelly C, Leshner A, Schutz K, Litz B. An exploration of the viability and usefulness of the construct of moral injury in war veterans. Traumatology. 2011;17(1):8-13.
[6]Shokri B, Zarei M, Sahraei OR. Comparing the mental health of the athletic and non-athletic sensory-disabled people. Q J Soc Work. 2015;4(3):37-43. [Persian]
[7]Mohamadtaghi B, Shamsipour Dehkordi P, Hejazi Dinan P. Effectiveness of physical activity on quality of life and pain self-efficacy in veterans and non-veterans with amputations of lower limbs. Iran J War Public Health. 2016;8(2):95-103. [Persian]
[8]Robertson EM. The serial reaction time task: Implicit motor skill learning?. J Neurosci. 2007;27(38):10073-5.
[9]Alikhani H, Vaez Mousavi M, Mokhtari P. The effect of cognitive and motivational imagery on choice reaction time. World Appl Sci J. 2011;12(6):792-6.
[10]Schmidt RA, Lee TD. Motor learning and performance: From principles to application. Champaign: Human Kinetics; 2018.
[11]Grouios G. On the reduction of reaction time with mental practice. J Sport Behav. 1992;15(2):141.
[12]Clark VP, Coffman BA, Trumbo MC, Gasparovic C. Transcranial Direct Current Stimulation (tDCS) produces localized and specific alterations in neurochemistry: A ¹H magnetic resonance spectroscopy study. Neurosci Lett. 2011;500(1):67-71.
[13]Brunoni AR, Amadera J, Berbel B, Volz MS, Rizzerio BG, Fregni F. A systematic review on reporting and assessment of adverse effects associated with transcranial direct current stimulation. Int J Neuropsychopharmacol. 2011;14(8):1133-45.
[14]Eslamizade MJ, Behbahanian Sh, Mahdavi SM, Oftadehal M. An introduction to neurotechnologies, transcranial magnetic stimulation and transcranial direct current stimulation: Their applications in the cognitive enhancement and rehabilitation. Shefaye Khatam. 2016;4(2):65-86. [Persian]
[15]Strobach T, Antonenko D. tDCS-induced effects on executive functioning and their cognitive mechanisms: A review. J Cogn Enhanc. 2017;1(1):49-64.
[16]Teo F, Hoy KE, Daskalakis ZJ, Fitzgerald PB. Investigating the role of current strength in tDCS modulation of working memory performance in healthy controls. Front Psychiatry. 2011;2:45.
[17]Zamani G, Doostan MR. The effect of transcranial direct current stimulation on working memory and reactiontime in athlete girls. Neuropsychology. 2017;3(3):51-62. [Persian]
[18]Vafaye Sisakht Sh, Ramezani Kh. The effects of transcranial direct current stimulation on mental health of veterans with psychiatric disorders. Shefaye Khatam. 2017;5(2):36-42. [Persian]
[19]Arias P, Corral-Bergantiños Y, Robles-García V, Madrid A, Oliviero A, Cudeiro J. Bilateral tDCS on primary motor cortex: Effects on fast arm reaching tasks. PLoS One. 2016;11(8):e0160063.
[20]Alboghebish S, Shetab Boushehri N, Danshfar A, Abedanzadeh R. Assiament facilitate and significant interference of Stroop effect on psychological refractory period. Neuropsychology. 2017;2(2):93-106. [Persian]
[21]Marquez J, Conley A, Karayanidis F, Lagopoulos J, Parsons M. Anodal direct current stimulation in the healthy aged: Effects determined by the hemisphere stimulated. Restor Neurol Neurosci. 2015;33(4):509-19.
[22]Shelton J, Kumar GP. Comparison between auditory and visual simple reaction times. Neurosci Med. 2010;1:30-2.
[23]Takai H, Tsubaki A, Sugawara K, Miyaguchi Sh, Oyanagi K, Matsumoto T, et al. Effect of transcranial direct current stimulation over the primary motor cortex on cerebral blood flow: A time course study using near-infrared spectroscopy. In: Elwell CE, Leung TS, Harrison DK, editors. Oxygen transport to tissue XXXVII. New York: Springer; 2016. pp. 335-41.
[24]Polanía R, Paulus W, Antal A, Nitsche MA. Introducing graph theory to track for neuroplastic alterations in the resting human brain: A transcranial direct current stimulation study. Neuroimage. 2011;54(3):2287-96.
[25]Ruohonen J, Karhu J. tDCS possibly stimulates glial cells. Clin Neurophysiol. 2012;123(10):2006-9.
[26]Soutschek A, Taylor PC, Schubert T. The role of the dorsal medial frontal cortex in central processing limitation: A transcranial magnetic stimulation study. Exp Brain Res. 2016;234(9):2447-55.
[27]Tavalaee SA, Habibi M, Asari Sh, Ghanei M, Naderi Z, Khateri Sh, et al. Quality of life in chemical weapon victims 15 years after exposure to mustard gas. J Behav Sci. 2007;1(1):17-25. [Persian]
[28]Cohen-Cline H, Turkheimer E, Duncan GE. Access to green space, physical activity and mental health: A twin study. J Epidemiol Community Health. 2015;69(6):523-9.