title: Transcranial direct current stimulation improves isometric time to exhaustion of the knee extensors.
abstract: Transcranial direct current stimulation (tDCS) can increase cortical excitability of a targeted brain area, which may affect endurance exercise performance. However, optimal electrode placement for tDCS remains unclear. We tested the effect of two different tDCS electrode montages for improving exercise performance. Nine subjects underwent a control (CON), placebo (SHAM) and two different tDCS montage sessions in a randomized design. In one tDCS session, the anodal electrode was placed over the left motor cortex and the cathodal on contralateral forehead (HEAD), while for the other montage the anodal electrode was placed over the left motor cortex and cathodal electrode above the shoulder (SHOULDER). tDCS was delivered for 10min at 2.0mA, after which participants performed an isometric time to exhaustion (TTE) test of the right knee extensors. Peripheral and central neuromuscular parameters were assessed at baseline, after tDCS application and after TTE. Heart rate (HR), ratings of perceived exertion (RPE), and leg muscle exercise-induced muscle pain (PAIN) were monitored during the TTE. TTE was longer and RPE lower in the SHOULDER condition (P<0.05). Central and peripheral parameters, and HR and PAIN did not present any differences between conditions after tDCS stimulation (P>0.05). In all conditions maximal voluntary contraction (MVC) significantly decreased after the TTE (P<0.05) while motor-evoked potential area (MEP) increased after TTE (P<0.05). These findings demonstrate that SHOULDER montage is more effective than HEAD montage to improve endurance performance, likely through avoiding the negative effects of the cathode on excitability.
authors.affiliation: Endurance Research Group, School of Sport and Exercise Sciences, University of Kent, Chatham Maritime, UK.
authors.forename: L
authors.initials: L
authors.lastname: Angius
authors.affiliation: Laboratoire INSERM U1093, Université de Bourgogne, Dijon, France.
authors.forename: B
authors.initials: B
authors.lastname: Pageaux
authors.affiliation: Endurance Research Group, School of Sport and Exercise Sciences, University of Kent, Chatham Maritime, UK.
authors.forename: J
authors.initials: J
authors.lastname: Hopker
authors.affiliation: Endurance Research Group, School of Sport and Exercise Sciences, University of Kent, Chatham Maritime, UK.
authors.forename: S M
authors.initials: SM
authors.lastname: Marcora
authors.affiliation: Endurance Research Group, School of Sport and Exercise Sciences, University of Kent, Chatham Maritime, UK. Electronic address: l.mauger@kent.ac.uk.
authors.forename: A R
authors.initials: AR
authors.lastname: Mauger
mesh_terms: D004558:Electric Stimulation; D019054:Evoked Potentials, Motor / Q000502:physiology; D005267:Femoral Nerve / Q000502:physiology; D007839:Functional Laterality; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology*; D007866:Leg / Q000502:physiology*; D008297:Male; D009044:Motor Cortex / Q000502:physiology; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D010465:Perception / Q000502:physiology; D017397:Prefrontal Cortex / Q000502:physiology; D011897:Random Allocation; D012782:Shoulder / Q000502:physiology; D016037:Single-Blind Method; D050781:Transcranial Magnetic Stimulation / Q000379:methods; D055815:Young Adult
keywords: brain stimulation; exercise; performance; tDCS