Excitability of Diaphragmatic Primary Motor Cortex
Conditions
Keywords
tDCS, Diaphragm, Cortical Excitability, MEPs, TMS
Brief summary
Transcranial direct current stimulation (tDCS) is a non invasive, painless, harmless way to modulate cerebral cortex excitability. It was shown that anodal stimulation increases cortical excitability and the cathodal one decreases it (Nitsche and Paulus, 2000; Lang et al. 2004). To date, there is no data in the literature regarding the effect of tDCS on the corticodiaphragmatic pathways. This preliminary study aims to test and validate the modulating effect of tDCS on the excitability of the primary motor cortex dedicated to the hemi-diaphragms in a sample of healthy subjects, as a prelude to further large studies in patients with paretic hemi-diaphragms. Diaphragmatic motor evoked potentials will be assessed before and after applications of three different modalities of tDCS (anodal, cathodal and placebo).
Detailed description
We therefore expect to observe a significant increase of the mean values of the right hemidiaphragm's MEP's amplitudes after application of anodal tDCS compared to the baseline MEP obtained before this treatment.
Interventions
Anodal tDCS: Intensity of 2 mA , during 10 min Cathodal tDCS: Intensity of 2 mA , during 10 min Placebo type tDCS: Intensity of 0 mA during 10 min
Sponsors
Study design
Eligibility
Inclusion criteria
* Right handed, * Healthy male volunteers * Aged ≥ 18 and ≤ 35 years * No history of neurological or respiratory disease * BMI (body mass index \< 30)
Exclusion criteria
* Female sex * Vulnerable people as defined in the provisions relating to biomedical researches and described in the Code of Public Health. * Recent or ongoing use of antibiotic drugs, antidepressants or psychotropic drugs. * Recent hospitalization (within 3 months). * No affiliation to a social security system.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the right side hemi-diaphragm's motor evoked potentials (MEPs) before and after applications of three different modalities of tDCS (anodal, cathodal and placebo) upon the left primary motor cortex. | Baseline MEPs (before tDCS), Post 0 MEPs (immediately after tDCS) and Post 10 MEPs (10 min after tDCS). | The facilitating effect of tDCS in Anodal stimulation mode (a-tDCS) on the excitability of the left diaphragmatic primary motor cortex would result in a significant increase of the amplitude of the right hemidiaphragm motor evoked potentials (MEPs) (obtained by Transcranial magnetic motor stimulation of the left diaphragmatic primary) after this treatment. |
Countries
France