Can transcranial direct current stimulation over the dorsolateral prefrontal cortex enhance proprioception?

IntroductionProprioception (perception of ones limb position) is critical for accurate and consistent movement, and is processed by the sensorimotor cortex. Increased prefrontal activity is associated with improved proprioception and motor performance. Anodal transcranial direct current stimulation (tDCS) of the left dorsolateral prefrontal cortex (DLPFC) has been found to increase activity of the sensorimotor cortex. Thus, this study aimed to investigate whether anodal tDCS of the DLPFC may enhance proprioception measured with a target task. It was hypothesized that tDCS over the left DLPFC would improve motor performance (error and variability) on a target task completed without vision. DesignSingle blind, within-participant, sham-controlled trial. MethodsFifteen healthy young adults (M:F=6:9, age=23.3 years) completed 18 trials of a computerized target task (manipulating a mouse) with their non-dominant upper-limb, with and without vision, before and after (pre/post assessment) 20-minutes of stimulation (anodal tDCS of the left DLPFC) and sham conditions. Averages and coefficient of variation (CV, variability between trials) of spatio-temporal parameters associated with the movement were measured. Stimulation/ sham sessions were counterbalanced (stimulation first session, n=8), with each session separated by one week. Repeated-measures ANOVA and pairwise comparisons (95% confidence intervals [CI]) were conducted. ResultsRegarding distance travelled CV, a significant interaction between condition and assessment (F(1,14)=5.09, p=0.041) demonstrated that variability was significantly less post-stimulation compared to pre (p=0.003). A significant interaction between assessment and vision (F(1,14)=30.08, p<0.001) regarding distance travelled CV showed that without vision, variability was significantly less at post compared to pre (p<0.001), and this decrease was found after the stimulation condition only (95% CI = {Delta} 7.4 +/- 1.6 [4.0 to 10.9]). ConclusionSince variability of distance travelled during the target task without vision was lower post-stimulation compared to pre, consistency of movement without vision, and therefore proprioception, may have been enhanced by anodal tDCS of the DLPFC. This improvement could be due to modulation of fronto-striatal-thalamic circuits. These findings may be the first step in developing tDCS methods as an effective adjunct therapy for dysfunctional proprioception in various disorders, such as Parkinsons disease.