Evidence map›Paper›PMID 36574814›Full record

Trial reportBrain stimulation

Robust enhancement of motor sequence learning with 4 mA transcranial electric stimulation.

Gavin Hsu, A Duke Shereen, Leonardo G Cohen, Lucas C Parra

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Repeated tDCS at Clinically Relevant Field Intensity Can Boost Concurrent Motor Learning in Rats.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Gavin HsuDepartment of Biomedical Engineering, The City College of New York, The City University of New York, New York, NY, USA. Electronic address: ghsu@ccny.cuny.edu.
A Duke ShereenAdvanced Science Research Center at the Graduate Center of the City University of New York, USA.
Leonardo G CohenHuman Cortical Physiology and Neurorehabilitation Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
Lucas C ParraDepartment of Biomedical Engineering, The City College of New York, The City University of New York, New York, NY, USA.
City College of New York · USNational Institutes of Health · USThe Graduate Center, CUNY · US

Funding

Cortical reorganization and plasticity In the Healthy BrainZIANS002978 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI COHEN, LEONARDO GREGORIO · 2009 to 2025
$38.0M
Optimizing speech motor learning with neuromodulation: Behavioral outcomes and neural mechanismsR01DC018589 · NIDCD · NEW YORK UNIVERSITY · PI BUCHWALD, ADAM · 2020 to 2024
$2.5M
Interaction of Motor Learning with Transcranial Direct Current - Efficacy and MechanismsR01NS130484 · NINDS · CITY COLLEGE OF NEW YORK · PI John H Martin, LUCAS C PARRA · 2023 to 2026
$2.2M
Effects of direct-current stimulation on synaptic plasticityR01NS095123 · NINDS · CITY COLLEGE OF NEW YORK · PI PARRA, LUCAS C · 2016 to 2020
$1.7M
Measurement of Electric Field and Hemodynamic Response During Transcranial Direct Current Stimulation Using Magnetic Resonance ImagingR21NS115018 · NINDS · ADVANCED SCIENCE RESEARCH CENTER · PI SHEREEN, AHMED · 2020 to 2020
$432k
NIDCD NIH HHS R01 DC018589NINDS NIH HHS R01 NS095123NINDS NIH HHS R01 NS130484NINDS NIH HHS R21 NS115018
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMotor learning experiments with transcranial direct current stimulation (tDCS) at 2 mA have produced mixed results. We hypothesize that tDCS boosts motor learning provided sufficiently high field intensity on the motor cortex.

methodsIn a single-blinded design, 108 healthy participants received either anodal (N = 36) or cathodal (N = 36) tDCS at 4 mA total, or no stimulation (N = 36) while they practiced a 12-min sequence learning task. Anodal stimulation was delivered across four electrode pairs (1 mA each), with anodes above the right parietal lobe and cathodes above the right frontal lobe. Cathodal stimulation, with reversed polarities, served as an active control for sensation, while the no-stimulation condition established baseline performance. fMRI-localized targets on the primary motor cortex in 10 subjects were used in current flow models to optimize electrode placement for maximal field intensity. A single electrode montage was then selected for all participants.

resultsWe found a significant difference in performance with anodal vs. cathodal stimulation (Cohen's d = 0.71) and vs. no stimulation (d = 0.56). This effect persisted for at least 1 h, and subsequent learning for a new sequence and the opposite hand also improved. Sensation ratings were comparable in the active groups and did not exceed moderate levels. Current flow models suggest the new electrode montage can achieve stronger motor cortex polarization than alternative montages.

conclusionThe present paradigm shows a medium to large effect size and is well-tolerated. It may serve as a go-to experiment for future studies on motor learning and tDCS.

Indexed as

Motor CortexTranscranial Direct Current StimulationElectric StimulationEvoked Potentials, MotorHumansLearningTranscranial Magnetic StimulationMotor cortexMotor learningSafetySensationTranscranial direct current stimulation

Identifiers

PMID36574814
PMCPMC10171179
OpenAlexW4313201340

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.