Effects of tDCS and tRNS in two electrode placement methods on the excitability of basal ganglia cells in Parkinson's disease compared to DBS

Abstract

Despite advances in the drug therapy of neurological disorders in recent decades, it has faced limitations such as resistance to specific drugs or subsequent complications. Nowadays, the studies on cortical stimulations to improve motor function in Parkinson's disease (PD) are increasing. Given the side effects of invasive stimulations to enhance motor function in the disease (e.g., deep brain stimulation (DBS)), non-invasive methods like transcranial direct current (tDCS) and transcranial random noise (tRNS) stimulations have attracted researchers' attention. Treatments are currently applied despite the non-well understood mechanism behind the techniques. The present study aimed to evaluate the effects of tDCS and tRNS on globus pallidus (GP) and subthalamic nucleus (STN) areas in PD patients. Thus, 3D head models were first created using MRI images, and the two stimulations were simulated based on two electrode placements of primary motor cortex (M1) and dorsolateral prefrontal cortex (DLPFC) anodal stimulation. The stimulations were compared using the current distributed in the two regions. Additionally, the effect of basal ganglia (BG) model on the excitation current distributed in the target areas was examined. Considering the membrane potential of each excitation in the two areas of all subjects, each electrode method was compared with tDCS, tRNS, and DBS in order for effectiveness. The results represented more appropriate effectiveness of the tDCS with M1 than the tRNS in the target region. Further, the method results were acceptable compared to the DBS results. The tDCS and non-invasive electrical stimulation were useful in improving the motor function of PD patients.