More focal is not always better: effects of conventional versus
high-definition transcranial direct-current stimulation on implicit
motor sequence learning
Abstract
Conventional transcranial direct-current stimulation (tDCS) delivered to
the primary motor cortex (M1) has been shown to enhance implicit motor
sequence learning (IMSL). Conventional tDCS targets M1 but also the
motor association cortices (MAC), making the precise contribution of M1
to IMSL presently unclear. We aimed to address the roles of these areas
by comparing conventional tDCS of M1 and MAC to High-Definition (HD)
tDCS, which more focally targets M1. In this sham-controlled, crossover
study in 89 healthy adults, we used mixed-effects models to analyze
sequence-specific and general learning effects in the acquisition,
short- and long-term consolidation phases of IMSL, as measured by the
serial reaction time task. Conventional tDCS did not influence general
learning, improved sequence-specific learning during acquisition
(anodal: M=42.64 ms, sham: M=32.87 ms, p=.041) and deteriorated it at
long-term consolidation (anodal: M=75.37 ms, sham: M=86.63 ms, p=.019).
HD tDCS did not influence general learning, slowed performance
specifically in sequential blocks across all learning phases (all
p’s<.050), and consequently deteriorated sequence-specific
learning during acquisition (anodal: M=24.13 ms, sham: M=35.67 ms,
p=.014) and long-term consolidation (anodal: M=60.03 ms, sham: M=75.01
ms, p=.002). Our findings indicate that generalized stimulation of M1
and MAC enhanced acquisition, but hindered consolidation of IMSL. In
contrast, focal M1 stimulation by HD tDCS worsened overall performance,
likely due to cathodal inhibition of MAC as induced by the return
electrodes. Consequently, this disruption of performance supports the
notion that these areas fundamentally contribute to IMSL as an integral
part in the cortico-basal ganglia-thalamo-cortical network.