Effects of electrical stimulation on musculoventilatory function in humans: scope review
DOI:
https://doi.org/10.34024/rnc.2021.v29.12639Keywords:
Transcranial direct current electrostimulation, transcutaneous electrical stimulation, Autonomic nervous system, diaphragm, BreathingAbstract
Introduction. Several neuromodulation techniques have been used with great therapeutic potential and electrostimulation has emerged in the scientific literature and clinical practice with surprising purposes and results. Objectives. To analyze the effects of transcranial direct current electrical stimulation (tDCS) and transcutaneous electrical stimulation (TSE) techniques on musculoventilatory function in humans. Method. This is a scope review with bibliographic research carried out in the BVS and PubMed databases, using the PRIMA-Scr checklist as a reference. Results. 282 studies were retrieved and after the eligibility process, 15 studies were analyzed, of which seven evaluated the effects of tDCS and eight, those of TSE. tDCS was applied under different experimental protocols, mostly in just one stimulation session, for 10 or 20 minutes, in 1mA or 2mA, and with variable electrode assembly, according to the stimulated brain area. Its effects were heterogeneous, ranging from improvement to a negative outcome. The TSE, on the other hand, covered different electrical currents and methodological processes. Most used a stimulation session, ranging from 15 to 240 minutes, current intensity and variable electrode placement, depending on the type of current and the stimulated area. In all, there was an improvement in at least one study variable. Conclusions. The TSE results showed satisfactory improvement in the musculoventilatory function of human beings. The sDCS, on the other hand, proved to be poorly understood, requiring more homogeneous studies. It is suggested that more research be carried out to remedy gaps in the effects of these currents, in the short and long term.
Metrics
References
Nitsche MA, Schauenburg A, Lang N, Liebetanz D, Exner C, Paulus W, et al. Facilitation of implicit motor learning by weak transcranial direct current stimulation of the primary motor cortex in the human. J Cogn Neurosci 2003;15:619-26.
https://doi.org/10.1162/089892903321662994
Stagg CJ, Nitsche MA. Physiological basis of transcranial direct current stimulation. Neuroscientist 2011;17:37-53.
https://doi.org/10.1177/1073858410386614
Raux M, Xie H, Similowski T, Koski L. Facilitatory conditioning of the supplementary motor area in humans enhances the corticophrenic responsiveness to transcranial magnetic stimulation. J Appl Physiol 2010;108:39-46. https://doi.org/10.1152/japplphysiol.91454.2008
DiMarco AF, Kowalski KE. Activation of inspiratory muscles via spinal cord stimulation. Respir Physiol Neurobiol 2013;189:438-49. https://doi.org/10.1016/j.resp.2013.06.001
Niérat MC, Similowski T, Lamy JC. Does trans-spinal direct current stimulation alter phrenic motoneurons and respiratory neuromechanical outputs in humans? A double-blind, Sham-controlled, Randomized, Crossover study. J Neurosci 2014;34:14420-9. https://doi.org/10.1523/JNEUROSCI.1288-14.2014
McLachlan AJ, McLean AN, Allan DB, Gollee H. Changes in pulmonary function measures following a passive abdominal functional electrical stimulation training program. J Spinal Cord Med 2013;36:97-103. https://doi.org/10.1179/2045772312Y.0000000031
Lau KSL, Jones AYM. A single session of Acu-TENS increases FEV1 and reduces dyspnoea in patients with chronic obstructive pulmonary disease: A randomised, placebo-controlled trial. Aust J Physiother 2008;54:179-84. http://dx.doi.org/10.1016/S0004-9514(08)70024-2
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation. Ann Intern Med 2018;169:467-73. https://doi.org/10.7326/M18-0850
Vandermeeren Y, Jamart J, Ossemann M. Effect of tDCS with an extracephalic reference electrode on cardio-respiratory and autonomic functions. BMC Neurosci 2010;11:38. https://doi.org/10.1186/1471-2202-11-38
Azabou E, Roche N, Sharshar T, Bussel B, Lofaso F, Petitjean M. Transcranial direct-current stimulation reduced the excitability of diaphragmatic corticospinal pathways whatever the polarity used. Respir Physiol Neurobiol 2013;159:183-7. https://doi.org/10.1016/j.resp.2013.07.024
Tomczak CR, Greidanus KR, Boliek CA. Modulation of chest wall intermuscular coherence: Effects of lung volume excursion and transcranial direct current stimulation. J Neurophysiol 2013;110:680-7. https://doi.org/10.1152/jn.00723.2012
Montenegro R, Okano AH, Cunha FA, Fontes EB, Farinatti P. Does prefrontal cortex transcranial direct current stimulation influence the oxygen uptake at rest and post-exercise? Int J Sports Med 2014;35:459-64. https://doi.org/10.1055/s-0033-1343452
Lee DJ, Lee YS, Kim HJ, Seo TH. The effects of exercise training using transcranial direct current stimulation (tDCS) on breathing in patients with chronic stroke patients. J Phys Ther Sci 2017;29:527-30. https://doi.org/10.1589/jpts.29.527
Baldari C, Buzzachera CF, Vitor-Costa M, Gabardo JM, Bernardes AG, Altimari LR, et al. Effects of transcranial direct current stimulation on psychophysiological responses to maximal incremental exercise test in recreational endurance runners. Front Psychol 2018;9:1-10. https://doi.org/10.3389/fpsyg.2018.01867
Park SB, Jun Sung D, Kim B, Kim SJ, Han JK. Transcranial Direct Current Stimulation of motor cortex enhances running performance. PLoS One 2019;14:1-11.
https://doi.org/10.1371/journal.pone.0211902
Cipriano G, Carvalho ACDC, Bernardelli GF, Peres PAT. Short-term transcutaneous electrical nerve stimulation after cardiac surgery: Effect on pain, pulmonary function and electrical muscle activity. Interact Cardiovasc Thorac Surg 2008;7:539-43. https://doi.org/10.1510/icvts.2007.168542
Gregorini C, Cipriano G, De Aquino LM, Rodrigues Branco JN, Bernardelli GF. Estimulação elétrica nervosa transcutânea de curta duração no pós-operatório de cirurgia cardíaca. Arq Bras Cardiol 2010;94:345-51. https://doi.org/10.1590/S0066-782X2010000300011
Cancelliero KM, Ike D, Sampaio LMM, Santos VLA dos, Stirbulov R, Costa D. Estimulação diafragmática elétrica transcutânea (EDET) para fortalecimento muscular respiratório: estudo clínico controlado e randomizado. Fisioter Pesqui 2012;19:303-8. https://doi.org/10.1590/S1809-29502012000400002
Cancelliero-Gaiad KM, Ike D, Pantoni CBF, Mendes RG, Borghi-Silva A, Costa D. Acute effects of transcutaneous electrical diaphragmatic stimulation on respiratory pattern in COPD patients: cross-sectional and comparative clinical trial. Brazilian J Phys Ther 2013;17:547-55. https://doi.org/10.1590/S1413-35552012005000121
Santos IP, Cristina H, Uwamoto T, Amery TM, Maciel D, Rosa C, et al. Estimulação diafragmática pela corrente russa, cirtometria e padrão respiratório na DPOC. Salusvita (Bauru) 2015;34:265-75. https://secure.unisagrado.edu.br/static/biblioteca/salusvita/salusvita_v34_n2_2015_art_06.pdf
Shiozawa P, Fregni F, Benseñor IM, Lotufo PA, Berlim MT, Daskalakis JZ, et al. Transcranial direct current stimulation for major depression: An updated systematic review and meta-analysis. Int J Neuropsychopharmacol 2014;17:1443-52.
https://doi.org/10.1017/S1461145714000418
Berlim MT, Neto VD, Turecki G. Estimulação transcraniana por corrente direta : uma alternativa promissora para o tratamento da depressão maior ? Transcranial direct current stimulation : a promising alternative for the treatment of major depression ? Rev Bras Psiquiatr 2009;31(Supl I):34-8. https://doi.org/10.1590/S1516-44462009000500006
Bikson M, Datta A, Elwassif M. Establishing safety limits for transcranial direct current stimulation. Clin Neurophysiol 2009;120:1033-4. https://doi.org/10.1016/j.clinph.2009.03.018
Boggio PS, Rigonatti SP, Ribeiro RB, Myczkowski ML, Nitsche MA, Pascual-Leone A, et al. A randomized, double-blind clinical trial on the efficacy of cortical direct current stimulation for the treatment of major depression. Int J Neuropsychopharmacol 2008;11:249-54. https://doi.org/10.1017/S1461145707007833
Boggio PS, Bermpohl F, Vergara AO, Muniz AC, Nahas FH, Leme PB, et al. Go-no-go task performance improvement after anodal transcranial DC stimulation of the left dorsolateral prefrontal cortex in major depression. J Affect Disord 2007:101:91-8. https://doi.org/10.1016/j.jad.2006.10.026
Medeiros LF, Souza ICC, Vidor LP, Souza A, Deitos A, Volz MS, et al. Neurobiological effects of transcranial direct current stimulation: A review. Front Psychiatr 2012;3:1-11. https://doi.org/10.3389/fpsyt.2012.00110
Cogiamanian F, Ardolino G, Vergari M, Ferrucci R, Ciocca M, Scelzo E, et al. Transcutaneous Spinal Direct Current Stimulation. Front Psychiatr 2012;3:1-5. https://doi.org/10.3389/fpsyt.2012.00063
Chew T, Ho KA, Loo CK. Inter- and Intra-individual Variability in Response to Transcranial Direct Current Stimulation (tDCS) at Varying Current Intensities. Brain Stimulation 2015;8:1130-7. https://doi.org/10.1016/j.brs.2015.07.031
Bortoletto M, Pellicciari MC, Rodella C, Miniussi C. The interaction with task-induced activity is more important than polarization: A tDCS study. Brain Stimul 2015;8:269-76. http://dx.doi.org/10.1016/j.brs.2014.11.006
Oliveira APS, Cerqueira NS, Cordeiro AL, Oliveira AMS, Miranda ÍKSPB. Transcutaneous electrical nerve stimulation for pain treatment after cardiac surgery: A systematic review. Rev Pesqui Fisioter 2020;10:324-33. https://doi.org/10.17267/2238-2704rpf.v10i2.2808
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Maria Itamara da Silva Oliveira, Rafaela Pedrosa, Tatiana Onofre Gama, José Heriston de Morais Lima, Ubiraçé Fernando Elihimas Júnior, Suellen Marinho Andrade, Eduardo Eriko Tenório França

This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Accepted 2021-10-05
Published 2021-11-02
