Research on Effects of Transcranial Direct Current Stimulation on EEG in Children with Autism Spectrum Disorder
Wen Fang1, Pang Jiao2, Li Xiaoli3, Kang Jiannan2*
1(Department of Psychiatry, Beijing Children′s Hospital, Capital Medical University, National Center for Children′s Health, Beijing 100045, China) 2(Institute of Information Engineering, Hebei University, Baoding 071000, China) 3 (State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing 100875, China)
Abstract:The autism spectrum disorder (ASD) is a complex developmental disorder characterized by impairments of social communication and repetitive behaviors. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that can be conducted on many neuropsychiatric and neurological disorders such as epilepsy, Parkinson’s disease, Alzheimer’s disease, major depression and schizophrenia. It is safe and easy-to-use, because thousands of tDCS sessions have been reported without any serious adverse effects. In this study, we enrolled 24 ASD children who received transcranial direct current stimulation (tDCS) brain modulation. Among those, 12 ASD children received 10 treatments over the dorsolateral prefrontal cortex (DLPFC) twice a week and the other 12 ASD children received sham-stimulation twice a week as controls. Power spectrum and multiscale entropy algorithm were used to evaluate the effects. Results showed that 4~8 Hz theta band decreased significantly (P<0.05) in the whole brain before and after intervention, the frontal lobe decreased from (1.13±0.07) dB/Hz to (0.96±0.06)dB/Hz, from (1.18±0.05) dB/Hz to (1.03±0.07)dB/Hz in the left temporal lobe, from (1.43±0.06) dB/Hz to (1.16±0.03)dB/Hz in the central region, from (1.14±0.09) dB/Hz to (0.96±0.04)dB/Hz in the right temporal lobe, and from (1.39±0.06) dB/Hz to (1.09±0.03)dB/Hz in the occipital lobe. Entropy values in parietal lobe (P3, Pz, C3, C4), occipital lobe (O1) and DLPFC (F3) were significantly increased by calculating the entropy values at 15 scales after intervention. The tDCS had positive effects on the autistic children and it was safe and non-invasive, therefore it would be helpful for the rehabilitation of autistic children.
闻芳, 庞姣, 李小俚, 康健楠. 经颅直流电刺激对孤独症谱系障碍儿童脑电的影响研究[J]. 中国生物医学工程学报, 2019, 38(5): 566-572.
Wen Fang, Pang Jiao, Li Xiaoli, Kang Jiannan. Research on Effects of Transcranial Direct Current Stimulation on EEG in Children with Autism Spectrum Disorder. Chinese Journal of Biomedical Engineering, 2019, 38(5): 566-572.
[1] Kocsis RN. Diagnostic and statistical manual of mental disorders: fifth edition (DSM-5) [J]. Int J Offender Ther, 2013, 57(12): 1546-1548. [2] Zablotsky B, Black LI, Maenner MJ, et al. Estimated prevalence of autism and other developmental disabilities following questionnaire changes in the 2014 national health interview survey [J]. Natl Health Stat Report, 2015, 87: 1-20. [3] Fregni F, Thome-souza S, Nitsche M A, et al. A controlled clinical trial of cathodal DC polarization in patients with refractory epilepsy [J]. Epilepsia, 2006, 47(2): 335-342. [4] Pereira J B, Junque C, Bartres-Faz D, et al. Modulation of verbal fluency networks by transcranial direct current stimulation (tDCS) in Parkinson's disease [J]. Brain Stimul, 2013, 6(1): 16-24. [5] Vigod S, Dennis C L, Daskalakis Z, et al. Transcranial direct current stimulation (tDCS) for treatment of major depression during pregnancy: Study protocol for a pilot randomized controlled trial [J]. Trials, 2014, 15:366. [6] Yu SH, Park SD, Sim KC. The effect of tDCS on cognition and neurologic recovery of rats with alzheimer's disease [J]. J Phys Ther Sci, 2014, 26(2): 247-249. [7] Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation [J]. J Physiol, 2000, 527 (3):633-639. [8] Keeser D, Padberg F, Reisinger E, et al. Prefrontal direct current stimulation modulates resting EEG and event-related potentials in healthy subjects: A standardized low resolution tomography (sLORETA) study [J]. Neuroimage, 2011, 55(2): 644-657. [9] Siebner HR, Lang N, Rizzo V, et al. Preconditioning of low-frequency repetitive transcranial magnetic stimulation with transcranial direct current stimulation: Evidence for homeostatic plasticity in the human motor cortex [J]. J Neurosci, 2004, 24(13): 3379-3385. [10] Monte-Silva K, Kuo MF, Hessenthaler S, et al. Induction of late LTP-like plasticity in the human motor cortex by repeated non-invasive brain stimulation [J]. Brain Stimul, 2013, 6(3): 424-432. [11] Trylong VL. The natural approach language-acquisition in the classroom - Krashen,Sd, Terrell,Td [J]. Can Mod Lang Rev, 1986, 42(5): 1028-1029. [12] Durso G, Ferrucci R, Bruzzese D, et al. Transcranial direct current stimulation for autistic disorder [J]. Biol Psychiatry, 2014, 76(5): 5-6. [13] Durso G, Bruzzese D, Ferrucci R, et al. Transcranial direct current stimulation for hyperactivity and noncompliance in autistic disorder [J]. World J Biol Psychiatry, 2015, 16(5): 361-366. [14] Kang J N, Cai E J, Han J X, et al. Transcranial direct current stimulation (tDCS) can modulate EEG complexity of children with autism spectrum disorder [J]. Frontiers in Neuroscience, 2018, 12:1-10 [15] Xi M, Zhu G. Multi-scale permutation entropy and its applications in the identification of seizures [J]. Journal of Biomedical Engineering, 2015, 32(4): 751-756. [16] Deng B, Liang L, Li S, et al. Complexity extraction of electroencephalograms in Alzheimer's disease with weighted-permutation entropy [J]. Chaos, 2015, 25(4): 43-55. [17] Djemal R, Alsharabi K, Ibrahim S, et al. EEG-based computer aided diagnosis of autism spectrum disorder using wavelet, entropy, and ANN [J]. Biomed Res Int, 2017, 1:1-9. [18] Okazaki R, Takahashi T, Ueno K, et al. Changes in EEG complexity with electroconvulsive therapy in a patient with autism spectrum disorders: a multiscale entropy approach [J]. Frontiers in human neuroscience, 2015, 9:106-110. [19] Wang J, Barstein J, Ethridge L E, et al. Resting state EEG abnormalities in autism spectrum disorders [J]. J Neurodev Disord, 2013, 5(1): 24-36. [20] Eaves RC, Williams TO. The reliability and construct validity of ratings for the autism behavior checklist [J]. Psychol Schools, 2006, 43(2): 129-142. [21] Casanova MF. The neuropathology of autism [J]. Brain Pathol, 2007, 17(4): 422-433. [22] Costa M, Goldberger AL, Peng CK. Multiscale entropy analysis of complex physiologic time series [J]. Phys Rev Lett, 2002, 89(6): 1-9. [23] Xiao R, Qi X, Patino A, et al. Characterization of infant mu rhythm immediately before crawling: a high-resolution EEG study [J]. Neuroimage, 2017, 146:47-57. [24] Han JX, Zeng K, Kang JN, et al. Development of brain network in children with autism from early childhood to late childhood [J]. Neuroscience, 2017, 367:134-146. [25] Gogolla N, Leblanc JJ, Quast KB, et al. Common circuit defect of excitatory-inhibitory balance in mouse models of autism [J]. J Neurodev Disord, 2009, 1(2): 172-181.