This article details the procedure for administering transcranial direct current stimulation (tDCS) to enhance cognitive function. It emphasizes the importance of proper electrode placement and current tolerability for effective stimulation.
Begin with a participant who has watched a transcranial direct current stimulation or tDCS training video.
Following the training, the participant attaches saline-soaked sponges to the tDCS headstrap electrodes.
He then places the headstrap, aligning the nasion marker with the bridge of his nose for accurate electrode placement.
Next, he secures the headstrap's back over the inion, the lower rear of the head, to maintain electrode stability.
Once the participant is ready, check the stimulation device connected to the headstrap to ensure good electrode contact.
Apply low-intensity tDCS and assess tolerability.
If discomfort arises, adjust the current intensity to a tolerable and effective level.
Begin the stimulation.
The electric field reaches the dorsolateral prefrontal cortex, depolarizing neuronal membranes, activating specific receptors, and increasing calcium influx.
This facilitates additional excitatory receptor recruitment into the postsynaptic membrane, strengthening synaptic connections and improving cognition, highlighting the neurotherapeutic potential of tDCS.
Begin by showing the participant an instructive tDCS training video that details the entire step-by-step process of administering the stimulation.
Next, prepare the head strap by having the participant attach the sponges, which are pre-moistened with 5 milliliters of saline solution, to the cable electrodes on the head strap. Ask the participant to place the head strap on their head, taking care to align the nasion marker on the front of the head strap with the bridge of their nose. Then, ask the participant to pull the head strap towards the posterior end of his or her head so that the back of the head strap rests over the inion and confirm that the participant has achieved optimal or good contact quality.
Finally, complete a tolerability test lasting 90 seconds to determine whether the participant is able to comfortably tolerate the target amount of direct current.
If a participant is unable to handle the target current, then reduce the amperage by 0.5 milliamperes successively until the participant is able to tolerate the stimulation.