The Modulatory Effect of tDCS Onset Timing in Alleviating Vigilance Decrement

TL;DR

This study shows that applying tDCS later during a task, based on brainwave patterns, better reduces attention decline than applying it early.

Contribution

The study introduces a novel timing strategy for tDCS based on low alpha band power to optimize vigilance improvement.

Findings

Late tDCS application (8–16 min) reduced vigilance decrement more effectively than early application (0–8 min).

Alpha-1 power was validated as a reliable EEG-based index for determining optimal tDCS timing.

Both early and late tDCS groups showed significant vigilance changes immediately after stimulation.

Abstract

Vigilance refers to a sustained attentional state enabling the detection of specific but unpredictable changes in the external environment. This state typically declines rapidly over time. A deterioration in vigilance can lead to serious errors or accidents in both occupational and special scenarios, rendering vigilance intervention a critical area of interest for researchers. Transcranial direct current stimulation (tDCS) has shown promise in mitigating vigilance decrement. However, the timing of such interventions may yield differential effects, a question that remains unresolved in the literature. The present study examines the possibility of using the average power in the low alpha frequency band (alpha-1) as an Electroencephalography-based index of vigilance to identify a candidate entry point for tDCS application that may enhance efficacy, and further explores how the timing of tDCS influences vigilance outcomes. In the pilot experiment, we determined the timing for guiding tDCS based on the average power of the low alpha frequency band (alpha-1) from five participants, which was identified as the third stage of the experiment. The validity of this timing has been verified in subsequent independent samples with a larger size. In the formal experiment, ninety-nine participants were randomly assigned to three groups, receiving early intervention, late intervention, or a no-stimulus control, and completed a 20 min visual modification of the Bakan Task. The early-stimulated group (n = 33) received anodal stimulation (2 mA) on the right posterior parietal cortex during the first 8 min of the test (0–8 min), the late-stimulated group (n = 33) received stimulation on the same location during the middle 8 min of the test (8–16 min), while the blank control group (n = 33) received no stimulation. Results indicated that the late-stimulated group (8–16 min of stimulation), for which alpha-1 power guided the tDCS onset timing, was associated with a greater attenuation of vigilance decrement compared to the early-stimulated group (0–8 min of stimulation). Both groups demonstrated significant differences in vigilance during the first stage following stimulation.

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