Transcutaneous Vagus Nerve Stimulation May Enhance Only Specific Aspects of the Core Executive Functions. A Randomized Crossover Trial

Journal article

Raab, M, Borges, U, Knops, L, Laborde, S and Klatt, S (2020). Transcutaneous Vagus Nerve Stimulation May Enhance Only Specific Aspects of the Core Executive Functions. A Randomized Crossover Trial. Frontiers in Human Neuroscience. 14. https://doi.org/10.3389/fnins.2020.00523
AuthorsRaab, M, Borges, U, Knops, L, Laborde, S and Klatt, S
Abstract

Background: Individuals are able to perform goal-directed behaviors thanks to executive functions. According to the neurovisceral integration model, executive functions are upregulated by brain areas such as the prefrontal and cingulate cortices, which are also crucially involved in controlling cardiac vagal activity. An array of neuroimaging studies already showed that these same brain areas are activated by transcutaneous vagus nerve stimulation (tVNS). Despite evidence towards effects of tVNS on specific
executive functions such as inhibitory control, there have been no studies investigating what type of inhibition is improved by tVNS by systematically addressing them within the same experiment. Furthermore, the effect of tVNS on another core executive function, cognitive flexibility, has not yet been investigated.

Objective: We investigated the effects of tVNS on core executive functions such as inhibitory control and cognitive flexibility.

Methods: Thirty-two participants (nine women, Mage = 23.17) took part in this study. Vagally-mediated heart rate variability parameters (root mean square of successive differences, RMSSD, and high frequency, HF) were measured while participants performed four different cognitive tasks that mainly rely on different aspects of both the aforementioned executive functions.

Results: Despite clear conflict effects in the four tasks, only performance on the task used to measure set-shifting paradigm was improved by tVNS, with switch costs being lower during tVNS than during sham stimulation. Furthermore, HF increased during each of the cognitive flexibility tasks, although HF during tVNS did not differ from HF during sham stimulation.

Conclusion: The results indicate for the first time a) that tVNS can increase cognitive flexibility in a set-shifting paradigm, and b) that tVNS may exert a stronger effect on cognitive flexibility than inhibition. The present study provides only partial evidence for the neurovisceral integration model. Future studies should address further paradigms that demand cognitive flexibility, thus investigating this new hypothesis on the specificity of the tVNS effects on cognitive flexibility.

Keywords tVNS; Vagus nerve stimulation; HRV, ; Heart rate variability; Cardiac vagal 31 activity,; Task switching; Neurovisceral integration model
Year2020
JournalFrontiers in Human Neuroscience
Journal citation14
PublisherFrontiers Media
ISSN1662-5161
Digital Object Identifier (DOI)https://doi.org/10.3389/fnins.2020.00523
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Print25 May 2020
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Accepted27 Apr 2020
Deposited29 Apr 2020
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Why prediction matters in multitasking and how predictability can improve it
Broeker, L, Kiesel, A, Aufschnaiter, S, Ewolds, H, Gaschler, R, Haider, H, Künzell, S, Raab, M, Röttger, E, Thomaschke, R and Zhao, F (2017). Why prediction matters in multitasking and how predictability can improve it. Frontiers in Psychology. 8, p. 2021. https://doi.org/10.3389/fpsyg.2017.02021
Walking back to the future: The impact of walking backward and forward on spatial 2 and temporal concepts
Raab, M, Loeffler, J and Cañal-Bruland, R (2017). Walking back to the future: The impact of walking backward and forward on spatial 2 and temporal concepts. Experimental Psychology. 64, pp. 346-358. https://doi.org/10.1027/1618-3169/a000377
Implicit and explicit knowledge both improve dual task performance in a continuous pursuit tracking task
Ewolds, H, Broeker, L, de Oliveira, RF, Raab, M and Künzell, S (2017). Implicit and explicit knowledge both improve dual task performance in a continuous pursuit tracking task. Frontiers in Psychology. 8, pp. 1-11. https://doi.org/10.3389/fpsyg.2017.02241
From confidence crises and action norms to self-reflection and individual actions
Raab, M, Hoffmann, S, Laborde, S and Lobinger, B (2017). From confidence crises and action norms to self-reflection and individual actions. Zeitschrift fur Sportpsychologie. 24 (3), pp. 111-119. https://doi.org/10.1026/1612-5010/a000199
Individual differences in athletes' perception of expressive body movements
Sevdalis, V and Raab, M (2016). Individual differences in athletes' perception of expressive body movements. Psychology of Sport and Exercise. 24, pp. 111 - 117. https://doi.org/10.1016/j.psychsport.2016.02.001
A Lifespan Perspective on Embodied Cognition
Raab, M, Loeffler, J and Cañal-Bruland, R (2016). A Lifespan Perspective on Embodied Cognition. Frontiers in Psychology. 1 (June), pp. 1 - 6. https://doi.org/10.3389/fpsyg.2016.00845
How Effective Is a Video Review System in Soccer?
Pizzera, A, Marrable, J and Raab, M (2016). How Effective Is a Video Review System in Soccer? 6th International Teaching Games for Understanding Conference (TGfU). Cologne, Germany 25 - 27 Jul 2016 Taylor & Francis. https://doi.org/10.1080/02701367.2016.1213610
Attentional distraction by negative sports words in athletes under low- and high-pressure conditions: Evidence from the sport emotional stroop task
Lautenbach, F, Putman, P, Angelidis, A, Laborde, S and Raab, M (2016). Attentional distraction by negative sports words in athletes under low- and high-pressure conditions: Evidence from the sport emotional stroop task. Sport, Exercise, and Performance Psychology. 5 (4), pp. 296 - 307. https://doi.org/10.1037/spy0000073
Auditory reafferences: The influence of real-time feedback on movement control
Kennel, C, Streese, L, Pizzera, A, Justen, C, Hohmann, T and Raab, M (2015). Auditory reafferences: The influence of real-time feedback on movement control. Frontiers in Psychology. 6 (JAN), pp. 69-. https://doi.org/10.3389/fpsyg.2015.00069
How should "hot" players in basketball be defended? The use of fast-and-frugal heuristics by basketball coaches and players in response to streakiness.
Csapo, P, Avugos, S, Raab, M and Bar-Eli, M (2015). How should "hot" players in basketball be defended? The use of fast-and-frugal heuristics by basketball coaches and players in response to streakiness. Journal of Sports Sciences. 33 (15), pp. 1580-1588. https://doi.org/10.1080/02640414.2014.999251
The power of simplicity: a fast-and-frugal heuristics approach to performance science.
Raab, M and Gigerenzer, G (2015). The power of simplicity: a fast-and-frugal heuristics approach to performance science. Frontiers in Psychology. 6, pp. 1672-1678. https://doi.org/10.3389/fpsyg.2015.01672
"Hand down, man down." Analysis of defensive adjustments in response to the hot hand in basketball using novel defense metrics
Csapo, P and Raab, M (2014). "Hand down, man down." Analysis of defensive adjustments in response to the hot hand in basketball using novel defense metrics. PLoS ONE. 9 (12), pp. e114184-e114184. https://doi.org/10.1371/journal.pone.0114184
An adaptive toolbox approach to the route to expertise in sport.
de Oliveira, RF, Lobinger, B and Raab, M (2014). An adaptive toolbox approach to the route to expertise in sport. Frontiers in Psychology. 5, p. 709. https://doi.org/10.3389/fpsyg.2014.00709
Reinvestment - The cause of the yips?
Klämpfl, MK, Lobinger, BH and Raab, M (2013). Reinvestment - The cause of the yips? PLoS ONE. 8 (12), pp. e82470-e82470. https://doi.org/10.1371/journal.pone.0082470