The effects of noninvasive brain stimulation on heart rate and heart rate variability: A systematic review and meta‐analysis

Journal article

Schmaußer, M., Hoffmann, S., Raab, M. and Laborde, S. (2022). The effects of noninvasive brain stimulation on heart rate and heart rate variability: A systematic review and meta‐analysis. Journal of Neuroscience Research. https://doi.org/10.1002/jnr.25062
AuthorsSchmaußer, M., Hoffmann, S., Raab, M. and Laborde, S.
Abstract

Noninvasive brain stimulation (NIBS) techniques such as transcranial magnetic stimu-lation and transcranial direct current stimulation are widely used to test the involve-ment of specific cortical regions in various domains such as cognition and emotion. Despite the capability of stimulation techniques to test causal directions, this ap-proach has been only sparsely used to examine the cortical regulation of autonomic nervous system (ANS) functions such as heart rate (HR) and heart rate variability (HRV) and to test current models in this regard. In this preregistered (PROSPERO) sys-tematic review and meta-analysis, we aimed to investigate, based on meta- regression, whether NIBS represents an effective method for modulating HR and HRV meas-ures, and to evaluate whether the ANS is modulated by cortical mechanisms affected by NIBS. Here we have adhered to the PRISMA guidelines. In a series of four meta- analyses, a total of 131 effect sizes from 35 sham-controlled trials were analyzed using robust variance estimation random-effects meta- regression technique. NIBS was found to effectively modulate HR and HRV with small to medium effect sizes. Moderator analyses yielded significant differences in effects between stimulation of distinct cortical areas. Our results show that NIBS is a promising tool to investigate the cortical regulation of ANS, which may add to the existing brain imaging and animal study literature. Future research is needed to identify further factors modulating the size of effects. As many of the studies reviewed were found to be at high risk of bias, we recommend that methods to reduce potential risk of bias be used in the design and conduct of future studies.

KeywordsCellular and Molecular Neuroscience
Year2022
JournalJournal of Neuroscience Research
PublisherWiley
ISSN0360-4012
1097-4547
Digital Object Identifier (DOI)https://doi.org/10.1002/jnr.25062
Publication dates
Online17 May 2022
Publication process dates
Accepted30 Apr 2022
Deposited27 May 2022
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Open
Licensehttp://creativecommons.org/licenses/by/4.0/
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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