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Brain Hackers Beware: Scientist Says tDCS Has No Effect

New research from Australia calls into question the dramatic claims made for transcranial brain stimulation

4 min read
Brain Hackers Beware: Scientist Says tDCS Has No Effect
Illustration: Randi Klett; Man: Getty Images

opening illustration for brain hackers storyIllustration: Randi Klett; Man: Getty Images

The largest meta-analysis yet of the ability of one kind of electrical brain stimulation technology to alter how people think and feel has found no evidence that it has any effect on healthy adults.

Jared Horvath, a neuroscientist at the University of Melbourne, in Australia, looked at every study of transcranial direct current stimulation (tDCS) that reported an impact on cognitive and behavioral activities such as problem solving, learning, mental arithmetic, vision tasks, and memory games. He then excluded results that had not been replicated by other researchers, as well as any experiments lacking a “sham condition” control group—where participants were connected to the device but didn’t receive current. While many of the more than 200 individual studies that remained claimed to have found significant effects, those effects disappeared after Horvath’s number crunching. “When I pulled out the 20 studies looking at tDCS and working memory, for example, they all found something, but they all found something different,” says Horvath.

One study may have found an effect on accuracy, another on reaction time, and a third on response confidence. “But when I brought them together, they just canceled each other out, and I was left with nothing,” he says. It was a similar story for more than 100 other cognitive and behavioral outcomes. “It looks like the evidence says tDCS is not doing anything.”

“Individual differences can mask effects and even lead to opposite results”

This news may come as a shock to the thousands of DIY brain hackers who have been building and using tDCS devices in the hope of boosting their brainpower at the push of a button. Many of those biohackers constructed their own brain zappers from 9-volt batteries and simple circuits for as little as US $10. The impact of Horvath’s paper could be even more serious for companies hoping to sell designer tDCS machines, for much higher sums, to a mainstream audience as “cognitive enhancement devices.”

Felipe Fregni, director of the Laboratory of Neuromodulation at Harvard Medical School, shares some of Horvath’s caution but is adamant that the technology has been proved. “tDCS is not a magic…bullet, and the effects are very small,” he says. “But we’ve seen over and over in different studies that it helps you to learn new skills. It helps you to activate neural networks that were deactivated or never used before.”

“There’s probably someone out there that this really works for,” admits Horvath. “But if it only works for one person, one time, is that really an effect, or is it a placebo or some statistical anomaly you can’t repeat? And for all those outcomes that have been repeated, there are almost twice as many that haven’t been replicated. A huge body of the literature are one-offs.”

Horvath’s latest results, which were presented at the Australasian Society for Cognitive Science conference in December, follow hot on the heels of another meta-analysis he conducted. That one found that tDCS did not have any significant physiological effects on the brain.

“We want tDCS to work so bad that we’re forgetting the foundational stuff that we should be focusing on”

The new findings do not surprise Jamie Tyler, a neuroscientist at Arizona State University and chief science officer of Thync, a start-up that raised $13 million to launch a smartphone-controlled tDCS device at the Consumer Electronics Show last week. “This meta-analysis is not shocking to me at all,” he says. “We tried to replicate some basic tDCS findings and did not find an effect on any of those cognitive parameters either.”

Tyler claims to have then gone back to the drawing board, using a new (and unpublished) approach to tDCS that generates reliable psychological responses. Thync’s device will be marketed as producing either energetic or stress-busting neurosignaling electrical waveforms that Tyler calls “vibes.” But even with his modified tDCS technology, Tyler says that his company has found no effects on cognition.

Not every neuroscientist is as quick to dismiss decades of tDCS research. “Individual differences can mask effects and even lead to opposite results,” says Roi Cohen Kadosh of the University of Oxford, in England. He recently published research showing that identical tDCS stimulation in people who were either nervous or confident about their mathematical abilities produced opposite behavioral and physiological effects. The anxious mathematicians improved their skills, while the skills of the confident ones deteriorated. Over a large enough population, he says, any such positive and negative effects would average out to nothing. “It is highly likely that the research groups are sampling their participants from a similar environment [usually undergraduate students] and therefore reducing the impact of individual differences,” says Kadosh.

In the past, meta-analyses of tDCS for medical problems such as depression and chronic pain have suggested that it may have beneficial effects in a clinical setting. Horvath admits that much more research needs to be done. “We want tDCS to work so bad that we’re forgetting the foundational stuff that we should be focusing on, systematic research just changing one variable at a time,” he says. “That’s going to kick our butt, because if you don’t have a solid foundation, sooner or later the whole thing crumbles.”

About the Author

Contributing editor Mark Harris has been delving into the history of Google’s self-driving car project for IEEE Spectrum and other publications. Before that he investigated the reason that Kodak’s patent portfolio fetched such a pittance.

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Restoring Hearing With Beams of Light

Gene therapy and optoelectronics could radically upgrade hearing for millions of people

13 min read
A computer graphic shows a gray structure that’s curled like a snail’s shell. A big purple line runs through it. Many clusters of smaller red lines are scattered throughout the curled structure.

Human hearing depends on the cochlea, a snail-shaped structure in the inner ear. A new kind of cochlear implant for people with disabling hearing loss would use beams of light to stimulate the cochlear nerve.

Lakshay Khurana and Daniel Keppeler

There’s a popular misconception that cochlear implants restore natural hearing. In fact, these marvels of engineering give people a new kind of “electric hearing” that they must learn how to use.

Natural hearing results from vibrations hitting tiny structures called hair cells within the cochlea in the inner ear. A cochlear implant bypasses the damaged or dysfunctional parts of the ear and uses electrodes to directly stimulate the cochlear nerve, which sends signals to the brain. When my hearing-impaired patients have their cochlear implants turned on for the first time, they often report that voices sound flat and robotic and that background noises blur together and drown out voices. Although users can have many sessions with technicians to “tune” and adjust their implants’ settings to make sounds more pleasant and helpful, there’s a limit to what can be achieved with today’s technology.

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