Functional near-infrared spectroscopy in conjunction with electroencephalography of cerebellar transcranial direct current stimulation responses in the latent neurovascular coupling space a chronic stroke study

Cerebellar transcranial direct current stimulation (ctDCS) can facilitate motor learning; however, ctDCS effects have not been investigated using portable neuroimaging vis-a-vis lobular electric field strength. This is important since the subject-specific residual architecture for cerebellar interconnections with the cerebral cortex, including the prefrontal cortex (PFC) and the sensorimotor cortex (SMC), can influence the ctDCS effects on the cerebral functional activation. In this study, we investigated functional near-infrared spectroscopy (fNIRS) in conjunction with electroencephalography (EEG) to measure the changes in the brain activation at the PFC and the SMC following virtual reality (VR)-based Balance Training (VBaT), before and after ctDCS treatment in 12 hemiparetic chronic stroke survivors. Furthermore, we performed general linear modeling (GLM) that can putatively associate the lobular electric field strength due to ctDCS priming with the changes in the fNIRS-EEG measures in the chronic stroke survivors. Here, fNIRS-EEG based measures were investigated in their latent space found using canonical correlation analysis (CCA) that is postulated to capture neurovascular coupling. We found that the ctDCS electrode montage, as well as the state (pre-intervention, during intervention, post-intervention), had a significant (p<0.05) effect on the changes in the canonical scores of oxy-hemoglobin (O2Hb) signal measured with fNIRS. Also, skill acquisition during first exposure to VBaT decreased the activation (canonical score of O2Hb) of PFC of the non-lesioned hemisphere in the novices at their first exposure before the ctDCS intervention. Moreover, ctDCS intervention targeting the leg representation in the cerebellum led to a decrease in the canonical scores of O2Hb at the lesioned SMC, which is postulated to be related to the cerebellar brain inhibition. Furthermore, ctDCS electrode montage, as well as the state, had a significant (p<0.05) interaction effect on the canonical scores of log10-transformed EEG bandpower. Our current study showed the feasibility of fNIRS-EEG imaging of the ctDCS responses in the latent neurovascular coupling space that can not only be used for monitoring the dynamical changes in the brain activation associated with ctDCS-facilitated VBaT, but may also be useful in subject-specific current steering for tDCS to target the cerebral fNIRS-EEG sources to reduce inter-individual variability.