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. Author manuscript; available in PMC: 2021 May 1.
Published in final edited form as: Brain Stimul. 2020 Feb 23;13(3):717–750. doi: 10.1016/j.brs.2020.02.019

Table 3.

Selected studies that electrically stimulate cranial nerves to modulate cognition and behavior. Outcome column lists if results are positive (+), negative, (−), or inconclusive (+/−) relative to intended rationale. Target nerve and rationale as stated in the original publication.

CN Citation Device/Electrode model Method Duration Dose Rationale Outcome
II Sabel et al. (2011) Noninvasive stimulation device (EBS Technologies, Kleinmachnow, Germany rTACS

(non-invasive)
(10) sessions
40 min/session
Varied burst pattern, <1000 μA; 4 sintered Ag/AgCl ring electrodes placed “near the eyeball” return: right wrist Determine transorbital stimulation effect on perception and cortical function (+)
II Gall et al. (2011) Noninvasive stimulation device (EBS Technologies, Kleinmachnow, Germany

Electrode: Not Specified
rTACS

(non-invasive)
(10) sessions 20-40 min/session 5 - 30 Hz varied burst pattern., <500 μA; 4 periorbital gold electrodes, bilaterally superior and inferior to the eye, return: occipital pole Improvement of visual functioning and mood in visual impaired (+)
V Basso et al. (2016) Device/Electrode: TEN device (Thync, Inc., Los Gatos, CA) TNS (non-invasive) 1 week
20 min/day
biphasic pulse-modulated High: 3-11 kHz, 5-7 mA
Low: 0.5-0.75 kHz, <5 mA; Active: right temple (10/10 site F8) Return: base of the neck
Suppressing psychophysiological and biochemical stress responses in humans (+)
V Piquet et al. (2011) Device/Electrode: Cefaly (STX-Med., Herstal, Belgium) TNS

(non-invasive)
(1) session
20 min
120 Hz pulsed, 250 μs pulse width, < 14 mA; 30 mm x 94 mm bipolar electrode, placed bilaterally over the ophthalmic branch Modulate vigilance1 (+/−)
V/VII/IX Wildenberg et al. (2011) Device/Electrode:

Tongue Display Unit

Kaczmarek (2011)
CN-NINM

(non-invasive)
(9) sessions
20 min/session
200 Hz pulsed, 50 μs pulse width, 50 Hz burst, 3 pulses per burst, < 17 V; 12 × 12 electrode array placed on the super anterior tongue, Gold plated, 1.55 mm diameter. Map cortical networks engaged during CN-NINM modulation of optic flow balance disorder patients (+)
VIII Wilkinson et al. (2008) National Instruments LabVIEW 6.0 and a dual output Microstar D/A board.
Electrode: ComfortEase, Empi Inc.
GVS (non-invasive) (1) session 1000 Hz Gaussian noise, σ=0.25, μ = 0.8mA; Bipolar electrode placed bilaterally over mastoids, electrode 3 cm2 carbon-rubber Improve visual memory with low levels of GVS (+)
VIII Dilda et al. (2012) Self-designed optically isolated constant current generator
Electrode: 7180, 3 M Health Care, St. Paul, MN
GVS (non-invasive) (1) session
641 s [CI 9.3]
0.16-0.61 Hz noisy, ≤5mA; bilaterally over mastoids, cut electrosurgical split grounding plate electrodes coated in EMG electrode gel Modulate cognitive function2 (+/−)
X Jacobs et al. (2015) TENSTem dental (Schwa-medico BV, Woudenberg, The Netherlands)


Electrode: Not Specified
taVNS (non-invasive) (1) session

17 min
8 Hz pulsed, 200 μs pulse width, 5.0 mA; Active: left external acoustic meatus inner side of the tragus, circular clip, 10 mm diameter. Return: right arm, rectangular solid gel, 35 x 22 mm Enhance associative memory in older individuals (+)
X Clark et al. (1999) Device/Electrode: Implantable neurocybernetic prosthesis (Cyberonics, Inc.) VNS (invasive) (4) sessions
1.5 min/session
30 Hz biphasic pulsed, 500 μs pulse width, 30s on, 0.50-1.50 mA; Wrapped around cervical branch of vagus nerve, bipolar platinum helical coil, 2-3 mm diameter. Enhance verbal word recognition (+)

rTACS: repetitive transorbital alternating current stimulation; TNS: trigeminal nerve stimulation; CN-NINM: cranial nerve noninvasive neuromodulation; GVS: galvanic vestibular stimulation; tVNS: rTACS: repetitive transorbital alternating current stimulation; TNS: trigeminal nerve stimulation; CN-NINM: cranial nerve noninvasive neuromodulation; GVS: galvanic vestibular stimulation; taVNS: transcutaneous auricular vagus nerve stimulation; VNS: vagus nerve stimulation.

1

Psychomotor vigilance task. Critical flicker fusion frequency, D2 test

2

Perspective taking tasks were impaired (perspective taking, match to sample), object-based transformations were not impaired (Stroop, mental rotation, reaction time, dual tasking)