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For years, researchers had been debating whether the brain keeps a hidden reserve of energy.
For years, researchers had been debating whether the brain keeps a hidden reserve of energy. (Photo: Michael Darter/Red Bull Content)
Sweat Science

Zapping Your Brain Can Alter Your Physical Limits

After several years of conflicting results, new evidence shows that endurance is at least partly in your head

Published: 
For years, researchers had been debating whether the brain keeps a hidden reserve of energy.
(Photo: Michael Darter/Red Bull Content)

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Back in 2013, a small that felt like a very big deal. For years聽researchers had been debating whether the brain, for its own protection, keeps a hidden reserve of energy even when you鈥檙e pushed to what feels like your ultimate physical limits. Brazilian researchers used a then obscure technique called transcranial direct current stimulation, or tDCS, to apply electricity to the brains of ten聽national-class cyclists before a series of incremental rides to exhaustion鈥攁nd the brain stimulation enabled them to increase their peak power by 4 percent.

Scientific implications aside, it was clear that athletes would be interested in this. In 2014, Red Bull started experimenting with tDCS on its cyclists and triathletes; two years later, players on the Golden State Warriors were trying from a Silicon Valley startup called Halo Neuroscience. The hype around tDCS鈥攏ot just for sports聽but for everything from accelerated learning to stroke rehab to sniping skills鈥攚as building into a massive, all-consuming wave.

Meanwhile, the actual evidence was seemingly getting weaker. Earlier this year, University of Kent sports science researcher Alexis Mauger and his colleagues published of studies on tDCS and exercise performance. Of the 12 studies on endurance that they found, eight showed positive results. The success rate in studies of actual exercise like cycling (as opposed to contrived tests, like isometric elbow-flexor endurance) was even lower. More generally, tDCS hype has been facing a significant backlash, with one researcher the field as 鈥渁 sea of bullshit and bad science.鈥

So, with all that in mind, I鈥檓 not sure whether it鈥檚 good or bad news that a new study from Mauger and his colleagues, published聽, may bring some much needed clarity to the field鈥攁nd bolster the case that brain stimulation is a legitimately powerful endurance booster. The gist of the study is straightforward: 12 volunteers received real or faux聽brain stimulation (with the electrodes on your head, it鈥檚 impossible to tell whether the current is on or off), then did cycling tests to exhaustion that lasted about ten聽minutes. With brain stimulation, participants聽lasted 23.5 percent longer on the bike鈥12.61 minutes instead of 10.21.

There are a couple of key methodological advances that support the idea that this isn鈥檛 just another lucky coin toss. The first is in the placement of the electrodes. The tDCS technique involves attaching wires to a current source (like a nine-volt battery) and connecting them to your head. As current passes through your brain, it changes the excitability of the neurons (which are basically connected to each other like a network of miniature electrical circuits), making certain neurons more or less likely to fire depending on the direction of the current and the placement of the electrodes.

That means tDCS makes neurons more excitable under one electrode and less excitable under the other electrode. So it鈥檚 possible that whatever positive effects you might get from increased excitability might be wiped out by negative effects from the other electrode. The solution: put the second electrode on the shoulder instead of the scalp, so that the current runs through the brain in one direction only. That鈥檚 the approach Mauger took in last year.

The second change is to recognize that it takes two legs to cycle. While this may seem obvious, it聽also means that there are two areas of the brain responsible for sending signals to the legs鈥攕o one pair of electrodes isn鈥檛 enough. In the new study, the subjects had two pairs of electrodes, with the negative electrodes over the right and left sides of the motor cortex and the positive electrodes on the respective shoulders.

(As a side note, they also tried it with the electrodes reversed, so the positive electrodes were on the scalp, and it didn鈥檛 help performance. Contrary to expectations, it聽didn鈥檛 hurt performance either, for reasons that aren鈥檛 clear.)

From a scientific perspective, there are some interesting implications here. The paper explains these results in the context of the 鈥減sychobiological theory鈥 proposed by one of Mauger鈥檚 coauthors, Samuele Marcora, which argues that the determining factor in endurance performance is your sense of perceived effort. When exercise feels too hard, you slow down or stop, which means that anything that alters your sense of effort鈥攍ike electrons to the brain鈥攃an alter your physical endurance.

Sure enough, in this study, the rating of perceived exertion (RPE) reported by the subjects was lower right from the start of the cycling test, before they were even tired. Check out the graph here, with black dots showing the control, grey dots showing the tDCS, and white dots showing the reversed tDCS. (The RPE scale runs from 6 to 20, a somewhat odd choice that was originally chosen in the 1960s to be roughly proportional to heart rate divided by ten.)

(Courtesy Brain Stimulation)

If you check out the full set of graphs (figure 2 in the paper, which is online), you鈥檒l see that ratings of pain, as well as heart rate, are totally identical throughout the rides, for all three conditions. Physiologically,聽everything is the same鈥攊t just feels easier after tDCS, so study participants聽can continue longer before hitting maximum effort.

That鈥檚 a pretty compelling picture. But what is 鈥渟ense of effort,鈥 anyway? In the science community, it鈥檚聽another bone of contention. Intuitively聽we tend to think of effort as a reflection of all the disturbances in the body: the more your heart pounds, the more dehydrated you get, the more lactate builds up in your muscles, and the hotter you get鈥攁ll these factors are sensed by the brain聽and translated into the feeling that your ride is getting harder.

Marcora argues instead that effort isn鈥檛 a consequence of incoming signals from the body. Rather it鈥檚 a reflection of outgoing signals from the brain. As your muscles get tired, your brain has to send stronger and stronger signals to elicit the same power from them. Essentially, one part of your brain detects the electrical activity in other parts of the brain generating the signals to your muscles, and this dictates your sense of effort.

In Marcora鈥檚 view, then, here鈥檚 what鈥檚 happening in the tDCS study:

  1. Electric current is applied to the motor cortex, which is the part of the brain that sends signals to the muscles telling them to contract.
  2. This electric current changes the excitability of the neurons, basically making them a little easier to trigger.
  3. To cycle at a given power output, the signal from the motor cortex to the muscles must be the same with or without tDCS. But with tDCS, the input to the motor cortex from other parts of the brain can be smaller聽and still produce the same output, since the neurons are easier to trigger.
  4. Your sense of effort is proportional to the strength of the signals going into the motor cortex. Since these input signals are smaller with tDCS, cycling at a given power feels easier.
  5. Since your decision to quit in a time-to-exhaustion test is determined by the feeling that your effort is maxed out, the lower sense of effort produced by tDCS allows you to cycle for longer.

It鈥檚 worth noting that the experiment included tests of neuromuscular function, including one test that involved directly triggering the motor cortex with a magnetic stimulator to produce a twitch in the quadriceps. Sure enough, 鈥渃orticospinal excitability鈥 was increased by tDCS, meaning that the same input signal to the motor cortex produced a bigger output in the muscle鈥攅xactly as the theory predicts.

Interestingly, Mauger remains skeptical about the 鈥減sychobiological鈥 explanation of tDCS鈥檚 effectiveness, even though he鈥檚 the corresponding author of the paper. It鈥檚 clear that brain stimulation altered perception of effort, he acknowledges. But whether that鈥檚 the underlying cause of tDCS鈥檚 performance boost, or just a byproduct of some deeper mechanism, will require further studies to sort out.

For now, there鈥檚 one thing that Marcora and Mauger definitely agree on, which is that the performance-boosting effects of brain stimulation are real enough that the sports world needs to grapple with the topic. Marcora notes that, for practical purposes, the effects of ten聽minutes of tDCS last for about an hour, so it鈥檚 main relevance would be in events lasting an hour or less.

For Mauger, the results are as worrying as they are scientifically interesting. 鈥淢y concern with the study is we have shown that brain stimulation can improve performance in a meaningful way,鈥 he told me. 鈥淚 think this has implications for the ethical use of such methods in sport, and I still have concerns about the safety of these devices, particularly when used regularly for a long period. I would like to see anti-doping and sporting bodies take some initiative on this, and consider whether they think tDCS is something that should be regulated in their sport.鈥

I agree with Mauger on this. Endurance athletes like Tour de France cyclist-turned-triathlete聽 and Ironman triathlete are among the athletes already experimenting with brain stimulation. The methodological adjustments described by Mauger in the new study make me suspect that what they鈥檝e been doing so far is probably useless鈥攁fter all, no commercial products that I鈥檓 aware of use shoulder-mounted electrodes. But it won鈥檛 be long before athletes start getting it right. So if you thought shoes with carbon-fiber plates in them violated the spirit of the sport, just wait until you see high school athletes wiring up their brains before meets.


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Lead Photo: Michael Darter/Red Bull Content

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