Is Brain Stimulation the Next Big Thing?
Over the past decade, athletes, coaches, and researchers have been seduced by the performance-boosting promises of brain stimulation. On a ride-and-zap-your-brain-like-the-pros tour through the Alps, Alex Hutchinson wonders whether it really works鈥攁nd whether we want it to.
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For the first 20 miles聽of the ride up the Col du Galibier鈥攖he storied Alpine climb that debuted in the Tour de France back in 1911, when all but three riders were forced to dismount and walk their chunky pre-carbon-fiber velocipedes to the 8,000-foot summit鈥擨 was actually enjoying myself, more or less. The other cyclists on my weeklong tour had decided to bag it and hop in the support van halfway up the climb, as the temperature began to plummet and a cold rain swept down from the surrounding peaks. So had Massimo, our cheerfully inscrutable, Dante-quoting bike guide, who preferred the warmer climes of his native Sardinia. I was alone with the mountain, savoring the subtle gradations of my rising distress.
With a couple miles to go, though, the novelty started to wear off. The rain turned to sleet, and as I switchbacked through canyon-like passageways formed by monstrous ten-foot snowbanks, my hands, in their sodden gloves, became too numb to operate my gears鈥攎ore of a theoretical problem than an actual one, since I was too spent to get out of my lowest gear anyway. As I neared the summit, the grade seemed to keep getting steeper, the headwind stronger, and my insistence on finishing the climb under my own power more foolish.
Instead of the ghosts of Coppi and Merckx and other bygone stars who鈥檇 triumphed here, I found myself chasing the flowing locks of Fabian Cancellara, the flamboyant Swiss rider who was famously (some would say outrageously) accused of hiding a tiny electric motor in his bike in 2010. As a novice cyclist embarking on an ambitious itinerary called ,聽I had seriously considered requesting one of the e-bikes offered by my tour company, just to make sure I wouldn鈥檛 hold my more experienced trip mates back. Now I contemplated Fabian鈥檚 choice: If I had a Go聽button on my bike, would I press it?

As I turned yet another corner, with less than half a mile to go, the easterly headwind became a virtual wall. I had to get out of my saddle and lean into a wobbly, slow-motion sprint just to avoid slowing to a complete halt and toppling over sideways. By the time I turned away from the wind a few hundred yards later, my heart rate and breathing were fully maxed out and my legs were jelly. I knew I couldn鈥檛 face the gale again. Then I saw that, instead of another hairpin, the road ahead snaked up the rest of the way to the summit without turning back into the wind. I pedaled onward, with a mix of pride and relief鈥攑ride that I鈥檇 made it, relief that my bike hadn鈥檛, after all, been equipped with a motor that would have tempted me to take an electric shortcut.
A few minutes later, I was thawing in a cozy bistro on the far side of the summit, sipping hot chocolate, with a plush hotel-style bathrobe draped over my shivering shoulders. That鈥檚 when an uncomfortable thought struck me: Why should I disparage the boost provided by an electric motor聽when, that very morning, with precisely the same goal, I鈥檇 sat patiently in a hotel lounge while a neuropsychologist trickled electric current through a web of electrodes gelled to my scalp?
Really聽it was just a matter of time. Back in 2013, when Brazilian scientists that a relatively simple聽protocol of transcranial direct-current stimulation (tDCS) to the brain seemed to enhance endurance, you could already map out the events that would follow: the flood of copycat studies,聽the launch of peddling the technique to early adopters,聽the murky reports of professional athletes and teams like the and the experimenting with it,聽the about fairness and safety,聽and, finally, the press release that showed up in my inbox in January of this year鈥攖he field鈥檚 鈥淗oly shit, they鈥檙e using Crispr聽on human embryos!鈥 moment.
The pitch was from , a spin-off of 鈥檚 official sports-medicine clinic, the (IRR), based in Turin, Italy. It had聽enlisted a bike-touring company called Tourissimo, also based in Turin, to run the logistics for a bespoke trip, giving well-heeled amateurs the opportunity to spend a week riding famous Grand Tour passes while eating gourmet meals and receiving 鈥渁dvanced neurostim protocols used by the world鈥檚 top riders鈥 for a cool $7,000 plus airfare. Before tackling the Colle delle Finestre, in the Piedmontese Alps of northern Italy, you鈥檇 get your prefrontal cortex stimulated to 鈥渆nhance performance, mood, and the propensity to enter flow states.鈥 After the Col d鈥橧zoard, across the border in France鈥檚 Hautes-Alpes聽region, you鈥檇聽hit your聽upper motor cortex 鈥渢o enhance the central nervous system鈥檚 role in natural recovery processes.鈥
It read like an elaborate piece of satire. But it鈥檚 not: the technology is, on at least some level, real, and after six years of speculation and hype, someone was bound to start promoting it to the recreational market. It occurred to me that a tour for weekend warriors run by scientists also working with a top UCI cycling team would offer a unique opportunity to delve into some of the lingering questions about tDCS. Not just the obvious ones鈥攄oes it work? is it safe?鈥攂ut also trickier ones about fairness, technological innovation, and the deeper meaning of sport for those of us whose wins and losses are personal and unremunerated. So聽in early June, I buckled into a red-eye to Turin for a week of hard climbs, fine wines, and credulity-stretching neuroelectrophysiology.
The technology is, on at least some level, real, and after six years of speculation and hype, someone was bound to start promoting it to the recreational market.
The idea that a jolt to your brain might enhance your physical powers isn鈥檛 quite as futuristic as it sounds. A published in Psychological Medicine聽in 2016 traces the technique鈥檚 lineage back to Roman times, when an imperial physician named Scribonius Largus prescribed a live torpedo fish to the scalp to relieve headaches. Similar ideas crop up in cultures around the world, but the modern incarnation of tDCS began in the late 1990s and took off a decade or so later. The basic idea is simple: your brain is like a vast interconnected circuit, with neurons that communicate with each other via electric discharges. Applying a very weak current of a few milliamperes聽tweaks the excitability of the affected neurons, such that they become a little more (or, if you run the current in the opposite direction, less) likely to fire in response to whatever you do in the subsequent hour or two. Exactly what that means depends on which parts of the brain you hook up, but the general upshot is that different brain regions are able to communicate with each other more easily鈥攚hich, if you believe the hype, can have effects ranging from changing your mood to making you a better sniper. All it takes, as a vibrant and somewhat scary online DIY subculture attests, is a nine-volt battery and a couple of electrodes.
Of course, wiring up your brain still carries some pretty weighty cultural associations. When Massimo, the Tourissimo cycling guide, picked me up at the airport, I found that he was as bemused by the whole thing as I was. As we dodged and weaved through Turin鈥檚 Saturday-morning traffic, he outlined the plan: he would take me back to the hotel for lunch and a brief rest, then I鈥檇 get fitted for a bike, then he would take me to the IRR clinic for my first鈥攁s he described it, air quotes and all鈥斺渢reatment.鈥 I鈥檇 be joined by two other cycling journalists from Britain for NeuroFire鈥檚 maiden tour, he said, since no paying customers had actually signed up. Still, 鈥渨e have another testimonial,鈥 he added cheerfully. 鈥淚t鈥檚 .鈥
At the clinic, a sleek complex with ultramodern furniture, rows of sophisticated rehab equipment, and the high-wattage brightness of a toothpaste commercial, we met a half dozen members of the tour鈥檚 medical and support staff. The plan for the week, they explained, had two main parts. For our first three days of cycling, we would receive 20 minutes of brain stimulation immediately before riding, with the electrodes positioned on our scalp in a configuration designed to enhance our performance, perhaps by kicking us into a flow state for the first hour or two of the ride. For the last two days, as the cumulative fatigue of tens of thousands of feet of climbing mounted, we would switch to 20 minutes of stimulation immediately after riding, this time with an electrode configuration chosen to enhance the recuperative powers of the massage we would receive simultaneously as our synapses sizzled.
But first聽we needed some baseline testing to figure out where the electrodes should be placed on each of us. A neuropsychologist from the IRR named Elisabetta Geda ushered me down a corridor, past rows of glossy pamphlets and posters displaying before-and-after tummy pics from exotic treatments聽like 鈥渇ull-body contouring by cryoadypolisis,鈥 to a quiet room where she pulled a neoprene cap studded with electrodes over my scalp. As I visualized cycling up a mountain road, she used electroencephalography (EEG) to monitor the communication between different regions of my brain. 鈥淭he brain signals are like an orchestra,鈥 she explained. 鈥淓very section has a rhythm, and we record these rhythms with EEG. Then we can personalize your electrode montage, because each person may need a different treatment.鈥
Geda and her colleagues at the rehabilitation clinic have been using tDCS for several years on patients with conditions like chronic pain, addiction, fatigue related to multiple sclerosis, and cognitive deficits after traumatic brain injury. They use it in combination with existing treatments, priming the appropriate neurons to fire more readily in order to amplify the benefits of those therapies. So in 2017, when the IRR signed on as the official sports-medicine provider for the new Bahrain Merida cycling team, Geda began to consider the technique鈥檚 athletic potential. She and her collaborators ran a study replicating the 2013 Brazilian results, then floated the idea to Bahrain Merida.
The initial response was lukewarm. 鈥淎t the beginning, we were a little bit afraid,鈥 Luca Pollastri, one of the cycling team鈥檚 medical doctors told me. 鈥淲e took some time to understand what鈥檚 going on, what鈥檚 legitimate, what鈥檚 the World Anti-Doping Agency鈥檚 position, and so on.鈥 Instead of using it to directly enhance performance, Pollastri asked Geda if she could devise a protocol that would help athletes relax and recover after racing, which is a major challenge in Grand Tours, when riders are going to the well day after day for weeks. Geda suggested stimulating the brain during massage, effectively amplifying the massage鈥檚 effects on the central nervous system鈥攁n unorthodox approach that no one else had tried.

Among the first riders to try it was Domenico Pozzovivo, an Italian climbing specialist known in the peloton as the Doctor聽for his cerebral approach鈥攏ot Bahrain Merida鈥檚 star, but someone happy to experiment with new ideas and capable of giving detailed feedback about them. In the 2018 Giro d鈥橧talia, Pozzovivo started using tDCS to boost his recovery a few stages into the race. Night after night, he faithfully donned the electrodes for a massage, and after 17 stages, he found himself in third position in the general classification: on track, at age 35, for his first-ever Grand Tour podium. But the complicated logistics of a grueling mountaintop finish in the resort town of Prato Nevoso meant that he missed his session after the 18th stage, and, for the first time in the race, he slept poorly. The next day, he lost eight minutes to the leader and slipped back to sixth overall, before rallying in the final two stages to finish fifth. To the staff at Bahrain Merida, and to Pozzovivo himself, neither his career-best overall performance nor the timing of his one bad day seemed like a coincidence.
By this time, Pollastri and his colleagues were ready to consider using the technique as a prerace booster. With Gabriele Gallo, a sports scientist at the University of Milan, they brought ten聽cyclists from Bahrain Merida鈥檚 continental team to the lab for a double-blind聽series of simulated 15-kilometer聽time trials with real and sham tDCS. For a roughly 20-minute effort, the riders averaged 16 seconds faster with tDCS, right on the margins of a statistically significant improvement. It was suggestive enough that they decided to use it at the opening stage of the 2019 Tour de Romandie, where Slovenian rider Jan Tratnik took the win for Bahrain Merida.
On the morning after our EEG tests, we met Geda聽in a conference room in the imposingly ornate Grand Hotel Sitea聽for our first treatment before a test ride up the Colle della Maddalena, one of the hills across the Po River from downtown Turin. When I apologized for encroaching on her Sunday, Geda waved me off: she鈥檇 sent her two toddlers to their grandmother鈥檚 for the weekend so she could聽focus on the tour. 鈥淭his is like a holiday for me,鈥 she laughed. Pulling up a 3-D model of the human brain on her computer, she outlined the results of the previous day鈥檚 EEG tests.
Trevor Ward, one of the British journalists, apparently had 鈥渁 great connection鈥 between his prefrontal and motor cortices鈥攂etween perception and action, in effect. This is characteristic of elite athletes, Geda explained, so he would receive the same six-electrode tDCS stimulation that the pros got, focusing on the prefrontal cortex (PFC) itself. That鈥檚 the region of the brain that integrates information from everywhere else and decides whether and when you can push harder. 鈥淥ur theory is that the PFC is less active during exercise because other regions are overloaded,鈥 Gallo explained. 鈥淪o if we stimulate this area, the athlete should have better regulation of pacing.鈥
The other Brit, John Whitney, and I were not so accomplished, so we鈥檇 get a remedial eight-electrode stimulation to help nurture the crucial prefrontal-motor connection in addition to stimulating the PFC. Geda slid the neoprene cap onto my head, and I felt a mild prickling in my scalp as one milliampere of current began to flow. A minute or so later, the sensation faded to nothing, and for the rest of the 20 minutes, I simply sat back and relaxed.
After a short ride through the cobbled maze of Turin鈥檚 pedestrian core (and the requisite stop for espresso), we crossed the Po and started climbing. As we pedaled up the incline, I felt a little buzzed and a little jet-lagged, and my bike felt about half as heavy as usual鈥攚hich it was, since I鈥檇 trained for the trip on an aging mountain bike and was now riding a $6,000聽carbon-frame聽Bianchi. Joining us for the ride was Vittoria Bussi, the reigning world-record holder for the one-hour time trial, and I fell in beside her to get her take on the technology.
I felt a little buzzed and a little jet-lagged, and my bike felt about half as heavy as usual鈥攚hich it was, since I鈥檇 trained for the trip on an aging mountain bike and was now riding a $6,000 carbon-frame聽Bianchi.
Bussi, it turned out, had just returned from a time trial in Slovenia, where she鈥檇 been accompanied by Geda to try prerace tDCS. Bussi hadn鈥檛 detected any difference in performance or power output, but her heart rate had been lower than usual鈥攁 somewhat ambiguous result that she鈥檇 also noticed in a previous experiment with the technique. A compulsive tinkerer, with a Ph.D. in math from the University of Oxford, Bussi saw tDCS as just another element of the continual process of experimentation, quantification, and optimization that cycling permits. 鈥淚鈥檓 curious,鈥 she said. 鈥淚 like trying to figure out the best possible approach to a problem.鈥 Overall, the race in Slovenia had been a success, with a third-place finish that boded well for her goal of qualifying for the 2020 Olympics. She figured she鈥檇 keep using brain stimulation, at least for a while.
As for me鈥攚ell, I never expected to feel any magical gains from brain stimulation. (Don鈥檛 tell my editor.) My pace up the Colle della Maddalena, or any other hill, would be determined by how hard it felt. If the effort that felt sustainable happened to get me to the top a percent or two faster than normal, how would I possibly detect such a subtle difference? At best, the cumulative effects of each day鈥檚 brain stimulation would leave me a little fresher as the week (and its 37,000 feet of climbing) proceeded鈥攂etter able to enjoy the evening feasts, less likely to end up in the sag wagon. But for any given ride, the only useful way to judge something like this is with well-designed research, preferably double-blind聽and peer-reviewed. Trust the data, not your easily deluded intuition.
Even the data, however, is far from definitive on tDCS. The U.S. National Library of Medicine lists more than 5,000 tDCS studies, the vast majority from the past decade. The technique (or maybe ),听颈迟 (or maybe ),听颈迟 (or maybe ),聽and on and on for a seemingly limitless variety of conditions. There鈥檚 a ton of hype聽and a corresponding amount of backlash. One researcher the field as 鈥渁 sea of bullshit and bad science.鈥
The sports applications of tDCS face a similarly muddled situation. A in Frontiers in Physiology in 2017 identified 12 studies of brain stimulation and exercise performance, eight of which found a performance boost. Conversely, two meta-analyses of and studies published in Brain Stimulation in 2019 concluded that the evidence in favor of an athletic boost is somewhere between slim and nonexistent. Part of the problem is that different studies use different protocols, electrode montages, and exercise tests. Some stimulate the motor cortex, hoping to facilitate a stronger output signal from brain to muscle. That鈥檚 the approach that consumer-tech startup Halo Neuroscience uses for its $400 brain-stimulating headphones. Other studies stimulate the regions responsible for evaluating inputs to the brain, hoping to dull the sensation of effort. Geda and Pollastri, by focusing on the prefrontal cortex, take yet another approach.
To skeptics, peering at this hodgepodge of conflicting evidence and concluding that brain stimulation will make you faster sounds a lot like wishful thinking. In July, a postdoctoral researcher at the University of Calgary named James Wrightson posted a preprint (a finished paper that is posted publicly for comment prior to being submitted for peer review) of his latest study, which found no effect of tDCS to the motor cortex on leg endurance. A crucial detail: Wrightson鈥檚 study protocol had been , meaning that he decided in advance how his data would be analyzed, and he committed to sharing the results regardless of whether or not they confirmed his hypothesis. How many of the small, positive reports of tDCS鈥檚 athletic effects, he wondered, might be explained by or counterbalanced by negative studies that no one bothered to publish?
These issues aren鈥檛 unique to tDCS research, of course. In fact, they apply to pretty much any sexy and 鈥渟cience-backed鈥 performance aid these days. Wrightson is a passionate advocate of more rigorous methodology in sports science, which lags behind other fields, like neuroscience, in insisting on things like preregistration聽and large sample sizes that reduce the likelihood of spurious results. His own study, with 22 subjects, isn鈥檛 enough to prove that tDCS doesn鈥檛 work, he emphasized when I emailed to ask about his research. Many more studies, with far bigger sample sizes, are needed before we can draw any firm conclusions. Until then, his advice to athletes is to skip tDCS鈥攁nd any other shiny聽new performance booster鈥攗ntil better evidence is available. 鈥淏ut athletes are always going to be athletes (and coaches, coaches),鈥 he wrote, 鈥渟o we鈥檒l probably still see Halo devices everywhere at Tokyo 2020 anyway.鈥

From a scientific perspective鈥攖he Sisyphean pursuit of knowledge through the eternal evaluation and reevaluation of evidence, let鈥檚 say鈥擶rightson is undeniably correct. We don鈥檛 know shit about tDCS, scientifically speaking. But his comment about athletes being athletes, with the implication that anyone who tries an unproven technique like tDCS is a benighted dunce, struck me as unfair. Athletes are not trying to advance human knowledge or settle epistemological questions; they鈥檙e trying to win. If you have a technology with minimal cost, no known health risks, and there鈥檚 a plausible but unproven chance that it has real performance-boosting effects, isn鈥檛 it entirely rational to give it a try? Even ignoring placebo effects鈥攁nother discussion entirely鈥攖here鈥檚 a small possibility of life-altering benefits for an elite athlete near the top of their聽sport, weighed against negligible downsides.
Wrightson, when I put this to him, didn鈥檛 buy it. In fact, he felt that even discussing preliminary research in fields like tDCS outside the hallowed halls of academia was highly irresponsible. Writing about tDCS in the 鈥渓ay press,鈥 as I had done on several occasions (and am doing right now, for that matter), was particularly egregious. 鈥淚 think you were wrong to publish those articles so early,鈥 he insisted. 鈥淚t鈥檚 a hill I鈥檓 willing to die on.鈥
The first real hill of our tour, on Monday morning, was the Colle delle Finestre鈥攖he hero-making climb where, in last year鈥檚 Giro, Chris Froome made his winning 50-mile breakaway and where, after a restless night, Pozzovivo鈥檚 podium dreams died. We started our day in the Alpine town of Susa, lounging on folding chairs in a public park in the shadow of an imposing 2,000-year-old Roman arch as Geda gelled up the electrodes. But just before she cranked on the current, the ominous clouds above us unleashed a few warning drops. We barely had time to scramble back into the van, where I put in my 20 minutes of stimulation amid the drumbeat of torrential rain on the roof.
An hour later, the rain finally subsided, and we pedaled off, with Massimo setting the pace. We soon settled into a rhythm that would come to feel routine in the days to come, climbing steadily for 10 or 15 or 20 miles at a time, up average grades of 7 or 8 or 9 percent. There was聽almost no traffic, since other roads and tunnels now provide faster and more direct routes across the mountain passes. We saw nobody other than the occasional shepherd or blueberry picker, though we passed farmhouses and mountain refuges and ancient churches and monuments to cyclists of yore. It鈥檚 not like climbing the short, sharp hills that I encounter around my home in Toronto, where you can rely on momentum and a leg-burning sprint to get you to the crest. Instead聽you have to find a sustainable rhythm, so that the climb becomes not a frantic struggle but a meditative grind.
Just under five miles from the top of Colle delle Finestre, the asphalt ended. The rest of the road was gravel, wet and slippery thanks to the rain that was once again falling. I focused on following Massimo鈥檚 rear wheel, weaving between rocks and cutting across stream-washed gullies in the road. I felt surprisingly strong聽and was almost disappointed when we finally reached the stone monument to cycling star (and thrice-caught doper) Danilo di Luca at the summit. I鈥檇 have sworn the brain stimulation had worked, except that the rain-delayed start meant the performance-boosting window鈥攁bout 90 minutes, Geda had told us鈥攈ad closed long before we even hit the gravel.

The logistical challenges of combining brain stimulation with cycling, we now realized, weren鈥檛 trivial. Geda had brought enough equipment from the clinic to zap two of us at once, but when you added in the time needed to clean electrodes between users and so on, it took about an hour for the three of us. A fully booked tour with eight cyclists would have been even more chaotic, even with extra staff and equipment. Bahrain Merida encountered similar challenges: it had聽sprung for ten聽sophisticated clinical-grade tDCS machines, each costing thousands of dollars, but it聽didn鈥檛 have enough trained medical staff to administer the treatment to everyone at once; instead, it聽only used聽one or two machines at a time.
Even though we鈥檇 come for the explicit purpose of trying out the brain stimulation, Trevor, John, and I couldn鈥檛 help grumbling a bit over the next few days. When the morning sun was shining and the mountains beckoned, it felt wrong to spend precious blue-skied hours fiddling with electrodes聽or to delay our dinner after a long day in the saddle. There were moments, as I waited patiently on聽van seats and in lobbies and hotel rooms across Piedmont and Savoy, when I began to question the basic premise of the trip. Sometimes I worried that the technology didn鈥檛 really work. Other times聽I worried that it did.
I鈥檓 all for e-bikes in the appropriate context. But it鈥檚 also obvious that it would be both unfair and meaningless to win a race using a motor, like winning a marathon by wearing roller skates. Even if the only person you鈥檙e competing with is yourself, you wouldn鈥檛 celebrate a new best time on your favorite training route (or, God forbid, a Strava KOM) if it was battery powered. Despite the Olympic motto, we intuitively understand that simply going faster (or higher or stronger)聽without any restrictions聽is not the fundamental goal of sport. Instead,聽there鈥檚 something else that鈥檚 harder to articulate鈥攚hat the World Anti-Doping Agency (WADA) vaguely and unhelpfully refers to as 鈥渢he spirit of sport.鈥
For nearly four decades, Thomas Murray, president emeritus of the Hastings Center bioethics research institute, has been trying to pin that elusive spirit down. A research grant from the National Science Foundation in 1979 started him down the path of trying to understand why athletes do or don鈥檛 choose to dope, which in turn led to the question of what sport is really about. His conclusion, laid out in academic papers and a 2018 book called Good Sport: Why Our Games Matter and How Doping Undermines Them, is that the highest goal of athletic competition is 鈥渢he virtuous perfection of natural talents.鈥 鈥Virtuous聽is a loaded word,鈥 he acknowledged when I phoned to get his thoughts on brain stimulation. 鈥淎bsolutely it is. But it鈥檚 the right word.鈥
In some situations, virtue is easy to discern. Training, nutrition, and coaching are all widely sanctioned methods of honing your abilities. Taking a crowbar to your main rival鈥檚 kneecap is not. But the distinction is often more nuanced. 鈥淭here鈥檚 a golf ball that flies straighter, but sport bans it,鈥 he points out. 鈥淭hey also bar certain clubs that make it easier to hit accurate shots out of the rough.鈥 The point isn鈥檛 that all technology is bad; it鈥檚 that slicing into the rough should have a penalty. So the key question, whether you鈥檙e talking about drugs or technology, isn鈥檛: Does it make you better?聽It鈥檚: Does it change the things athletes have to do, and the qualities they have to possess, to win?
As the athletic implications of tDCS have become apparent, academics have started grappling with the ethical questions, variously arguing that it should be allowed, or that it should be banned, or even that athletes should be tested and handicapped to ensure that everyone gets exactly the same net benefit from it. The argument that caught my attention, from a 2013 paper on 鈥渘eurodoping鈥 by British neuroscientist and psychologist Nick Davis, was that brain stimulation 鈥渕ediates a person鈥檚 ability but does not enhance it in the strictest sense.鈥 You don鈥檛 get extra energy or stronger muscles from tDCS; you just find it a little easier to access the energy and strength that鈥檚 already present within you. Why would we ban something that simply helps us dig a little deeper?
The key question, whether you鈥檙e talking about drugs or technology, isn鈥檛: Does it make you better?聽It鈥檚: Does it change the things athletes have to do,聽and the qualities they have to possess, to win?
To me, though, that internal struggle to push a little closer to your limits is an essential part of endurance sport鈥攊n a sense, it鈥檚 the fundamental, defining characteristic. Change that聽and you change what it takes to win. After all, if you could just push a button to extract every ounce of power from your quads, what mystery would remain? Why would anyone watch鈥攐r participate?
I expected Murray, a long-standing defender of anti-doping orthodoxy, to share my qualms. But when I tried to pin him down about tDCS, he hedged. 鈥淭he mere fact that something is a biomedical technology and enhances performance is not enough to disqualify it,鈥 he said. 鈥淚t鈥檚 only when it disrupts the connections between natural talents and their perfection.鈥 That鈥檚 a judgment that may differ from sport to sport: a barefoot ultrarunner might have a different take on the appropriate role of technology in their聽sport compared to a gear-happy triathlete. WADA itself, according to spokesman James Fitzgerald, is aware of the controversy and has discussed it with experts in the field聽but hasn鈥檛 yet seen 鈥渃ompelling evidence鈥 that it breaks the rules.
There is, however, one final caveat, Murray acknowledged before hanging up: 鈥淥nce an effective technology gets adopted in a sport, it becomes tyrannical. You have to use it.鈥 If the pros start brain-zapping, don鈥檛 kid yourself that it won鈥檛 trickle down to college, high school, and even聽the weekend warriors.
The queen stage of our tour, with almost 9,000 feet of climbing over two historic passes, started in the crenellated French mountain town of Brian莽on. In the breakfast room of our hotel, I chatted with Umberto, the tour guide who (to his mild chagrin) had been assigned to drive the support van instead of cycle with us. He comes聽from a prominent Piedmontese mountaineering family聽and had trained and worked as a mountain guide before switching to cycling. His affection for the Alpine landscape around us was reverent, almost poetic, and I got the sense that he sees聽the world much as Reinhold Messner does: where you end up is less important than how you get there. 鈥淲hen I was a kid growing up in the mountains,鈥 he told me when I delicately probed his views on our tech-assisted adventure, 鈥渟port was about you. Your quest. But our society pushes everything to extremes.鈥
Those words echoed in my head as we rolled聽out under the radiant blue sky to tackle first the 7,400-foot Col d鈥橧zoard and then the 9,000-foot Colle dell鈥橝gnello, which Hannibal and his elephants supposedly crossed en route to Rome more than 2,000 years ago. A few miles from the summit of Agnello, I got confused about my gears. Tailing Massimo, as I had all week, suddenly seemed too slow to stay upright, so with a muttered apology, I moved past him and essentially launched an attack. By the time I realized that I鈥檇 accidentally been in my third gear rather than my lowest one, I was too sheepish to admit my mistake, so I decided to simply carry on to the summit and let it all hang out. As on Galibier, I was soon living from switchback to switchback, stretching the elastic thinner and thinner, and not at all sure that it wouldn鈥檛 snap before I reached the top.
An hour later, after a long, wobbly descent along endless switchbacks, past startled ibexes licking salt from the recently deiced roads, I coasted into the rustic town of Sampeyre, truly a spent force. There waiting for me in the hotel were Geda and a physical therapist from the IRR. Before I knew it, I was lying facedown on a massage table, having my deltoids kneaded as Geda hooked my brain up to the old familiar juice. It was an extremely pleasant way to end an epic day. I鈥檇 made it to the top of Agnello successfully鈥攕uccess being defined by the nebulous but utterly unfakeable sense that I鈥檇 pushed as hard as I was capable of and then a little bit more. Now the high-voltage massage would supercharge my recovery and, according to Pozzovivo, deepen my slumbers. 鈥淚 have to say that, for me, the quality of sleep improved,鈥 he claimed in a post-Giro interview last year.
I鈥檇 made it to the top of Agnello successfully鈥攕uccess being defined by the nebulous but utterly unfakeable sense that I鈥檇 pushed as hard as I was capable of and then a little bit more.
For the record, the idea that tDCS massage should aid recovery is 鈥渉ighly speculative,鈥 according to Samuele Marcora, a University of Kent聽expert on the brain鈥檚 role in fatigue, who has studied tDCS and cycling. That鈥檚 probably being diplomatic. Even Geda acknowledged that the recovery protocol is mostly based on clinical experience rather than research. The pre-ride protocol is more plausible and well supported, Marcora told me. But even then, he added, 鈥渃affeine and a session with a good sport psychologist are likely to be much more useful.鈥
I knew and agreed with all this. Really, I did. But as the week wore on, I鈥檇 slowly realized that my ostensible reasons for going on the trip鈥攊nvestigating whether tDCS actually聽works, reflecting on the role technology should play in sport鈥攚ere to some extent convenient covers for a more personal obsession. As much as I consider myself a skeptic and Luddite who runs and bikes with nothing but a grimy vintage Timex Ironman, I鈥檝e been drawn in repeatedly by a fascination with brain stimulation. (Much to the annoyance, it turns out, of people like James Wrightson.) I鈥檝e flown to Los Angeles for a zany Red Bull experiment with it, tried Halo Neuroscience鈥檚 headphones, written a whole book chapter about it, and now biked across the Alps on a bespoke brain stim聽tour.
As someone who has spent decades trying to figure out what the edge really feels like, the truth is that I鈥檓 as fascinated as I am horrified by the prospect of inching a little closer. If you pin me down, I鈥檇 say WADA should at least ban the technique in competition, even if, like stimulants and cannabis, it remains permitted in training. But I absolutely want to know with greater certainty whether it truly聽boosts endurance. Because if it does, that tells us something profound about the nature of our limits鈥攖hat they鈥檙e聽in our neurons, not our muscle fibers. Maybe that鈥檚 what keeps drawing me back to the topic: the desire to find out if the edge I鈥檝e been skirting all this time is just an illusion.
These are the riddles I was pondering when I finally flicked off my bedside lamp after my Herculean effort on Agnello and the subsequent massage. And for the first time since the trip began, I lay awake in the dark for nearly two hours, tossing and turning while my mind continued to race. Maybe it was because of the brain stimulation, or聽maybe it was despite it. Maybe it was the long day in the saddle, or the ill-advised third helping of gnocchi in butter, or the imponderable depth of the questions I was wrestling with. I鈥檒l never know for sure鈥攗nless, as my history suggests is likely, I wire myself up again sometime.