RT Journal Article SR Electronic T1 Improved Cognitive Promotion through Accelerated Magnetic Stimulation JF eneuro JO eNeuro FD Society for Neuroscience SP ENEURO.0392-20.2020 DO 10.1523/ENEURO.0392-20.2020 VO 8 IS 1 A1 Xingqi Wu A1 Lu Wang A1 Zhi Geng A1 Ling Wei A1 Yibing Yan A1 Chengjuan Xie A1 Xingui Chen A1 Gong-Jun Ji A1 Yanghua Tian A1 Kai Wang YR 2021 UL http://www.eneuro.org/content/8/1/ENEURO.0392-20.2020.abstract AB Noninvasive brain stimulation to enhance cognition is an area of increasing research interest. Theta burst stimulation (TBS) is a novel accelerated form of stimulation, which more closely mimics the brain’s natural firing patterns and may have greater effects on cognitive performance. We report here the comparative assessment of the effect of conventional high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) protocols and TBS protocols on cognition enhancement in healthy controls. Sixty healthy adults (34 males and 26 females) were randomized and counterbalanced and assigned to HF-rTMS (n = 20), TBS (n = 20), or sham (n = 20) groups. The promotion effects of different parameters of prefrontal stimulation on working memory and executive function were compared, as assessed by performance in N-back tasks and the Wisconsin Card Sorting Test (WCST). Both HF-rTMS and intermittent TBS (iTBS) groups displayed a significant improvement in N-back tasks, with an effect size of 0.79 and 1.50, respectively. Furthermore, the iTBS group displayed a significant improvement in the WCST, with an effect size of 0.84. The iTBS group demonstrated higher effect sizes than the HF-rTMS group (t = 2.68, p = 0.011), with an effect size of 0.85. However, no improvement in other tasks was observed (p > 0.05). Intermittent TBS has a stronger cognitive promoting effect than conventional rTMS. In summary, our findings provide direct evidence that iTBS may be a superior protocol for cognitive promotion.