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The Science
The science behind
InhibiTic.
InhibiTic is built on well-established neuroscientific principles. Every component of the device ??from the choice of stimulation target to the EEG features used for urge detection ??is grounded in peer-reviewed research published in leading journals. This page summarizes the evidence.
1. The prefrontal cortex is the brain's inhibitory control center.
The dorsolateral prefrontal cortex (dlPFC) plays a central role in stopping unwanted actions. Neuroimaging studies in Tourette syndrome consistently show reduced prefrontal activation during tic suppression attempts, suggesting that the circuit is intact but underpowered ??it needs a momentary boost to overcome the urge.
Functional MRI studies demonstrate that successful tic suppression correlates with increased activation in the dlPFC and decreased activation in the basal ganglia. This is the circuit InhibiTic targets.
Peterson BS, Skudlarski P, Anderson AW, et al. "A functional magnetic resonance imaging study of tic suppression in Tourette syndrome."
Archives of General Psychiatry, 1998; 55(4): 326??33.
PubMed
Ganos C, Kahl U, Brandt V, et al. "The neural correlates of tic inhibition in Gilles de la Tourette syndrome."
Neuropsychologia, 2014; 65: 297??01.
PubMed
2. tACS at 20 Hz enhances prefrontal inhibitory function.
Transcranial alternating current stimulation in the beta frequency band (13??0 Hz) has been shown to entrain cortical oscillations and improve motor inhibition. Beta-band activity in the prefrontal cortex is specifically associated with maintaining the current motor state and suppressing unwanted movements ??exactly what a tic-suppression device needs to facilitate.
Multiple controlled studies have demonstrated that tACS applied over frontal regions at beta frequencies improves performance on stop-signal and go/no-go tasks, the gold-standard measures of inhibitory control.
Vosskuhl J, Strüber D, Herrmann CS. "Non-invasive brain stimulation: a paradigm shift in understanding brain oscillations."
Frontiers in Human Neuroscience, 2018; 12: 211.
PubMed
Helfrich RF, Schneider TR, Rach S, et al. "Entrainment of brain oscillations by transcranial alternating current stimulation."
Current Biology, 2014; 24(3): 333??39.
PubMed
Feurra M, Bianco G, Santarnecchi E, et al. "Frequency-dependent tuning of the human motor system induced by transcranial oscillatory potentials."
Journal of Neuroscience, 2011; 31(34): 12165??2170.
PubMed
3. Premonitory urges have detectable EEG signatures.
The sensory phenomenon that precedes a tic ??the premonitory urge ??is not purely subjective. EEG studies have identified measurable neural correlates: changes in beta-band power over sensorimotor and prefrontal regions in the 500??000 ms window before tic onset. These are the same features the InhibiTic classifier is trained to detect.
Slow cortical potentials and event-related desynchronization in the beta band have been reported in multiple studies using both scalp EEG and intracranial recordings in Tourette patients.
Leckman JF, Walker DE, Cohen DJ. "Premonitory urges in Tourette's syndrome."
American Journal of Psychiatry, 1993; 150(1): 98??02.
PubMed
Shute JB, Jackson SR, Jackson GM. "Electrophysiological markers of premonitory urge processing in Tourette syndrome."
European Journal of Neuroscience, 2019; 50(9): 3483??495.
PubMed
Morand-Beaulieu S, Leclerc JB, Valois P, et al. "A review of the neurophysiological and neuropsychological correlates of premonitory urges in Tourette syndrome."
Neuroscience & Biobehavioral Reviews, 2017; 80: 269??83.
PubMed
4. Closed-loop stimulation is more effective and safer than continuous stimulation.
Continuous brain stimulation carries risks of adaptation, off-target effects, and unnecessary current delivery. Closed-loop systems ??which activate only when a specific neural state is detected ??deliver less total current, reduce habituation, and achieve better symptom control. This principle has been validated in deep brain stimulation for Parkinson's disease and is now being applied to non-invasive neuromodulation.
InhibiTic's on-demand approach means the brain is stimulated for seconds at a time, only during urge events. The remainder of the time, neural circuits function normally. This is the mechanism by which cognitive function is preserved.
Little S, Pogosyan A, Neal S, et al. "Adaptive deep brain stimulation in advanced Parkinson disease."
Annals of Neurology, 2013; 74(3): 449??57.
PubMed
Tinkhauser G, Pogosyan A, Little S, et al. "The modulatory effect of adaptive deep brain stimulation on beta bursts in Parkinson's disease."
Brain, 2017; 140(4): 1053??067.
PubMed
5. tACS at 1.5 mA is safe and well-tolerated.
The safety of transcranial electrical stimulation has been extensively studied. A comprehensive evidence-based guideline published in Clinical Neurophysiology reviewed thousands of sessions across hundreds of studies and concluded that tACS at currents up to 2 mA, with electrode sizes exceeding 25 cm², produces no serious adverse effects and only mild, transient sensations (tingling, phosphenes) in a minority of participants. InhibiTic operates at 1.5 mA, well within these established safety limits, with hardware overcurrent protection and automatic shutoff as additional safeguards.
Antal A, Alekseichuk I, Bikson M, et al. "Low intensity transcranial electric stimulation: safety, ethical, legal regulatory and application guidelines."
Clinical Neurophysiology, 2017; 128(9): 1774??809.
PubMed
Bikson M, Grossman P, Thomas C, et al. "Safety of transcranial direct current stimulation: evidence based update 2016."
Brain Stimulation, 2016; 9(5): 641??61.
PubMed
6. Cognitive function is preserved with on-demand stimulation.
Unlike systemic medications that globally alter dopamine transmission, focal tACS does not produce cognitive impairment. Multiple randomized controlled trials have demonstrated that tACS applied to the prefrontal cortex at beta frequencies does not impair ??and in some cases improves ??working memory, response inhibition, and attentional control. This is the foundation of InhibiTic's "cognitive preservation" principle: by stimulating only when needed and only in the relevant circuit, higher cognitive functions remain intact.
Reinhart RMG, Nguyen JA. "Working memory revived in older adults by synchronizing rhythmic brain circuits."
Nature Neuroscience, 2019; 22(5): 820??27.
PubMed
Polanía R, Nitsche MA, Korman C, et al. "The importance of timing in segregated theta phase-coupling for cognitive performance."
Current Biology, 2012; 22(14): 1314??318.
PubMed
Summary of evidence.
The InhibiTic closed-loop architecture is not speculative. Each component ??prefrontal tACS for inhibitory control, EEG-based urge detection, closed-loop triggering, and cognitive safety ??is supported by independently replicated, peer-reviewed findings. The device integrates these established principles into a single wearable system designed for daily use by patients who currently have no treatment option that preserves cognitive function.
A functional magnetic resonance imaging study of tic suppression in Tourette syndrome
Archives of General Psychiatry, 1998
Entrainment of brain oscillations by transcranial alternating current stimulation
Current Biology, 2014
Non-invasive brain stimulation: a paradigm shift in understanding brain oscillations
Frontiers in Human Neuroscience, 2018
Safety of transcranial direct current stimulation: evidence based update
Brain Stimulation, 2016
Low intensity transcranial electric stimulation: safety and application guidelines
Clinical Neurophysiology, 2017
Working memory revived in older adults by synchronizing rhythmic brain circuits
Nature Neuroscience, 2019
Neurophysiological correlates of premonitory urges in Tourette syndrome
Neuroscience & Biobehavioral Reviews, 2017
Adaptive deep brain stimulation in advanced Parkinson disease
Annals of Neurology, 2013
The modulatory effect of adaptive DBS on beta bursts in Parkinson's disease
Brain, 2017
Frequency-dependent tuning of the motor system by transcranial oscillatory potentials
Journal of Neuroscience, 2011
Neural correlates of tic inhibition in Gilles de la Tourette syndrome
Neuropsychologia, 2014
Electrophysiological markers of premonitory urge processing in Tourette syndrome
European Journal of Neuroscience, 2019