Non-invasive brain stimulation (NIBS) has become a common method to study the interrelations between the brain and language functioning. This meta-analysis examined the efficacy of transcranial magnetic stimulation (TMS) and direct current stimulation (tDCS) in the study of language production in healthy volunteers. Forty-five effect sizes from 30 studies which investigated the effects of NIBS on picture naming or verbal fluency in healthy participants were meta-analysed. Further sub-analyses investigated potential influences of stimulation type, control, target site, task, online vs. offline application, and current density of the target electrode. Random effects modelling showed a small, but reliable effect of NIBS on language production. Subsequent analyses indicated larger weighted mean effect sizes for TMS as compared to tDCS studies. No statistical differences for the other sub-analyses were observed. We conclude that NIBS is a useful method for neuroscientific studies on language production in healthy volunteers.Keywords: language production, meta-analysis, picture naming, verbal fluency, TMS, tDCS
IntroductionTranscranial magnetic (TMS) and direct current stimulation (tDCS) are non-invasive brain stimulation (NIBS) techniques that are increasingly used to investigate causal relationships between language functions and their underlying neuronal processes. The aim of this combined review and meta-analysis is to examine the efficacy and reliability of NIBS as an intervention method to study the neural correlates of language production in healthy volunteers. Prior meta-analyses on the effects of transcranial direct current stimulation (tDCS) on verbal fluency and picture naming have provided diverging results. Both Horvath, Forte, and Carter (2015) and Price, McAdams, Grossman, and Hamilton (2015) analysed performance changes in semantic production and word learning tasks, with the first finding no effect, but the latter reporting a reliable modulation of task performance. Furthermore, Westwood and Romani (2017) found no effect of tDCS on language production performance across production and reading tasks. Our present review offers an overview and metaanalysis of studies which measured changes in verbal fluency and picture-naming performance during or following the administration of tDCS or