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August 23, 2026Brain stimulationOpen Access

When one size does not fit all: Phenotypic bias in noninvasive neuromodulation

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Authors

AWAnna WexlerGPGianna M. PerezRHRoy H. Hamilton

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Overview

Perspective highlights systematic phenotypic bias in noninvasive brain stimulation devices across diverse populations, indicating that physical traits like hair and skin affect device efficacy.

Key Points

  • To examine how physical characteristics such as hair type and skin tone systematically bias the efficacy and suitability of noninvasive brain stimulation devices.
  • Reviewed performance and responsiveness variations in scalp-based neuromodulation tools, including transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS).
  • Evaluated how physical and phenotypic traits influence device-scalp interfaces across diverse populations.
  • Physical traits such as hair type and skin tone systematically alter the physical contact and signal delivery of scalp-based neuroscience tools.
  • The conventional assumption that noninvasive neuromodulation maintains uniform suitability and responsiveness across diverse demographic groups is unsupported.

Cite This Study

Wexler et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad667677a34114445888https://doi.org/10.1016/j.brs.2026.103194
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