A Protocol for the Use of Remotely-Supervised Transcranial Direct Current Stimulation (tDCS) in Multiple Sclerosis (MS)

Journal of Visualized Experiments : JoVE
Margaret KasschauLeigh E Charvet

Abstract

Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that uses low amplitude direct currents to alter cortical excitability. With well-established safety and tolerability, tDCS has been found to have the potential to ameliorate symptoms such as depression and pain in a range of conditions as well as to enhance outcomes of cognitive and physical training. However, effects are cumulative, requiring treatments that can span weeks or months and frequent, repeated visits to the clinic. The cost in terms of time and travel is often prohibitive for many participants, and ultimately limits real-world access. Following guidelines for remote tDCS application, we propose a protocol that would allow remote (in-home) participation that uses specially-designed devices for supervised use with materials modified for patient use, and real-time monitoring through a telemedicine video conferencing platform. We have developed structured training procedures and clear, detailed instructional materials to allow for self- or proxy-administration while supervised remotely in real-time. The protocol is designed to have a series of checkpoints, addressing attendance and tolerability of the session, to be met in orde...Continue Reading

Citations

Apr 19, 2016·Neuromodulation : Journal of the International Neuromodulation Society·Margaret KasschauLeigh E Charvet
Jul 4, 2016·Brain Stimulation·Marom BiksonAdam J Woods
Feb 23, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Leigh CharvetMargaret Kasschau
Dec 14, 2018·Journal of Neuroengineering and Rehabilitation·Bryan DobbsLeigh Charvet
Mar 5, 2020·Journal of Medical Internet Research·Hassan Khader Y AlmathamiElena Vlahu-Gjorgievska
Apr 25, 2018·JMIR Rehabilitation and Assistive Technologies·Martin MarziniakSven G Meuth
Apr 23, 2021·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Tehila Eilam-StockLeigh E Charvet

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