Literature DB >> 19092677

Focal electrically administered therapy: device parameter effects on stimulus perception in humans.

Jeffrey J Borckardt1, Katherine J Linder, Raffaella Ricci, Xingbao Li, Berry Anderson, Ashley Arana, Ziad Nahas, Vahe Amassian, James Long, Mark S George, Harold A Sackeim.   

Abstract

BACKGROUND: Focal electrically administered therapy is a new method of transcranial electrical stimulation capable of focal modulation of cerebral activity. Other than invasive studies in animals and examination of motor output in humans, there are limited possibilities for establishing basic principles about how variation in stimulus parameters impact on patterns of intracortical stimulation. This study used a simpler paradigm and evaluated the effects of different stimulation parameters on subjective perception of the quality and location of scalp pain.
METHODS: In 2 studies, 19 subjects were randomly stimulated over the left forehead, varying the anode-cathode arrangement, the intensity of stimulation, the electrode size and placement, and whether the current flow was unidirectional or bidirectional. Subjects rated the location of the sensation and its quality.
RESULTS: The perceived center of stimulation moved toward the cathode, regardless of placement. This shift in subjective sensation was more prominent when the electricity was unidirectional. In addition, more intense stimulation, as well as stimulation with a smaller electrode, caused greater perceived pain. Unidirectional stimulation was rated more painful when traveling from a large anode to a small cathode and less painful when traveling from a small anode to a large cathode. Finally, participants were more likely to perceive the electrical stimulation as moving toward a specific direction when the intensity was high than when it was low.
CONCLUSIONS: The intensity and location of sensations can be manipulated by varying the intensity, current direction, or geometry of electrodes.

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Year:  2009        PMID: 19092677      PMCID: PMC2880460          DOI: 10.1097/YCT.0b013e318183c6a4

Source DB:  PubMed          Journal:  J ECT        ISSN: 1095-0680            Impact factor:   3.635


  18 in total

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Journal:  Electroencephalogr Clin Neurophysiol       Date:  1990-04

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Review 8.  Physical properties and quantification of the ECT stimulus: I. Basic principles.

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Journal:  Convuls Ther       Date:  1994-06

9.  Modelling magnetic coil excitation of human cerebral cortex with a peripheral nerve immersed in a brain-shaped volume conductor: the significance of fiber bending in excitation.

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  7 in total

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3.  Reducing procedural pain and discomfort associated with transcranial direct current stimulation.

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4.  Repetitive Transcranial Magnetic Stimulation for Tobacco Treatment in Cancer Patients: A Preliminary Report of a One-Week Treatment.

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Authors:  Mark S George; Gary Aston-Jones
Journal:  Neuropsychopharmacology       Date:  2010-01       Impact factor: 7.853

6.  Two weeks of image-guided left dorsolateral prefrontal cortex repetitive transcranial magnetic stimulation improves smoking cessation: A double-blind, sham-controlled, randomized clinical trial.

Authors:  Xingbao Li; Karen J Hartwell; Scott Henderson; Bashar W Badran; Kathleen T Brady; Mark S George
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7.  Thresholds for vestibular and cutaneous perception and oculomotor response induced by galvanic vestibular stimulation.

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