Leigh E Charvet1, Michael T Shaw2, Marom Bikson3, Adam J Woods4, Helena Knotkova5. 1. Department of Neurology, NYU Langone Health, New York, NY, USA. Electronic address: Leigh.Charvet@nyulangone.org. 2. Department of Neurology, NYU Langone Health, New York, NY, USA; Department of Psychology, Binghamton University, Binghamton, NY, USA. 3. Department of Biomedical Engineering, The City College of New York, New York, NY, USA. 4. Center for Cognitive Aging and Memory, McKnight Brain Institute, Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA. 5. MJHS Institute for Innovation in Palliative Care, New York, NY, 10006, USA; Department of Family and Social Medicine, Albert Einstein College of Medicine, The Bronx, NY, USA. Electronic address: HKnotkov@mjhs.org.
Abstract
BACKGROUND: Transcranial direct current stimulation (tDCS) is a method of noninvasive neuromodulation and potential therapeutic tool to improve functioning and relieve symptoms across a range of central and peripheral nervous system conditions. Evidence suggests that the effects of tDCS are cumulative with consecutive daily applications needed to achieve clinically meaningful effects. Therefore, there is growing interest in delivering tDCS away from the clinic or research facility, usually at home. OBJECTIVE: To provide a comprehensive guide to operationalize safe and responsible use of tDCS in home settings for both investigative and clinical use. METHODS: Providing treatment at home can improve access and compliance by decreasing the burden of time and travel for patients and their caregivers, as well as to reach those in remote locations and/or living with more advanced disabilities. RESULTS: To date, methodological approaches for at-home tDCS delivery have varied. After implementing the first basic guidelines for at-home tDCS in clinical trials, this work describes a comprehensive guide for facilitating safe and responsible use of tDCS in home settings enabling access for repeated administration over time. CONCLUSION: These guidelines provide a reference and standard for practice when employing the use of tDCS outside of the clinic setting.
BACKGROUND: Transcranial direct current stimulation (tDCS) is a method of noninvasive neuromodulation and potential therapeutic tool to improve functioning and relieve symptoms across a range of central and peripheral nervous system conditions. Evidence suggests that the effects of tDCS are cumulative with consecutive daily applications needed to achieve clinically meaningful effects. Therefore, there is growing interest in delivering tDCS away from the clinic or research facility, usually at home. OBJECTIVE: To provide a comprehensive guide to operationalize safe and responsible use of tDCS in home settings for both investigative and clinical use. METHODS: Providing treatment at home can improve access and compliance by decreasing the burden of time and travel for patients and their caregivers, as well as to reach those in remote locations and/or living with more advanced disabilities. RESULTS: To date, methodological approaches for at-home tDCS delivery have varied. After implementing the first basic guidelines for at-home tDCS in clinical trials, this work describes a comprehensive guide for facilitating safe and responsible use of tDCS in home settings enabling access for repeated administration over time. CONCLUSION: These guidelines provide a reference and standard for practice when employing the use of tDCS outside of the clinic setting.
Authors: Hyein Cho; Lais B Razza; Lucas Borrione; Marom Bikson; Leigh Charvet; Tracy A Dennis-Tiwary; Andre R Brunoni; Pedro Sudbrack-Oliveira Journal: Focus (Am Psychiatr Publ) Date: 2022-01-25
Authors: Andrea Antal; Bruce Luber; Anna-Katharine Brem; Marom Bikson; Andre R Brunoni; Roi Cohen Kadosh; Veljko Dubljević; Shirley Fecteau; Florinda Ferreri; Agnes Flöel; Mark Hallett; Roy H Hamilton; Christoph S Herrmann; Michal Lavidor; Collen Loo; Caroline Lustenberger; Sergio Machado; Carlo Miniussi; Vera Moliadze; Michael A Nitsche; Simone Rossi; Paolo M Rossini; Emiliano Santarnecchi; Margitta Seeck; Gregor Thut; Zsolt Turi; Yoshikazu Ugawa; Ganesan Venkatasubramanian; Nicole Wenderoth; Anna Wexler; Ulf Ziemann; Walter Paulus Journal: Clin Neurophysiol Pract Date: 2022-05-25
Authors: Marom Bikson; Colleen A Hanlon; Adam J Woods; Bernadette T Gillick; Leigh Charvet; Claus Lamm; Graziella Madeo; Adrienn Holczer; Jorge Almeida; Andrea Antal; Mohammad Reza Ay; Chris Baeken; Daniel M Blumberger; Salvatore Campanella; Joan A Camprodon; Lasse Christiansen; Colleen Loo; Jennifer T Crinion; Paul Fitzgerald; Luigi Gallimberti; Peyman Ghobadi-Azbari; Iman Ghodratitoostani; Roland H Grabner; Gesa Hartwigsen; Akimasa Hirata; Adam Kirton; Helena Knotkova; Evgeny Krupitsky; Paola Marangolo; Ester M Nakamura-Palacios; Weronika Potok; Samir K Praharaj; Christian C Ruff; Gottfried Schlaug; Hartwig R Siebner; Charlotte J Stagg; Axel Thielscher; Nicole Wenderoth; Ti-Fei Yuan; Xiaochu Zhang; Hamed Ekhtiari Journal: Brain Stimul Date: 2020-05-12 Impact factor: 8.955
Authors: Giuseppina Pilloni; Marom Bikson; Bashar W Badran; Mark S George; Steven A Kautz; Alexandre Hideki Okano; Abrahão Fontes Baptista; Leigh E Charvet Journal: Front Hum Neurosci Date: 2020-11-12 Impact factor: 3.169
Authors: Abrahão Fontes Baptista; Adriana Baltar; Alexandre Hideki Okano; Alexandre Moreira; Ana Carolina Pinheiro Campos; Ana Mércia Fernandes; André Russowsky Brunoni; Bashar W Badran; Clarice Tanaka; Daniel Ciampi de Andrade; Daniel Gomes da Silva Machado; Edgard Morya; Eduardo Trujillo; Jaiti K Swami; Joan A Camprodon; Katia Monte-Silva; Katia Nunes Sá; Isadora Nunes; Juliana Barbosa Goulardins; Marom Bikson; Pedro Sudbrack-Oliveira; Priscila de Carvalho; Rafael Jardim Duarte-Moreira; Rosana Lima Pagano; Samuel Katsuyuki Shinjo; Yossi Zana Journal: Front Neurol Date: 2020-11-25 Impact factor: 4.003