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Transcranial direct-current stimulation

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360:. Once the electrodes are placed correctly, the stimulation can be started. Many devices have a built-in capability that allows the current to be "ramped up" or increased gradually until the necessary current is reached. This decreases the amount of stimulation effects felt by the person receiving the tDCS. After the stimulation has been started, the current will continue for the amount of time set on the device and then will automatically be shut off. Recently a new approach has been introduced where instead of using two large pads, multiple (more than two) smaller sized gel electrodes are used to target specific cortical structures. This new approach is called High Definition tDCS (HD-tDCS). In a pilot study, HD-tDCS was found to have greater and longer lasting motor cortex excitability changes than sponge tDCS. 344:. The careful placement of the electrodes is crucial to successful tDCS technique. The electrode pads come in various sizes with benefits to each size. A smaller sized electrode achieves a more focused stimulation of a site while a larger electrode ensures that the entirety of the region of interest is being stimulated. If the electrode is placed incorrectly, a different site or more sites than intended may be stimulated resulting in faulty results. One of the electrodes is placed over the region of interest and the other electrode, the reference electrode, is placed in another location in order to complete the 315:. When these electrodes are placed in the region of interest, the current induces intracerebral current flow. This current flow then either increases or decreases the neuronal excitability in the specific area being stimulated based on which type of stimulation is being used. This change of neuronal excitability leads to alteration of brain function, which can be used in various therapies as well as to provide more information about the functioning of the human brain. 4246: 4256: 376:, and sham. The anodal stimulation is positive (V+) stimulation that increases the neuronal excitability of the area being stimulated. Cathodal (V−) stimulation decreases the neuronal excitability of the area being stimulated. Cathodal stimulation can treat psychiatric disorders that are caused by the hyper-activity of an area of the brain. Sham stimulation is used as a 443: 505:
active tDCS compared to sham for nine eligible studies (572 participants), presenting moderate/high certainty of evidence, were included. Active tDCS was significantly superior to sham for response (30.9% vs. 18.9% respectively; OR = 1.96, 95%CI , NNT = 9), remission (19.9% vs. 11.7%, OR = 1.94 , NNT = 13) and depression improvement (effect size of β = 0.31, ).
519:(MDD); most found alleviation of depressive symptoms. There have been only two RCTs in treatment-resistant MDD; both were small, and one found an effect and the other did not. One meta-analysis of the data focused on reduction in symptoms and found an effect compared to sham treatment, but another that was focused on relapse found no effect compared to sham. 324:
types so that neither the person receiving the stimulation nor the experimenter knows which type is being administered. Each device has an anodal, positively charged electrode and a cathodal, negative electrode. Current is "conventionally" described as flowing from the positive anode, through the intervening conducting tissue, to the cathode, creating a
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reciprocal anatomical connections to motor and associative parts of the brain. Most such studies focus on the impact of cerebellar tDCS on motor, cognitive, and affective functions in healthy and patient populations, but some also employ tDCS over the cerebellum to study the functional connectivity of the cerebellum to other areas of the brain.
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technique, but the method of how this is induced is very different. Transcranial direct current stimulation has the two different directions of current that cause the different effects. Increased neuronal activity is induced in repetitive TMS by using a higher frequency and decreased neuronal activity is induced by using a lower frequency.
577:, has found that while large effect sizes were initially found for symptom improvement, later and larger studies have found smaller effect sizes (see also section on use of tDCS in psychiatric disorders below). Studies have mostly concentrated on positive symptoms like auditory hallucinations; research on negative symptoms is lacking. 214:, dizziness, and itching under the electrode. Typical treatment sessions lasting for about 20–30 minutes repeated daily for several weeks in the treatment of depression. Adverse effects of long term treatment were not known as of 2017. Nausea most commonly occurs when the electrodes are placed above the 265:
tDCS stimulates and activates brain cells by delivering electrical signals. The lasting modulation of cortical excitability produced by tDCS makes it an effective solution to facilitate rehabilitation and treat a range of neuropsychiatric disorders. The way that the stimulation changes brain function
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Research conducted as of 2012 on the use of tDCS to treat pain, found that the research has been of low quality and cannot be used as a basis to recommend use of tDCS to treat pain. In chronic pain following spinal cord injury, research is of high quality and has found tDCS to be ineffective. tDCS
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Transcranial direct current stimulation is a relatively simple technique requiring only a few parts. These include two electrodes and a battery-powered device that delivers constant current. Control software can also be used in experiments that require multiple sessions with differing stimulation
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Recently, tDCS devices are being researched and created intended for at-home use – ranging from treating medical conditions such as depression to enhancing general cognitive well-being. Clinical trials are needed to establish the efficacy, feasibility and acceptability of home-based
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tDCS has been used in neuroscience research, particularly to try to link specific brain regions to specific cognitive tasks or psychological phenomena. The cerebellum has been a focus of research, due to its high concentration of neurons, its location immediately below the skull, and its multiple
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There was a brief rise of interest in transcranial direct current stimulation in the 1960s when studies by researcher D. J. Albert proved that the stimulation could affect brain function by changing the cortical excitability. He also discovered that positive and negative stimulation had different
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Second, tDCS brain tissue stimulation targets a large area of poorly characterized tissue. Therefore, it is unclear whether electrical fields reach only the neural structures of the brain that need treatment. The radiation can destroy healthy cells which don't need treatment during tDCS therapy.
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There is evidence that certain tDCS montages can increase learning rates for particular tasks in healthy individuals, namely motor tasks and memory function. However, reproducibility remains to be fully tested across studies and standardization for these kinds of studies has not been implemented
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in the brain. There are two types of TMS: repetitive TMS and single pulse TMS. Both are used in research therapy but effects lasting longer than the stimulation period are only observed in repetitive TMS. Similar to tDCS, an increase or decrease in neuronal activity can be achieved using this
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While growing literature shows the efficacy of transcranial direct current stimulation (tDCS) for treating nervous diseases such as acute depressive episodes, the lack of knowledge about the nature of this treatment at the cell level raises concerns regarding possible adverse effects that would
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was published 2020. The meta-analysis collated results across nine eligible studies (572 participants) up until December 2018 to estimate odds ratio (OR) and number needed to treat (NNT) of response and remission, and depression improvement. The results showed statistically superior efficacy of
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There is no strong evidence that tDCS can help improve upper limb function after stroke. In stroke, research conducted as of 2014, has found that tDCS is not effective for improving upper limb function after stroke. While some reviews have suggested an effect of tDCS for improving post-stroke
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tDCS is able to achieve cortical changes even after the stimulation is ended. The duration of this change depends on the length of stimulation as well as the intensity of stimulation. The effects of stimulation increase as the duration of stimulation increases or the strength of the current
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in experiments. Sham stimulation emits a brief current but then remains off for the remainder of the stimulation time. With sham stimulation, the person receiving the tDCS does not know that they are not receiving prolonged stimulation. By comparing the results in subjects exposed to sham
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First, tDCS therapy involves exposure of the brain to an intense electric field, which is several times and even orders of magnitude higher than natural ones in the brain. While the therapeutic effect is observed in a short period of months, the impact of the electric fields on the brain,
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Utz KS, Dimova V, Oppenländer K, Kerkhoff G (August 2010). "Electrified minds: transcranial direct current stimulation (tDCS) and galvanic vestibular stimulation (GVS) as methods of non-invasive brain stimulation in neuropsychology--a review of current data and future implications".
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A 2015 review of results from hundreds of tDCS experiments found that there was no statistically conclusive evidence to support any net cognitive effect, positive or negative, of single session tDCS in healthy populations – there is no evidence that tDCS is useful for
328:. Note that in traditional electric circuits constructed from metal wires, charge drift is created by the motion of negatively charged electrons, which actually flow from cathode to anode. However, in biological systems, such as the head, current is usually created by the flow of 40: 348:. This reference electrode is usually placed on the neck or shoulder of the opposite side of the body than the region of interest. Since the region of interest may be small, it is often useful to locate this region before placing the electrode by using a 126:, non-neuropathic pain, nor for improving arm or leg functioning and muscle strength in people recovering from a stroke. There is emerging supportive evidence for tDCS in the management of schizophrenia – especially for negative symptoms. 1183:
Moffa AH, Martin D, Alonzo A, Bennabi D, Blumberger DM, Benseñor IM, et al. (April 2020). "Efficacy and acceptability of transcranial direct current stimulation (tDCS) for major depressive disorder: An individual patient data meta-analysis".
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Horvath JC, Forte JD, Carter O (January 2015). "Evidence that transcranial direct current stimulation (tDCS) generates little-to-no reliable neurophysiologic effect beyond MEP amplitude modulation in healthy human subjects: A systematic review".
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In case of treating depression, tDCS currents specifically target the left side of dorsolateral prefrontal cortex (DLPFC) located in the frontal lobe. Left DLPFC has been shown to be associated with lower activity in the depressed population.
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Transcranial electrical stimulation techniques. While tDCS uses constant current intensity, tRNS and tACS use oscillating current. The vertical axis represents the current intensity in milliamp (mA), while the horizontal axis illustrates the
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In 2015, the British National Institute for Health and Care Excellence (NICE) found tDCS to be safe and to appear effective for depression treatment. Up until 2014, there have been several small randomized clinical trials (RCT) in
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were two such researchers that utilized the technology of tDCS in their explorations of the source of animal cell electricity . It was due to these initial studies that tDCS was first brought into the clinical scene. In 1801,
332:, which may be positively or negatively charged – positive ions will flow towards the cathode; negative ions will flow toward the anode. The device may control the current as well as the duration of stimulation. 2730:"A Systematic Review and Meta-Analysis of the Effects of Transcranial Direct Current Stimulation (tDCS) Over the Dorsolateral Prefrontal Cortex in Healthy and Neuropsychiatric Samples: Influence of Stimulation Parameters" 282:
firing. When negative stimulation (cathodal tDCS) is delivered, the current causes a hyperpolarization of the resting membrane potential. This decreases neuron excitability due to the decreased spontaneous cell firing.
406:(DC) to stimulate the area of interest, has existed for over 100 years. There were a number of rudimentary experiments completed before the 19th century using this technique that tested animal and human electricity. 943:
Luedtke K, Rushton A, Wright C, Geiss B, Juergens TP, May A (June 2012). "Transcranial direct current stimulation for the reduction of clinical and experimentally induced pain: a systematic review and meta-analysis".
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Recent research on tDCS has shown promising results in treating other mental health conditions such as anxiety and PTSD. More research is required on the topic. There is also evidence that tDCS is useful in treating
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Hill AT, Fitzgerald PB, Hoy KE (2016). "Effects of Anodal Transcranial Direct Current Stimulation on Working Memory: A Systematic Review and Meta-Analysis of Findings From Healthy and Neuropsychiatric Populations".
590:, a 2015 Cochrane review could find no improvement from combining tDCS with conventional treatment. Research conducted as of 2013 suggests that tDCS may be effective for improve vision deficits following stroke. 645:(MDD) in the UK, EU, Australia, and Mexico. As of 2015, tDCS has not been approved for any use by the US FDA. An FDA briefing document prepared in 2012 stated that "there is no regulation for therapeutic tDCS". 3490:
Lefaucheur JP, Antal A, Ayache SS, Benninger DH, Brunelin J, Cogiamanian F, et al. (January 2017). "Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS)".
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Liu Y, Gu N, Cao X, Zhu Y, Wang J, Smith RC, Li C (February 2021). "Effects of transcranial electrical stimulation on working memory in patients with schizophrenia: A systematic review and meta-analysis".
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in healthy people. Several reviews have found evidence of small yet significant cognitive improvements. Other reviews found no evidence at all, although one of them has been criticized for overlooking
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Kuo HI, Bikson M, Datta A, Minhas P, Paulus W, Kuo MF, Nitsche MA (July 2013). "Comparing cortical plasticity induced by conventional and high-definition 4 × 1 ring tDCS: a neurophysiological study".
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Sparing R, Mottaghy FM (April 2008). "Noninvasive brain stimulation with transcranial magnetic or direct current stimulation (TMS/tDCS)-From insights into human memory to therapy of its dysfunction".
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A 2017 study conducted by Brunoni showed 6-weeks of tDCS treatment resulted in reduction of at least half of depression symptoms in 41% of depressed people (vs. 22% placebo and 47% antidepressants).
278:. When positive stimulation (anodal tDCS) is delivered, the current causes a depolarization of the resting membrane potential, which increases neuronal excitability and allows for more spontaneous 1268:
Ahmadizadeh MJ, Rezaei M, Fitzgerald PB (November 2019). "Transcranial direct current stimulation (tDCS) for post-traumatic stress disorder (PTSD): A randomized, double-blinded, controlled trial".
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Mondino M, Bennabi D, Poulet E, Galvao F, Brunelin J, Haffen E (May 2014). "Can transcranial direct current stimulation (tDCS) alleviate symptoms and improve cognition in psychiatric disorders?".
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Our findings indicates two potential applications for tDCS in the therapeutic arsenal for depression: in primary care settings and as a non-pharmacological, neuromodulatory therapy for depression.
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Sparing R, Mottaghy FM (2008). "Noninvasive brain stimulation with transcranial magnetic or direct current stimulation (TMS/tDCS)-From insights into human memory to therapy of its dysfunction".
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Horvath JC, Forte JD, Carter O (2015). "Quantitative Review Finds No Evidence of Cognitive Effects in Healthy Populations From Single-session Transcranial Direct Current Stimulation (tDCS)".
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Coffman BA, Clark VP, Parasuraman R (January 2014). "Battery powered thought: enhancement of attention, learning, and memory in healthy adults using transcranial direct current stimulation".
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Théorique et expérimental sur le galvanisme, avec une série d'expériences faites devant des commissaires de l'Institut national de France, et en divers amphithéâtres anatomiques de Londres
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effects and evidence from multiple-session tDCS trials. However, the original authors addressed these raised concerns in a further analysis and continued to find no evidence of impact
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Theoretical and experimental on galvanism, with a series of experiments made before commissioners of the National Institute of France, and in various anatomical amphitheatres in London.
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has also been studied in addiction. There is some moderate (level B) evidence to indicate that, in addition to treating major depressive disorder, tDCS may also be appropriate to treat
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stimulation with the results of subjects exposed to anodal or cathodal stimulation, researchers can see how much of an effect is caused by the current stimulation, rather than by the
806:"Comparative efficacy and acceptability of non-surgical brain stimulation for the acute treatment of major depressive episodes in adults: systematic review and network meta-analysis" 3751:
Siebner HR, Hartwigsen G, Kassuba T, Rothwell JC (2009). "How does transcranial magnetic stimulation modify neuronal activity in the brain? Implications for studies of cognition".
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Ruffini G, Wendling F, Merlet I, Molaee-Ardekani B, Mekonnen A, Salvador R, et al. (May 2013). "Transcranial current brain stimulation (tCS): models and technologies".
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Nitsche MA, Nitsche MS, Klein CC, Tergau F, Rothwell JC, Paulus W (April 2003). "Level of action of cathodal DC polarisation induced inhibition of the human motor cortex".
1362:"Transcranial direct current stimulation (tDCS) for improving capacity in activities and arm function after stroke: a network meta-analysis of randomised controlled trials" 48:
size are put on F3 and right supraorbital region, respectively. A head strap is used (d) for convenience and reproducibility, and a rubber band (e) for reducing resistance.
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de Aguiar V, Paolazzi CL, Miceli G (February 2015). "tDCS in post-stroke aphasia: the role of stimulation parameters, behavioral treatment and patient characteristics".
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Jansen JM, Daams JG, Koeter MW, Veltman DJ, van den Brink W, Goudriaan AE (December 2013). "Effects of non-invasive neurostimulation on craving: a meta-analysis".
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Nitsche MA, Liebetanz D, Lang N, Antal A, Tergau F, Paulus W (November 2003). "Safety criteria for transcranial direct current stimulation (tDCS) in humans".
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Grimaldi G, Argyropoulos GP, Boehringer A, Celnik P, Edwards MJ, Ferrucci R, et al. (2014). "Non-invasive cerebellar stimulation--a consensus paper" (PDF).
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Nitsche MA, Cohen LG, Wassermann EM, Priori A, Lang N, Antal A, et al. (July 2008). "Transcranial direct current stimulation: State of the art 2008".
2006:"Gyri-precise head model of transcranial direct current stimulation: improved spatial focality using a ring electrode versus conventional rectangular pad" 1693:
Liebetanz D, Koch R, Mayenfels S, König F, Paulus W, Nitsche MA (June 2009). "Safety limits of cathodal transcranial direct current stimulation in rats".
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Chhatbar PY, Feng W (2015). "Data Synthesis in Meta-Analysis may Conclude Differently on Cognitive Effect From Transcranial Direct Current Stimulation".
992:"Transcranial direct current stimulation (tDCS) for improving activities of daily living, and physical and cognitive functioning, in people after stroke" 419:(Galvani's nephew) started a study in which he successfully used the technique of direct current stimulation to improve the mood of melancholy patients. 1500:
Poreisz C, Boros K, Antal A, Paulus W (May 2007). "Safety aspects of transcranial direct current stimulation concerning healthy subjects and patients".
2233:"At-Home Transcranial Direct Current Stimulation (tDCS) With Telehealth Support for Symptom Control in Chronically-Ill Patients With Multiple Symptoms" 2283: 1895: 340:
To set up the tDCS device, the electrodes and the skin need to be prepared. This ensures a low resistance connection between the skin and the
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delivered via electrodes on the head. It was originally developed to help patients with brain injuries or neuropsychiatric conditions such as
3975: 1085:"Efficacy and Safety of Transcranial Direct Current Stimulation for Treating Negative Symptoms in Schizophrenia: A Randomized Clinical Trial" 665: 472: 431: 3821: 3400:"Repeated transcranial direct current stimulation prevents abnormal behaviors associated with abstinence from chronic nicotine consumption" 3008:
Horvath JC (2015). "New Quantitative Analyses Following Price & Hamilton's Critique do not Change Original Findings of Horvath et al".
549:. A second study by the same authors found there was little-to-no statistically reliable impact of tDCS on any neurophysiologic outcome. 3595:"Cerebellar Transcranial Direct Current Stimulation (ctDCS): A Novel Approach to Understanding Cerebellar Function in Health and Disease" 4025: 680: 2106:"A pilot study of the tolerability and effects of high-definition transcranial direct current stimulation (HD-tDCS) on pain perception" 4010: 3985: 2846: 655: 100: 1787:"Physiological and modeling evidence for focal transcranial electrical brain stimulation in humans: a basis for high-definition tDCS" 455:(TMS), an electric coil is held above the region of interest on the scalp that uses rapidly changing magnetic fields to induce small 114:
Research shows increasing evidence for tDCS as a treatment for depression. There is mixed evidence about whether tDCS is useful for
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Katsoulaki M, Kastrinis A, Tsekoura M (2017). "The Effects of Anodal Transcranial Direct Current Stimulation on Working Memory".
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A 2016 meta-analysis showed that 34% of people treated with tDCS showed at least 50% symptom reduction (compared to 19% placebo).
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van Dun K, Bodranghien F, Manto M, Mariën P (June 2017). "Targeting the Cerebellum by Noninvasive Neurostimulation: a Review".
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Feng WW, Bowden MG, Kautz S (Jan 2013). "Review of transcranial direct current stimulation in poststroke recovery".
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Woodham R, Rimmer RM, Mutz J, Fu CH (May 2021). "Is tDCS a potential first line treatment for major depression?".
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Determining the safety and effectiveness of tDCS treatment for people with depression is being investigated:
4290: 4231: 3644:"tDCS of the Cerebellum: Where Do We Stand in 2016? Technical Issues and Critical Review of the Literature" 4178: 3914: 3874: 3209:"Transcranial direct current stimulation (tDCS) for improving aphasia in adults with aphasia after stroke" 2503: 570: 566: 558: 292: 123: 119: 889:"Transcranial direct current stimulation for memory enhancement: from clinical research to animal models" 4259: 4226: 4101: 4076: 3995: 3849: 1839:"Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation" 675: 538: 534: 115: 17: 2598:
Brunoni AR, Moffa AH, Sampaio-Junior B, Borrione L, Moreno ML, Fernandes RA, et al. (June 2017).
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Grimaldi G, Argyropoulos GP, Bastian A, Cortes M, Davis NJ, Edwards DJ, et al. (February 2016).
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should not receive tDCS. Studies have been completed to determine the current density at which overt
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Agarwal SM, Shivakumar V, Bose A, Subramaniam A, Nawani H, Chhabra H, et al. (December 2013).
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Antal A, Alekseichuk I, Bikson M, Brockmöller J, Brunoni AR, Chen R, et al. (September 2017).
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after spinal cord injury. There is evidence of very low to moderate quality that tDCS can improve
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specifically on the treated neuronal structures, is a question of further long-term research.
222:. A phosphene is a brief flash of light that can occur if an electrode is placed near the eye. 3108:
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Borckardt JJ, Bikson M, Frohman H, Reeves ST, Datta A, Bansal V, et al. (February 2012).
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Valiengo LD, Goerigk S, Gordon PC, Padberg F, Serpa MH, Koebe S, et al. (February 2020).
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There is some evidence tDCS might be of moderate benefit as treatment for mild and moderate
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Brunoni AR, Moffa AH, Fregni F, Palm U, Padberg F, Blumberger DM, et al. (June 2016).
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we found tDCS to be efficacious across outcomes in both pairwise and network meta-analyses.
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Brunoni AR, Moffa AH, Fregni F, Palm U, Padberg F, Blumberger DM, et al. (June 2016).
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in healthy people. There is no strong evidence that tDCS is useful for memory deficits in
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A systematic review of placebo-controlled trials investigating tDCS treatment for
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Research continued, further fueled by knowledge gained from other techniques like
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Working Commission to Investigate the Use of Psychiatry for Political Purposes
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Edwards D, Cortes M, Datta A, Minhas P, Wassermann EM, Bikson M (July 2013).
1162: 905: 3919: 2231:
Riggs A, Patel V, Paneri B, Portenoy RK, Bikson M, Knotkova H (2018-05-22).
2071: 573:
and healthy subjects, with mixed results. Research conducted as of 2013 in
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Cortex; A Journal Devoted to the Study of the Nervous System and Behavior.
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Cortex; A Journal Devoted to the Study of the Nervous System and Behavior
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Cheng, Ying-Chih; Kuo, Po-Hsiu; Su, Min-I; Huang, Wei-Lieh (2022-04-01).
720: 230: 211: 1888:"Transcranial direct current stimulation in the treatment of depression" 1738:"Establishing safety limits for transcranial direct current stimulation" 599:
fully, though an attempt at formalizing standards was released in 2017.
44:
Anodal tDCS administration. Anodal (b) and cathodal (c) electrodes with
3177: 587: 557:
There is no strong evidence that tDCS is useful for memory deficits in
382: 373: 307:
Transcranial direct current stimulation works by sending constant, low
238: 226: 215: 176: 2004:
Datta A, Bansal V, Diaz J, Patel J, Reato D, Bikson M (October 2009).
821: 70: 250: 207: 199: 2284:"Europe's first home brain-zap device for depression launched in UK" 3398:
Pedron S, Monnin J, Haffen E, Sechter D, Van Waes V (March 2014).
2496:
IEEE Transactions on Neural Systems and Rehabilitation Engineering
1237:
Li, John; Kung, Simon; Croarkin, Paul; Lapid, Maria (2024-04-01).
441: 369: 1186:
Progress in Neuro-Psychopharmacology & Biological Psychiatry
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Transcranial direct-current stimulaiton is also used to augment
3803: 857:"Transcranial direct current stimulation (tDCS) for depression" 3110:"Interventions for improving upper limb function after stroke" 329: 3799: 3763: 3761: 3642:
van Dun K, Bodranghien FC, Mariën P, Manto MU (2016-01-01).
2728:
Dedoncker J, Brunoni AR, Baeken C, Vanderhasselt MA (2016).
1480:
The National Institute for Health and Care Excellence (NICE)
1455:
The National Institute for Health and Care Excellence (NICE)
1360:
Elsner B, Kwakkel G, Kugler J, Mehrholz J (September 2017).
861:
The National Institute for Health and Care Excellence (NICE)
202:
over two weeks, adverse effects include skin irritation, a
3058:"Transcranial direct current stimulation in schizophrenia" 4036:
Royal Australian and New Zealand College of Psychiatrists
533:
There is mixed evidence about whether tDCS is useful for
990:
Elsner B, Kugler J, Pohl M, Mehrholz J (November 2020).
179:, or to help maintain language abilities in the case of 552: 2637: 2635: 1832: 1830: 3103: 3101: 4046:
Taiwanese Society of Child and Adolescent Psychiatry
3159: 3157: 3155: 3153: 479:), a group of technologies commonly referred to as 198:
As of 2017, at stimulation up to 60 min and up to 4
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American Academy of Child and Adolescent Psychiatry
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45 (9): 1035–1042. doi:10.1016/j.cortex.2009.02.007
3207:Elsner B, Kugler J, Pohl M, Mehrholz J (May 2019). 553:
Parkinson's, Alzheimer's disease, and schizophrenia
291:increases. tDCS has been proposed to promote both 257:higher than protocols that were in use as of 2009. 53: 32: 175:in patients with acquired language disorders like 3254: 3252: 938: 936: 934: 299:, and further research is needed for validation. 193:National Institute for Health and Care Excellence 3771:44 (4): 329–337. doi:10.1016/j.ymeth.2007.02.001 3734: 3732: 882: 880: 878: 368:There are three different types of stimulation: 3051: 3049: 3047: 2917: 2915: 2913: 1178: 1176: 1174: 1172: 27:Technique of brain electric stimulation therapy 3742:13 (1): 121–138. doi:10.1007/s12311-013-0514-7 2868: 2866: 1553: 1551: 1549: 1547: 1545: 1543: 1541: 1539: 1366:Journal of Neuroengineering and Rehabilitation 4016:Independent Psychiatric Association of Russia 3815: 2359:The Canadian Journal of Neurological Sciences 1417:American Journal of Speech-Language Pathology 8: 3062:Clinical Psychopharmacology and Neuroscience 1999: 1997: 1243:The American Journal of Geriatric Psychiatry 1130: 1128: 661:Transcranial alternating current stimulation 3353:The Cochrane Database of Systematic Reviews 3213:The Cochrane Database of Systematic Reviews 3114:The Cochrane Database of Systematic Reviews 1736:Bikson M, Datta A, Elwassif M (June 2009). 996:The Cochrane Database of Systematic Reviews 625:appear long after the treatment has ended. 168:assessment in the short-term after stroke. 3971:American Board of Psychiatry and Neurology 3822: 3808: 3800: 2644:The World Journal of Biological Psychiatry 1961: 1959: 698: 696: 38: 3669: 3659: 3618: 3569: 3512: 3423: 3374: 3364: 3232: 3133: 3081: 2753: 2615: 2574: 2564: 2507: 2478: 2441: 2258: 2248: 2121: 2080: 2070: 2029: 1862: 1810: 1761: 1658:(11): 2220–2222, author reply 2222–2223. 1626: 1387: 1377: 1336: 1205: 1152: 1108: 1015: 914: 904: 829: 777: 728: 2407:] (in French). Paris: Fournier Fils. 1837:Nitsche MA, Paulus W (September 2000). 705:"Somatic treatments for mood disorders" 692: 81:Transcranial direct current stimulation 33:Transcranial direct-current stimulation 18:Transcranial direct current stimulation 3449:Neuroscience and Biobehavioral Reviews 2888:10.1016/j.neuropsychologia.2014.11.021 1934:10.1016/j.neuropsychologia.2010.06.002 1914: 1912: 1894:. Servier Laboratories. Archived from 1855:10.1111/j.1469-7793.2000.t01-1-00633.x 423:effects on the cortical excitability. 249:of 52400 C/m or higher caused a brain 237:occurs in rats. It was found that in 29: 4205:Neurological conditions and disorders 3976:American Neuropsychiatric Association 3300: 3298: 666:Transcranial random noise stimulation 473:transcranial random noise stimulation 7: 2237:Frontiers in Behavioral Neuroscience 985: 983: 703:Rosa MA, Lisanby SH (January 2012). 641:tDCS is a CE approved treatment for 4026:National Institute of Mental Health 2604:The New England Journal of Medicine 681:Non-invasive cerebellar stimulation 481:transcranial electrical stimulation 66: 4011:Hong Kong College of Psychiatrists 3986:Campaign Against Psychiatric Abuse 2309:International Review of Psychiatry 1514:10.1016/j.brainresbull.2007.01.004 1282:10.1016/j.brainresbull.2019.09.011 656:Cranial electrotherapy stimulation 594:Motor Learning and Memory Function 266:is either by causing the neuron’s 101:cranial electrotherapy stimulation 25: 2553:The British Journal of Psychiatry 893:Frontiers in Systems Neuroscience 758:The British Journal of Psychiatry 671:Transcranial magnetic stimulation 463:Variants related to tDCS include 453:transcranial magnetic stimulation 183:, a neurodegenerative condition. 109:transcranial magnetic stimulation 4254: 4244: 4001:European Psychiatric Association 3981:American Psychiatric Association 2699:10.1016/j.neuroimage.2013.07.083 2059:The Journal of Headache and Pain 1803:10.1016/j.neuroimage.2013.01.042 1101:10.1001/jamapsychiatry.2019.3199 402:The basic design of tDCS, using 4255: 4006:Global Initiative on Psychiatry 3855:Child and adolescent psychiatry 3648:Frontiers in Human Neuroscience 3461:10.1016/j.neubiorev.2013.07.009 3166:Topics in Stroke Rehabilitation 4222:Psychiatric survivors movement 4112:Psychiatric survivors movement 4082:Controversies about psychiatry 4041:Royal College of Psychiatrists 3562:10.1523/JNEUROSCI.5308-13.2014 3366:10.1002/14651858.CD009177.pub2 3225:10.1002/14651858.CD009760.pub4 3126:10.1002/14651858.CD010820.pub2 1054:10.1016/j.psychres.2020.113656 1008:10.1002/14651858.CD009645.pub4 253:in the rat. This is over two 149:treatment-resistant depression 1: 4107:Political abuse of psychiatry 4056:World Psychiatric Association 3991:Chinese Society of Psychiatry 2352:"Aldini's Essay on Galvanism" 2321:10.1080/09540261.2021.1879030 2202:10.1016/S1388-2457(02)00412-1 1664:10.1016/S1388-2457(03)00235-9 206:at the start of stimulation, 3790:Food and Drug Administration 3505:10.1016/j.clinph.2016.10.087 3326:10.1016/j.clinph.2017.01.004 3273:10.1016/j.cortex.2014.08.015 2839:10.1007/978-3-319-57379-3_25 2656:10.3109/15622975.2013.876514 2471:10.1016/0028-3932(66)90021-2 2434:10.1016/0028-3932(66)90020-0 1886:Fitzgerald PB (2011-10-24). 1754:10.1016/j.clinph.2009.03.018 1707:10.1016/j.clinph.2009.01.022 1619:10.1016/j.clinph.2017.06.001 958:10.1097/AJP.0b013e31823853e3 946:The Clinical Journal of Pain 99:. It can be contrasted with 3550:The Journal of Neuroscience 2123:10.1016/j.jpain.2011.07.001 1980:10.1016/j.ymeth.2007.02.001 1198:10.1016/j.pnpbp.2019.109836 438:Comparison to other devices 181:primary progressive aphasia 4322: 4021:Indian Psychiatric Society 2518:10.1109/TNSRE.2012.2200046 2350:Parent A (November 2004). 1429:10.1044/2016_AJSLP-15-0133 1255:10.1016/j.jagp.2024.01.181 268:resting membrane potential 245:of 142.9 A/m delivering a 166:activities of daily living 4240: 4097:Electroconvulsive therapy 4092:Biopsychiatry controversy 3865:Cross-cultural psychiatry 3860:Cognitive neuropsychiatry 3707:10.1007/s12311-016-0840-7 3514:10067/1420300151162165141 3074:10.9758/cpn.2013.11.3.118 3022:10.1016/j.brs.2015.05.001 2979:10.1016/j.brs.2015.06.001 2936:10.1016/j.brs.2015.01.400 2800:10.1016/j.brs.2015.10.006 2746:10.1016/j.brs.2016.04.006 2566:10.1192/bjp.bp.115.164715 2371:10.1017/S0317167100003851 2159:10.1016/j.brs.2012.09.010 2022:10.1016/j.brs.2009.03.005 1843:The Journal of Physiology 1572:10.1016/j.brs.2008.06.004 1379:10.1186/s12984-017-0301-7 1154:10.1017/S0033291721005560 770:10.1192/bjp.bp.115.164715 643:major depressive disorder 612:, and craving disorders. 517:major depressive disorder 502:major depressive disorder 191:According to the British 145:major depressive disorder 107:the same way, as well as 97:major depressive disorder 67: 37: 4144:Psychiatric epidemiology 4139:Philosophy of psychiatry 4031:Philadelphia Association 3870:Developmental disability 3661:10.3389/fnhum.2016.00199 3611:10.1177/1073858414559409 3493:Clinical Neurophysiology 3314:Clinical Neurophysiology 2250:10.3389/fnbeh.2018.00093 2190:Clinical Neurophysiology 1742:Clinical Neurophysiology 1695:Clinical Neurophysiology 1652:Clinical Neurophysiology 1607:Clinical Neurophysiology 906:10.3389/fnsys.2014.00159 91:that uses constant, low 4210:Psychiatric medications 3404:Neuropsychopharmacology 2072:10.1186/1129-2377-14-23 1502:Brain Research Bulletin 1270:Brain Research Bulletin 709:Neuropsychopharmacology 218:for stimulation of the 103:, which generally uses 4179:Psychosomatic medicine 3915:Nutritional psychiatry 3875:Descriptive psychiatry 3455:(10 Pt 2): 2472–2480. 1141:Psychological Medicine 448: 389:At-home administration 293:long term potentiation 229:, such as people with 225:People susceptible to 4102:Insulin shock therapy 4077:Clinical neuroscience 3996:Democratic Psychiatry 3850:Biological psychiatry 2617:10.1056/nejmoa1612999 1207:1959.4/unsworks_81424 676:Brainwave entrainment 547:cognitive enhancement 535:cognitive enhancement 445: 116:cognitive enhancement 4215:by condition treated 4154:Psychiatric hospital 4149:Psychiatric genetics 3895:Geriatric psychiatry 3885:Emergency psychiatry 3845:Addiction psychiatry 3416:10.1038/npp.2013.298 2016:(4): 201–7, 207.e1. 1482:. UK. 26 August 2015 1457:. UK. 26 August 2015 1329:10.1093/brain/awq184 721:10.1038/npp.2011.225 637:Regulatory approvals 364:Types of stimulation 297:long term depression 4072:Behavioral medicine 3930:Palliative medicine 3910:Military psychiatry 3890:Forensic psychiatry 2110:The Journal of Pain 1042:Psychiatry Research 571:Alzheimer's disease 567:Parkinson's disease 559:Alzheimer's disease 457:electrical currents 261:Mechanism of action 255:orders of magnitude 124:Alzheimer's disease 120:Parkinson's disease 105:alternating current 4286:Medical treatments 4174:Psychopharmacology 3905:Liaison psychiatry 3599:The Neuroscientist 3178:10.1310/tsr2001-68 449: 352:technique such as 4268: 4267: 4200:Counseling topics 4134:Pentylenetetrazol 3900:Immuno-psychiatry 3556:(10): 3646–3652. 3010:Brain Stimulation 2967:Brain Stimulation 2924:Brain Stimulation 2788:Brain Stimulation 2734:Brain Stimulation 2693:(Pt 3): 895–908. 2610:(26): 2523–2533. 2399:Essai AJ (1804). 2147:Brain Stimulation 2010:Brain Stimulation 1928:(10): 2789–2810. 1849:(Pt 3): 633–639. 1560:Brain Stimulation 1423:(4S): S854–S867. 863:. UK. August 2015 822:10.1136/bmj.l1079 220:vestibular system 155:Other medical use 78: 77: 16:(Redirected from 4313: 4301:Neurostimulation 4258: 4257: 4248: 4119:Imaging genetics 3824: 3817: 3810: 3801: 3795: 3794: 3786: 3778: 3772: 3765: 3756: 3749: 3743: 3736: 3727: 3726: 3690: 3684: 3683: 3673: 3663: 3639: 3633: 3632: 3622: 3590: 3584: 3583: 3573: 3541: 3535: 3534: 3516: 3487: 3481: 3480: 3444: 3438: 3437: 3427: 3395: 3389: 3388: 3378: 3368: 3359:(11): CD009177. 3344: 3338: 3337: 3311: 3302: 3293: 3292: 3256: 3247: 3246: 3236: 3204: 3198: 3197: 3161: 3148: 3147: 3137: 3120:(11): CD010820. 3105: 3096: 3095: 3085: 3053: 3042: 3041: 3005: 2999: 2998: 2962: 2956: 2955: 2919: 2908: 2907: 2876:Neuropsychologia 2870: 2861: 2860: 2826: 2820: 2819: 2782: 2776: 2775: 2757: 2725: 2719: 2718: 2682: 2676: 2675: 2639: 2630: 2629: 2619: 2595: 2589: 2588: 2578: 2568: 2544: 2538: 2537: 2511: 2491: 2485: 2484: 2482: 2459:Neuropsychologia 2454: 2448: 2447: 2445: 2422:Neuropsychologia 2417: 2411: 2408: 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412:Alessandro Volta 394:tDCS treatment. 162:neuropathic pain 71:edit on Wikidata 63: 47: 42: 30: 21: 4321: 4320: 4316: 4315: 4314: 4312: 4311: 4310: 4306:Medical devices 4296:Neurotechnology 4281:Neurophysiology 4271: 4270: 4269: 4264: 4236: 4232:Psychotherapies 4188: 4169:Psycho-oncology 4129:Neurophysiology 4087:Anti-psychiatry 4060: 3954: 3925:Neuropsychiatry 3880:Eating disorder 3833: 3828: 3798: 3784: 3780: 3779: 3775: 3766: 3759: 3750: 3746: 3737: 3730: 3692: 3691: 3687: 3641: 3640: 3636: 3592: 3591: 3587: 3543: 3542: 3538: 3489: 3488: 3484: 3446: 3445: 3441: 3397: 3396: 3392: 3346: 3345: 3341: 3309: 3304: 3303: 3296: 3258: 3257: 3250: 3219:(5): CD009760. 3206: 3205: 3201: 3163: 3162: 3151: 3107: 3106: 3099: 3055: 3054: 3045: 3007: 3006: 3002: 2964: 2963: 2959: 2921: 2920: 2911: 2872: 2871: 2864: 2849: 2828: 2827: 2823: 2784: 2783: 2779: 2755:1854/LU-7206618 2727: 2726: 2722: 2684: 2683: 2679: 2641: 2640: 2633: 2597: 2596: 2592: 2546: 2545: 2541: 2509:10.1.1.352.4406 2493: 2492: 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157: 137: 132: 89:neuromodulation 87:) is a form of 74: 59: 49: 45: 28: 23: 22: 15: 12: 11: 5: 4319: 4317: 4309: 4308: 4303: 4298: 4293: 4291:Electrotherapy 4288: 4283: 4273: 4272: 4266: 4265: 4263: 4262: 4252: 4241: 4238: 4237: 4235: 4234: 4229: 4224: 4219: 4218: 4217: 4207: 4202: 4196: 4194: 4190: 4189: 4187: 4186: 4181: 4176: 4171: 4166: 4164:Psychoanalysis 4161: 4156: 4151: 4146: 4141: 4136: 4131: 4126: 4121: 4116: 4115: 4114: 4109: 4104: 4099: 4094: 4089: 4079: 4074: 4068: 4066: 4065:Related topics 4062: 4061: 4059: 4058: 4053: 4048: 4043: 4038: 4033: 4028: 4023: 4018: 4013: 4008: 4003: 3998: 3993: 3988: 3983: 3978: 3973: 3968: 3962: 3960: 3956: 3955: 3953: 3952: 3950:Telepsychiatry 3947: 3945:Sleep medicine 3942: 3937: 3932: 3927: 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3887: 3882: 3877: 3872: 3867: 3862: 3857: 3852: 3847: 3841: 3839: 3838:Subspecialties 3835: 3834: 3829: 3827: 3826: 3819: 3812: 3804: 3797: 3796: 3773: 3757: 3744: 3728: 3701:(3): 695–741. 3685: 3634: 3585: 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Index

Transcranial direct current stimulation

MeSH
D065908
edit on Wikidata
neuromodulation
direct current
major depressive disorder
cranial electrotherapy stimulation
alternating current
transcranial magnetic stimulation
cognitive enhancement
Parkinson's disease
Alzheimer's disease
Depression
major depressive disorder
treatment-resistant depression
neuropathic pain
activities of daily living
speech therapy
aphasia
primary progressive aphasia
National Institute for Health and Care Excellence
mA
phosphene
nausea
headache
mastoid
vestibular system
seizures

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