4.6 Article

Reducing procedural pain and discomfort associated with transcranial direct current stimulation

期刊

BRAIN STIMULATION
卷 4, 期 1, 页码 38-42

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.brs.2010.05.002

关键词

anode; cathode; EMLA; pain reduction; transcranial direct current stimulation; tDCS

资金

  1. Medical University of South Carolina College of Graduate Studies
  2. National Institutes of Health (National Institute of Mental Health, National Institute on Drug Abuse, National Institutes), the Department of Defense and Veterans Administration
  3. National Institutes of Health (National Institute of Neurological Disorders and Stroke, National Institute of Nursing Research)
  4. Robert Wood Johnson Foundation
  5. NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE [K23NS050485] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Background Transcranial direct current stimulation (tDCS) appears to have modulatory effects on the excitability of cortical brain tissue. Though tDCS as presently applied causes no apparent harm to brain structure or function, a number of uncomfortable sensations can occur beneath the electrodes during stimulation, including tingling, pain, itching, and burning sensations. Therefore, we investigated the effect of topically applied Eutectic mixture of local anesthetics (EMLA) on tDCS-related discomfort. Methods Nine healthy adults received both anodal and cathodal 2.0 mA tDCS for 5 minutes over the prefrontal cortex with the skin pretreated for 20 minutes with either EMLA or placebo cream. Participants rated procedural discomfort six times across eight dimensions of sensation. Results On average, the mean sensation ratings for EMLA-associated tDCS stimulation were significantly lower than placebo-associated stimulation for every cutaneous sensation evaluated. Cathodal stimulation was associated with higher ratings of sharpness and intolerability than anodal stimulation. Conclusions Topical EMLA may reduce tDCS-related discomfort. (C) 2011 Elsevier Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Psychiatry

Distinct Symptom-Specific Treatment Targets for Circuit-Based Neuromodulation

Shan H. Siddiqi, Stephan F. Taylor, Danielle Cooke, Alvaro Pascual-Leone, Mark S. George, Michael D. Fox

AMERICAN JOURNAL OF PSYCHIATRY (2020)

Letter Clinical Neurology

NMDA receptor partial agonist, D-cycloserine, enhances 10 Hz rTMS-induced motor plasticity, suggesting long-term potentiation (LTP) as underlying mechanism

Joshua C. Brown, William H. DeVries, Jeffrey E. Korte, Gregory L. Sahlem, Leonardo Bonilha, E. Baron Short, Mark S. George

BRAIN STIMULATION (2020)

Article Clinical Neurology

A two-site, open-label, non-randomized trial comparing Focal Electrically-Administered Seizure Therapy (FEAST) and right unilateral ultrabrief pulse electroconvulsive therapy (RUL-UBP ECT)

Gregory L. Sahlem, William McCall, E. Baron Short, Peter B. Rosenquist, James B. Fox, Nagy A. Youssef, Andrew J. Manett, Suzanne E. Kerns, Morgan M. Dancy, Laryssa McCloud, Mark S. George, Harold A. Sackeim

BRAIN STIMULATION (2020)

Letter Clinical Neurology

Synchronized cervical VNS with accelerated theta burst TMS for treatment resistant depression

Mark S. George, Kevin A. Caulfield, Kathleen O'Leary, Bashar W. Badran, E. Baron Short, Sarah M. Huffman, Xingbao Li, Suzanne E. Kerns, Nolan R. Williams

BRAIN STIMULATION (2020)

Review Clinical Neurology

Safety and recommendations for TMS use in healthy subjects and patient populations, with updates on training, ethical and regulatory issues: Expert Guidelines

Simone Rossi, Andrea Antal, Sven Bestmann, Marom Bikson, Carmen Brewer, Jurgen Brockmoller, Linda L. Carpenter, Massimo Cincotta, Robert Chen, Jeff D. Daskalakis, Vincenzo Di Lazzaro, Michael D. Fox, Mark S. George, Donald Gilbert, Vasilios K. Kimiskidis, Giacomo Koch, Risto J. Ilmoniemi, Jean Pascal Lefaucheur, Letizia Leocani, Sarah H. Lisanby, Carlo Miniussi, Frank Padberg, Alvaro Pascual-Leone, Walter Paulus, Angel Peterchev, Angelo Quartarone, Alexander Rotenberg, John Rothwell, Paolo M. Rossini, Emiliano Santarnecchi, Mouhsin M. Shafi, Hartwig R. Siebner, Yoshikatzu Ugawa, Eric M. Wassermann, Abraham Zangen, Ulf Ziemann, Mark Hallett

Summary: This article is based on a consensus conference held in Siena, Italy in October 2018, aiming to update safety guidelines for the application of transcranial magnetic stimulation (TMS). New emerging issues discussed include safety concerns with recently developed stimulation devices, novel scenarios of TMS applications, and ethical considerations regarding neuroenhancement.

CLINICAL NEUROPHYSIOLOGY (2021)

Article Multidisciplinary Sciences

Brain stimulation in zero gravity: transcranial magnetic stimulation (TMS) motor threshold decreases during zero gravity induced by parabolic flight

Bashar W. Badran, Kevin A. Caulfield, Claire Cox, James W. Lopez, Jeffrey J. Borckardt, William H. DeVries, Philipp Summers, Suzanne Kerns, Colleen A. Hanlon, Lisa M. McTeague, Mark S. George, Donna R. Roberts

NPJ MICROGRAVITY (2020)

Article Psychiatry

Identifying response and predictive biomarkers for Transcranial magnetic stimulation outcomes: protocol and rationale for a mechanistic study of functional neuroimaging and behavioral biomarkers in veterans with Pharmacoresistant depression

Leanne M. Williams, John T. Coman, Patrick C. Stetz, Nicole C. Walker, F. Andrew Kozel, Mark S. George, Jong Yoon, Laura M. Hack, Michelle R. Madore, Kelvin O. Lim, Noah S. Philip, Paul E. Holtzheimer

Summary: This study aims to evaluate the relationship between neural targets, cognitive-behavioral performance, and symptom severity, suicidality, and quality of life outcomes in pharmacoresistant depression patients undergoing TMS treatment. The results will help providers select suitable candidates for TMS treatment and predict treatment response more accurately.

BMC PSYCHIATRY (2021)

Review Clinical Neurology

Training in the practice of noninvasive brain stimulation: Recommendations from an IFCN committee

Peter J. Fried, Emiliano Santarnecchi, Andrea Antal, David Bartres-Faz, Sven Bestmann, Linda L. Carpenter, Pablo Celnik, Dylan Edwards, Faranak Farzan, Shirley Fecteau, Mark S. George, Bin He, Yun-Hee Kim, Letizia Leocani, Sarah H. Lisanby, Colleen Loo, Bruce Luber, Michael A. Nitsche, Walter Paulus, Simone Rossi, Paolo M. Rossini, John Rothwell, Alexander T. Sack, Gregor Thut, Yoshikazu Ugawa, Ulf Ziemann, Mark Hallett, Alvaro Pascual-Leone

Summary: This article provides recommendations for training practitioners in the safe and effective administration of NIBS techniques, covering three different types of practitioners. It discusses the basic and advanced knowledge and skills that practitioners need to possess, as well as recommendations for curriculum components. The article also encourages licensing and governing bodies to implement these guidelines.

CLINICAL NEUROPHYSIOLOGY (2021)

Article Medicine, Research & Experimental

Electric Field Strength From Prefrontal Transcranial Direct Current Stimulation Determines Degree of Working Memory Response: A Potential Application of Reverse-Calculation Modeling?

Kevin A. Caulfield, Aprinda Indahlastari, Nicole R. Nissim, James W. Lopez, Holly H. Fleischmann, Adam J. Woods, Mark S. George

Summary: Using reverse-calculation modeling to individualize tDCS doses can reduce electric field variance at the cortex, potentially leading to more effective treatments for working memory.

NEUROMODULATION (2022)

Article Multidisciplinary Sciences

Epigenome-wide meta-analysis of PTSD across 10 military and civilian cohorts identifies methylation changes in AHRR

Alicia K. Smith, Andrew Ratanatharathorn, Adam X. Maihofer, Robert K. Naviaux, Allison E. Aiello, Ananda B. Amstadter, Allison E. Ashley-Koch, Dewleen G. Baker, Jean C. Beckham, Marco P. Boks, Evelyn Bromet, Michelle Dennis, Sandro Galea, Melanie E. Garrett, Elbert Geuze, Guia Guffanti, Michael A. Hauser, Seyma Katrinli, Varun Kilaru, Ronald C. Kessler, Nathan A. Kimbrel, Karestan C. Koenen, Pei-Fen Kuan, Kefeng Li, Mark W. Logue, Adriana Lori, Benjamin J. Luft, Mark W. Miller, Jane C. Naviaux, Nicole R. Nugent, Xuejun Qin, Kerry J. Ressler, Victoria B. Risbrough, Bart P. F. Rutten, Murray B. Stein, Robert J. Ursano, Eric Vermetten, Christiaan H. Vinkers, Lin Wang, Nagy A. Youssef, Monica Uddin, Caroline M. Nievergelt

NATURE COMMUNICATIONS (2020)

Letter Clinical Neurology

A visual and narrative timeline of US FDA milestones for Transcranial Magnetic Stimulation (TMS) devices

Samantha L. Cohen, Marom Bikson, Bashar W. Badran, Mark S. George

BRAIN STIMULATION (2022)

Article Clinical Neurology

DLPFC stimulation alters working memory related activations and performance: An interleaved TMS-fMRI study

Ryan D. Webler, James Fox, Lisa M. McTeague, Philip C. Burton, Logan Dowdle, Edward Baron Short, Jeffrey J. Borckardt, Xingbao Li, Mark S. George, Ziad Nahas

Summary: In this study, the researchers used interleaved TMS-fMRI to manipulate and observe neural activity during high cognitive load conditions. They found that TMS delivered during high cognitive load strengthened cognitive processing and increased activation in FPN nodes and deactivation in DMN nodes. These results suggest that exogenous perturbation of the DLPFC via single pulse TMS can enhance high cognitive demand processing.

BRAIN STIMULATION (2022)

Review Medicine, General & Internal

Transcranial Direct Current Stimulation for Chronic Stroke: Is Neuroimaging the Answer to the Next Leap Forward?

Claudia A. A. Salazar, Wuwei Feng, Leonardo Bonilha, Steven Kautz, Jens H. H. Jensen, Mark S. S. George, Nathan C. Rowland

Summary: During rehabilitation, transcranial direct current stimulation (tDCS) can be used to prime the motor system of stroke patients and potentially enhance therapy outcomes. However, the efficacy of tDCS varies among patients, which may be influenced by factors such as cortical infarct regions, motor tract injury, and connectivity changes. Neuroimaging techniques are needed to quantify these factors and understand the impact on tDCS delivery. This review summarizes the development of tDCS for stroke from a neuroimaging perspective and discusses potential strategies for personalized tDCS based on anatomy, connectivity, and brain activation dynamics.

JOURNAL OF CLINICAL MEDICINE (2023)

Editorial Material Clinical Neurology

Transcutaneous auricular vagus nerve stimulation (taVNS) decreases heart rate acutely in neonatal rats

Melanie W. Gail, Catrina Sims-Robinson, Heather Boger, Adviye Ergul, Rupak Mukherjee, Dorothea D. Jenkins, Mark S. George

BRAIN STIMULATION (2023)

Review Neurosciences

Update on the Use of Transcranial Electrical Brain Stimulation to Manage Acute and Chronic COVID-19 Symptoms

Giuseppina Pilloni, Marom Bikson, Bashar W. Badran, Mark S. George, Steven A. Kautz, Alexandre Hideki Okano, Abrahao Fontes Baptista, Leigh E. Charvet

FRONTIERS IN HUMAN NEUROSCIENCE (2020)

暂无数据