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Delivering Transcranial Direct Current Stimulation Away From Clinic: Remotely Supervised tDCS.

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  • 1New York University Langone Health, 222 E 41st Street New York, NY 10017.

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|February 20, 2020
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Summary

Remotely supervised transcranial direct current stimulation (RS-tDCS) is a feasible and well-tolerated at-home rehabilitation method for multiple sclerosis (MS) patients. This protocol expands access to neurorehabilitation for those without clinic access.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Medical Technology

Background:

  • Multiple sclerosis (MS) presents challenges for accessing traditional clinic-based rehabilitation.
  • At-home rehabilitation solutions are needed to improve accessibility and adherence for MS patients.
  • Remotely supervised transcranial direct current stimulation (RS-tDCS) offers a potential solution for delivering neurorehabilitation remotely.

Purpose of the Study:

  • To demonstrate the broad utility and effectiveness of a novel RS-tDCS protocol.
  • To assess the feasibility and tolerability of at-home tDCS for individuals with MS.
  • To establish the safety of progressively increasing stimulation parameters in a remote setting.

Main Methods:

  • The RS-tDCS protocol was implemented in three pilot studies with increasing stimulation amperage (1.5, 2.0, 2.5 mA) and session numbers (10, 20, 40).
  • Participants with MS received tDCS paired with adaptive cognitive training in their homes.
  • Feasibility and tolerability were primary outcome measures across the studies.

Main Results:

  • The RS-tDCS protocol demonstrated high feasibility and tolerability across all three pilot studies.
  • A total of 99 participants with MS were enrolled, indicating a strong recruitment potential.
  • The stimulation was well-tolerated even with increasing amperage and session frequency.

Conclusions:

  • RS-tDCS is a feasible and tolerable method for delivering neurorehabilitation to MS patients at home.
  • The protocol overcomes geographical barriers, enabling access to rehabilitation for individuals without clinic proximity.
  • This approach holds promise for remote delivery of tDCS-based training and rehabilitation, particularly for service members and veterans.