Using Home-based, Remotely Supervised, Transcranial Direct Current Stimulation for Phantom Limb Pain

Kevin Pacheco-Barrios, Daniela Martinez-Magallanes, Cristina Xicota Naqui, Marianna Daibes, Elly Pichardo, Alejandra Cardenas-Rojas, David Crandell, Anahita Dua, Abhishek Datta, Wolnei Caumo, Felipe Fregni*

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva


Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that uses low-amplitude direct currents to alter cortical excitability. Previous trials have established the safety and tolerability of tDCS, and its potential to mitigate symptoms. However, the effects are cumulative, making it more difficult to have adherence to the treatment since frequent visits to the clinic or outpatient center are required. Moreover, the time needed for transportation to the center and the related expenses limit the accessibility of the treatment for many participants. Following guidelines for remotely supervised transcranial direct current stimulation (RS-tDCS) implementation, we propose a protocol designed for remotely supervised and home-based participation that uses specific devices and materials modified for patient use, with real-time monitoring by researchers through an encrypted video conferencing platform. We have developed detailed instructional materials and structured training procedures to allow for self-or proxy-administration while supervised remotely in real time. This protocol has a specific design to have a series of checkpoints during training and execution of the visit. This protocol is currently in use in a large pragmatic study of RS-tDCS for phantom limb pain (PLP). In this article, we will discuss the operational challenges of conducting a home-based RS-tDCS session and show methods to enhance its efficacy with supervised sessions.

Idioma originalInglés
Número de artículoe66006
PublicaciónJournal of Visualized Experiments
EstadoPublicada - mar. 2024


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