Hordacre Brenton
The Sansom Institute for Health Research, School of Health Sciences, University of South Australia, Adelaide 5001, Australia.
Brain Sci. 2018 Jun 7;8(6):102. doi: 10.3390/brainsci8060102.
Transcranial direct current stimulation (tDCS) has shown great promise as a neuromodulatory intervention capable of improving behavioral outcomes in a range of neurological and psychiatric populations. Evidence indicates that the neuromodulatory effect of stimulation may be cumulative, with greater improvements in behavior observed following multiple treatment sessions. However, the requirement to attend clinical or research departments for multiple treatment sessions may present a barrier for many people, particularly those with greater disability or living remotely. The portability of tDCS suggests that in-home stimulation may become an avenue for further investigation. However, safe and effective use of tDCS by a participant within their home requires a form of monitoring. This review discusses how telehealth may provide real-time visual monitoring to ensure correct tDCS set-up and adherence to stimulation protocols, manage technical issues and monitor adverse events. The combination of telehealth to supplement in-home tDCS use has potential to transform the way tDCS is delivered.
经颅直流电刺激（tDCS）作为一种神经调节干预手段，已显示出巨大的前景，能够改善一系列神经和精神疾病患者的行为结果。有证据表明，刺激的神经调节作用可能是累积性的，多次治疗后行为改善更明显。然而，多次前往临床或研究部门接受治疗的要求可能对许多人构成障碍，尤其是那些残疾程度较高或居住在偏远地区的人。tDCS的便携性表明家庭刺激可能成为进一步研究的途径。然而，参与者在家中安全有效地使用tDCS需要某种形式的监测。本综述讨论了远程医疗如何提供实时视觉监测，以确保正确设置tDCS并遵守刺激方案、处理技术问题以及监测不良事件。远程医疗与家庭tDCS使用相结合，有可能改变tDCS的应用方式。
