Shaw Michael, Pilloni Giuseppina, Charvet Leigh
New York University Langone Health, 222 E 41st Street New York, NY 10017.
Department of Mechanical Chemical and Materials Engineering, University of Cagliari, Via Marengo 2, Cagliari, ITALY 09123.
Mil Med. 2020 Jan 7;185(Suppl 1):319-325. doi: 10.1093/milmed/usz348.
To demonstrate the broad utility of the remotely supervised transcranial direct current stimulation (RS-tDCS) protocol developed to deliver at-home rehabilitation for individuals with multiple sclerosis (MS).
Stimulation delivered with the RS-tDCS protocol and paired with adaptive cognitive training was delivered to three different study groups of MS patients to determine the feasibility and tolerability of the protocol. The three studies each used consecutively increasing amounts of stimulation amperage (1.5, 2.0, and 2.5 mA, respectively) and session numbers (10, 20, and 40 sessions, respectively).
High feasibility and tolerability of the stimulation were observed for n = 99 participants across three tDCS pilot studies.
RS-tDCS is feasible and tolerable for MS participants. The RS-tDCS protocol can be used to reach those in locations without clinic access and be paired with training or rehabilitation in locations away from the clinic. This protocol could be used to deliver tDCS paired with training or rehabilitation activities remotely to service members and veterans.
为了证明远程监督经颅直流电刺激（RS-tDCS）方案的广泛实用性，该方案旨在为多发性硬化症（MS）患者提供居家康复治疗。
采用RS-tDCS方案并结合适应性认知训练，对三组不同的MS患者进行刺激，以确定该方案的可行性和耐受性。三项研究分别连续增加刺激电流强度（分别为1.5、2.0和2.5毫安）和疗程次数（分别为10、20和40次）。
在三项tDCS试点研究中，99名参与者的刺激显示出高可行性和耐受性。
RS-tDCS对MS参与者来说是可行且可耐受的。RS-tDCS方案可用于覆盖那些无法前往诊所的人群，并可与诊所外的训练或康复相结合。该方案可用于远程为军人和退伍军人提供与训练或康复活动相结合的tDCS。
