期刊
JOURNAL OF NEUROENGINEERING AND REHABILITATION
卷 16, 期 -, 页码 -出版社
BMC
DOI: 10.1186/s12984-019-0529-5
关键词
Non-invasive brain stimulation; Transcranial direct current stimulation; Rehabilitation; Home therapy; Remote monitoring; Telemedicine
资金
- Research Themes Investment Scheem grant - University of South Australia
- National Health and Medical Research Council (NHMRC) fellowship [1125054]
- Sylvia and Charles Viertel Charitable Foundation [VTL2016CI009]
BackgroundTranscranial electrical stimulation is a promising technique to facilitate behavioural improvements in neurological and psychiatric populations. Recently there has been interest in remote delivery of stimulation within a participant's home.ObjectiveThe purpose of this review is to identify strategies employed to implement and monitor in-home stimulation and identify whether these approaches are associated with protocol adherence, adverse events and patient perspectives.MethodsMEDLINE, Embase Classic + Embase, Emcare and PsycINFO databases and clinical trial registries were searched to identify studies which reported primary data for any type of transcranial electrical stimulation applied as a home-based treatment.ResultsNineteen published studies from unique trials and ten on-going trials were included. For published data, internal validity was assessed with the Cochrane risk of bias assessment tool with most studies exhibiting a high level of bias possibly reflecting the preliminary nature of current work. Several different strategies were employed to prepare the participant, deliver and monitor the in-home transcranial electrical stimulation. The use of real time videoconferencing to monitor in-home transcranial electrical stimulation appeared to be associated with higher levels of compliance with the stimulation protocol and greater participant satisfaction. There were no severe adverse events associated with in-home stimulation.ConclusionsDelivery of transcranial electrical stimulation within a person's home offers many potential benefits and appears acceptable and safe provided appropriate preparation and monitoring is provided. Future in-home transcranial electrical stimulation studies should use real-time videoconferencing as one of the approaches to facilitate delivery of this potentially beneficial treatment.
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