Strategies to implement and monitor in-home transcranial electrical stimulation in neurological and psychiatric patient populations: a systematic review

Journal of NeuroEngineering and Rehabilitation

Nandini Sandran¹  Brenton Hordacre¹  Susan Hillier² 

[1] 0000 0000 8994 5086, grid.1026.5, Body in Mind, Division of Health Sciences, University of South Australia, GPO Box 2471, City East Campus, 5001, Adelaide, South Australia;0000 0000 8994 5086, grid.1026.5, Division of Health Sciences, University of South Australia, Adelaide, South Australia;

关键词: Non-invasive brain stimulation;    Transcranial direct current stimulation;    Rehabilitation;    Home therapy;    Remote monitoring;    Telemedicine;   

DOI  :  10.1186/s12984-019-0529-5

来源: publisher

【 摘 要 】

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.

【 授权许可】

CC BY