Enhancing the mirror illusion with transcranial direct current stimulation

Jax, Steven A.; Rosa-Leyra, D.L.; Coslett, H. Branch

doi:10.1016/j.neuropsychologia.2015.03.017

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…This is an important aspect to be considered while selecting the most appropriate combination therapy, since it is believed that the neurophysiological mechanisms underlying the isolated effects of each treatment tool should point towards similar directions or pathways. Hence, the use of tDCS to enhance the effects of mirror therapy may be a promising treatment for chronic pain disorders such as SCI pain and phantom limb pain 81 .…”

Section: Perspectives In Regards Of How To Enhance Tdcs Effectsmentioning

confidence: 99%

Transcranial Direct Current Stimulation as a Therapeutic Tool for Chronic Pain

Pinto

Costa

Duarte

et al. 2018

J ECT

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Transcranial direct current stimulation (tDCS) modulates spontaneous neuronal activity that can generate long-term neuroplastic changes. It has been used in numerous therapeutic trials showing significant clinical effects especially when combined with other behavioral therapies. One area of intensive tDCS research is chronic pain. Since the initial tDCS trials for chronic pain treatment using current parameters of stimulation, more than 60 clinical trials have been published testing its effects in different pain syndromes. However, as the field moves in the direction of clinical application, several aspects need to be taken into consideration regarding tDCS effectiveness and parameters of stimulation. In this article, we reviewed the evidence of tDCS effects for the treatment of chronic pain and critically analyzed the literature pertaining its safety and efficacy, and how to optimize tDCS clinical effects in a therapeutic setting. We discuss optimization of tDCS effects in 3 different domains: (i) parameters of stimulation, (ii) combination therapies, and (iii) subject selection. This article aims to provide insights for the development of future tDCS clinical trials.

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Section: Perspectives In Regards Of How To Enhance Tdcs Effectsmentioning

confidence: 99%

Transcranial Direct Current Stimulation as a Therapeutic Tool for Chronic Pain

Pinto

Costa

Duarte

et al. 2018

J ECT

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show abstract

“…The modern technique, by providing a more secure fixation of the electrodes (e.g. compared to ad hoc elastic straps in the conventional technique) would enhance combination with adjunct behavioral therapies such as mirror therapy 36,37,38 , visual imagery and virtual reality 39,40,41 , or physical therapy 34,42,43,44,45 . tDCS is considered a safe and convenient form of noninvasive brain stimulation 5,11 .…”

Section: Discussionmentioning

confidence: 99%

Updated Technique for Reliable, Easy, and Tolerated Transcranial Electrical Stimulation Including Transcranial Direct Current Stimulation

Borges¹,

Dufau²,

Paneri³

et al. 2020

JoVE

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Transcranial direct current stimulation (tDCS) is a noninvasive method of neuromodulation using low-intensity direct electrical currents. This method of brain stimulation presents several potential advantages compared to other techniques, as it is noninvasive, cost-effective, broadly deployable, and well-tolerated provided proper equipment and protocols are administered. Even though tDCS is apparently simple to perform, correct administration of the tDCS session, especially the electrode positioning and preparation, is vital for ensuring reproducibility and tolerability. The electrode positioning and preparation steps are traditionally also the most time consuming and error-prone. To address these challenges, modern tDCS techniques, using fixed-position headgear and pre-assembled sponge electrodes, reduce complexity and setup time while also ensuring that the electrodes are consistently placed as intended. These modern tDCS methods present advantages for research, clinic, and remote-supervised (at home) settings. This article provides a comprehensive step-by-step guide for administering a tDCS session using fixed-position headgear and pre-assembled sponge electrodes. This guide demonstrates tDCS using commonly applied montages intended for motor cortex and dorsolateral prefrontal cortex (DLPFC) stimulation. As described, selection of the head size and montage-specific headgear automates electrode positioning. Fully assembled pre-saturated snap-electrodes are simply affixed to the set position snap-connectors on the headgear. The modern tDCS method is shown to reduce setup time and reduce errors for both novice and expert operators. The methods outlined in this article can be adapted to different applications of tDCS as well as other forms of transcranial electrical stimulation (tES) such as transcranial alternating current stimulation (tACS) and transcranial random noise stimulation (tRNS). However, since tES is application specific, as appropriate, any methods recipe is customized to accommodate subject, indication, environment, and outcome specific features.

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“…Moreover, it was demonstrated that the combination between tDCS and visual illusion provides long term effects in pain relief of spinal cord injury patients [68] and leads to significant alterations in contact heat-evoked potential (CHEPS) and pain thresholds [69]. In this context, some studies have shown the activation of sensorimotor cortex after mirror therapy, mirror illusion and visual feedback when combined with M1 tDCS, therefore inferring the potential benefits of this strategy [70, 71]. In addition, for chronic low back pain, the combination of tDCS and peripheral electrical stimulation seems to improve pain and sensitization, in a greater magnitude than when compared with control or when performed alone [72, 73].…”

Section: Understanding the Neural Effects Of Tdcs Combined With Aerobmentioning

confidence: 99%

Developing an optimized strategy with transcranial direct current stimulation to enhance the endogenous pain control system in fibromyalgia

Duarte

Castelo-Branco

Kucukseymen

et al. 2018

Expert Review of Medical Devices

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Introduction: Fibromyalgia affects more than 5 million people in the United States and has a detrimental impact on individuals’ quality of life. Current pharmacological treatments provide limited benefits to relieve fibromyalgia’s pain, along with risks of adverse effects, a scenario that explains the increasing interest for multimodal approaches. A tailored strategy to focus on this dysfunctional endogenous pain inhibitory system is transcranial direct current stimulation (tDCS) of the primary motor cortex. By combining tDCS with aerobic exercise, the effects can be optimized. Areas covered: The relevant literature was reviewed and discussed the methodological issues for designing a mechanistic clinical trial to test this combined intervention. Also, we reviewed the neural control of different pathways that integrate the endogenous pain inhibitory system, as well as the effects of tDCS and aerobic exercise both alone and combined. In addition, potential neurophysiological assessments are addressed: Conditioned Pain Modulation, Temporal Slow Pain Summation, Transcranial Magnetic Stimulation and Electroencephalography in the context of fibromyalgia. Expert Commentary: By understanding the neural mechanisms underlying pain processing and potential optimized interventions in fibromyalgia with higher accuracy, the field has an evident potential of advancement in the direction of new neuromarkers and tailored therapies.

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Enhancing the mirror illusion with transcranial direct current stimulation

Cited by 7 publications

References 19 publications

Transcranial Direct Current Stimulation as a Therapeutic Tool for Chronic Pain

Transcranial Direct Current Stimulation as a Therapeutic Tool for Chronic Pain

Updated Technique for Reliable, Easy, and Tolerated Transcranial Electrical Stimulation Including Transcranial Direct Current Stimulation

Developing an optimized strategy with transcranial direct current stimulation to enhance the endogenous pain control system in fibromyalgia

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