Safety and feasibility of transcranial direct current stimulation stratified by corticospinal organization in children with hemiparesis

Nemanich, Samuel T.; Lench, Daniel H.; Sutter, Ellen N.; Kowalski, Jesse L.; Francis, Sunday M.; Meekins, Gregg D.; Krach, Linda E.; Feyma, Tim; Gillick, Bernadette T.

doi:10.1016/j.ejpn.2023.01.013

Cited by 2 publications

(1 citation statement)

References 61 publications

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“…In another tDCS study conducted in 25 children with ADHD (12 sessions, 1 mA), the adverse effects were mild, but three children, all from the real tDCS group, experienced headaches, with two requiring temporary cessation and one requiring removal from the study [60]. Additionally, no serious adverse events occurred during individualized tDCS (based on corticospinal organization, 1.5 mA) in children with hemiparesis [61]. Finally, a recent study applied cathodal tDCS in 18 children with drug-resistant epilepsy (1–2 mA, five sessions).…”

Section: Safety Of Noninvasive Brain Stimulation In Childrenmentioning

confidence: 96%

Safety of noninvasive brain stimulation in children

Salehinejad,

Siniatchkin

2024

Current Opinion in Psychiatry

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Purpose of review Noninvasive brain stimulation (NIBS) is a promising method for altering cortical excitability with clinical implications. It has been increasingly used in children, especially in neurodevelopmental disorders. Yet, its safety and applications in the developing brain require further investigation. This review aims to provide an overview of the safety of commonly used NIBS techniques in children, including transcranial electrical stimulation (tES) and transcranial magnetic stimulation (TMS). Safety data for other NIBS methods is not reported in this review. Recent findings In line with studies from the last decade, findings in the last 2 years (2022–2023) support the safety of NIBS in children and adolescents within the currently applied protocols. Both tES and TMS are well tolerated, if safety rules, including exclusion criteria, are applied. Summary We briefly discussed developmental aspects of stimulation parameters that need to be considered in the developing brain and provided an up-to-date overview of tES/TMS applications in children and adolescents. Overall, the safety profile of tES/TMS in children is good. For both the tES and TMS applications, epilepsy and active seizure disorder should be exclusion criteria to prevent potential seizures. Using child-sized earplugs is required for TMS applications. We lack large randomized double-blind trials and longitudinal studies to establish the safety of NIBS in children. Video abstract http://links.lww.com/YCO/A78.

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Section: Safety Of Noninvasive Brain Stimulation In Childrenmentioning

confidence: 96%

Safety of noninvasive brain stimulation in children

Salehinejad,

Siniatchkin

2024

Current Opinion in Psychiatry

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Facilitating Corticomotor Excitability of the Contralesional Hemisphere Using Non-Invasive Brain Stimulation to Improve Upper Limb Motor Recovery from Stroke—A Scoping Review

Tam,

Oey,

Tang

et al. 2024

JCM

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Upper limb weakness following stroke poses a significant global psychosocial and economic burden. Non-invasive brain stimulation (NIBS) is a potential adjunctive treatment in rehabilitation. However, traditional approaches to rebalance interhemispheric inhibition may not be effective for all patients. The supportive role of the contralesional hemisphere in recovery of upper limb motor function has been supported by animal and clinical studies, particularly for those with severe strokes. This review aims to provide an overview of the facilitation role of the contralesional hemisphere for post-stroke motor recovery. While more studies are required to predict responses and inform the choice of NIBS approach, contralesional facilitation may offer new hope for patients in whom traditional rehabilitation and NIBS approaches have failed.

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Safety and feasibility of transcranial direct current stimulation stratified by corticospinal organization in children with hemiparesis

Cited by 2 publications

References 61 publications

Safety of noninvasive brain stimulation in children

Safety of noninvasive brain stimulation in children

Facilitating Corticomotor Excitability of the Contralesional Hemisphere Using Non-Invasive Brain Stimulation to Improve Upper Limb Motor Recovery from Stroke—A Scoping Review

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