Transcranial direct-current stimulation
Transcranial Direct-Current Stimulation
Transcranial direct-current stimulation (tDCS) is a form of neurostimulation that uses constant, low direct current delivered via electrodes on the head. It is a non-invasive technique that modulates neuronal activity and has been investigated for its potential therapeutic effects in various neurological and psychiatric disorders.
Mechanism of Action
tDCS works by delivering a small electrical current to the scalp, which can alter the excitability of neurons in the brain. The current flows from the anode to the cathode, and depending on the polarity, it can either increase or decrease neuronal excitability. Anodal stimulation typically increases excitability, while cathodal stimulation decreases it. This modulation of neuronal activity can influence cognitive and motor functions.
Applications
tDCS has been studied for its potential benefits in a variety of conditions, including:
- Depression: tDCS has been explored as a treatment for major depressive disorder, with some studies suggesting it can improve mood and cognitive function.
- Stroke rehabilitation: It has been used to enhance motor recovery in patients who have suffered a stroke.
- Chronic pain: tDCS may help reduce pain perception in conditions such as fibromyalgia and neuropathic pain.
- Cognitive enhancement: Some research has investigated its use in improving attention, memory, and learning in healthy individuals.
Administration
The administration of tDCS involves placing electrodes on the scalp, typically using a saline-soaked sponge to ensure good conductivity. The electrodes are connected to a battery-powered device that delivers the current. The duration of a typical session can range from 10 to 30 minutes, and the current intensity is usually between 1 to 2 mA.
Safety and Side Effects
tDCS is generally considered safe when used according to established guidelines. Common side effects include mild tingling, itching, or redness at the site of electrode placement. Serious adverse effects are rare, but it is important to follow safety protocols to minimize risks.
Research and Future Directions
Ongoing research is exploring the efficacy of tDCS in various clinical settings and its potential mechanisms of action. There is interest in optimizing stimulation parameters and electrode placement to enhance its therapeutic effects.
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References
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Transcranial direct-current stimulation
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Contributors: Prab R. Tumpati, MD