Differences in the experience of active and sham transcranial direct current stimulation.
Differences in the experience of active and sham transcranial direct current stimulation.
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DOI:
10.1016/j.brs.2011.02.007
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发表时间:
2012-04
影响因子:
7.7
通讯作者:
Hamilton, Roy H.
中科院分区:
文献类型:
--
作者:
Kessler, Sudha Kilaru;Turkeltaub, Peter E.;Benson, Jennifer G.;Hamilton, Roy H.
A limited number of studies have shown that modulation of cortical excitability using transcranial direct current stimulation (tDCS) is safe and tolerable. Few have directly evaluated whether sham and active stimulation are indistinguishable. We aimed to demonstrate tDCS safety and tolerability in a large cohort, and to compare the occurrence and severity of side effects between sham and active stimulation sessions. 131 healthy subjects undergoing 277 tDCS sessions rated on a 1 to 5 scale the perception of side effects during and after stimulation. Proportions of active and sham sessions associated with side effects were compared using Fisher’s exact test, and distributions of severity ratings were compared using the Kruskal-Wallis test. No serious adverse effects occurred. Side effects most commonly reported were tingling (76%), itching (68%), burning (54%), and pain (25%). Side effect severity was mild, with fewer than two percent of responses indicating a severity >3 on all questions except tingling (15%), itching (20%), burning (7%), pain (5%) and fatigue (3%) during stimulation. Rates of sensory side effects were statistically significantly higher in active stimulation sessions compared to sham sessions. No other stimulation parameters had a statistically significant impact on side effect occurrence. TDCS is a safe well-tolerated technique with no evidence of risk for serious adverse effects. Sensory side effects are common, but the severity is typically low. Because sensory side effects are more frequent and more severe in active compared to sham tDCS, the current method of sham stimulation may not be an adequate control condition for some studies.
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