Safety and feasibility of transcranial direct current stimulation in amyotrophic lateral sclerosis - a pilot study with a single subject experimental design.

Introduction: Transcranial direct current stimulation (tDCS) has been explored as a neuromodulatory tool to prime motor function in several neurological disorders. Studies using tDCS in amyotrophic lateral sclerosis (ALS) are limited. We investigated the safety, feasibility and effects of long-term...

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Publicado en:Physiotherapy Theory & Practice Vol. 35; no. 5; pp. 458 - 464
Autores principales: Madhavan, Sangeetha, Sivaramakrishnan, Anjali, Bond, Sam, Jiang, Qin Li
Formato: case study clinical trial pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2019
Acceso en línea:Ver este registro en EBSCOhost
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        10.1080/09593985.2018.1443536
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        atl: Safety and feasibility of transcranial direct current stimulation in amyotrophic lateral sclerosis - a pilot study with a single subject experimental design.
      aug:
        au:
          Madhavan, Sangeetha
          Sivaramakrishnan, Anjali
          Bond, Sam
          Jiang, Qin Li
        affil: Brain Plasticity Laboratory, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, USA
      sug:
        subj:
          Transcranial Direct Current Stimulation
          Amyotrophic Lateral Sclerosis Therapy
          Treatment Outcomes
          Human
          Male
          Adult
          Clinical Trials
          Disease Progression
          Scales
          Gait Analysis
          Transcranial Magnetic Stimulation
          Neurodegenerative Diseases
          Psychomotor Performance
          Descriptive Statistics
          Electromyography
          Evoked Potentials, Motor
          Funding Source
          Clinical Assessment Tools
          Muscle Strength
          Muscle Spasticity
          Outcome Assessment
          Adult: 19-44 years
          Male
      ab: Introduction: Transcranial direct current stimulation (tDCS) has been explored as a neuromodulatory tool to prime motor function in several neurological disorders. Studies using tDCS in amyotrophic lateral sclerosis (ALS) are limited. We investigated the safety, feasibility and effects of long-term tDCS in an individual with ALS. Methods: A 36-year-old male diagnosed with clinically definite ALS received 12 sessions each of anodal, sham, and cathodal tDCS. Outcome measures included disease progression (revised ALS functional rating scale (ALSFRS-R)), clinical measures of endurance and mobility, and corticomotor excitability. Results: No adverse events or change in disease progression were noticed during the study. Small improvement in gait speed (15% increase) was noticed with anodal tDCS only. Conclusions: This case study demonstrates the safety and feasibility of long-term facilitatory and inhibitory tDCS on a single participant with ALS. This study serves as a guideline for implementing tDCS in future ALS trials.
      pubtype: Academic Journal
      doctype:
        case study
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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