Evidence map›Paper›PMID 22037126›Full record

ReviewBrain stimulation2012

Clinical research with transcranial direct current stimulation (tDCS): challenges and future directions.

Andre Russowsky Brunoni, Michael A Nitsche, Nadia Bolognini, Marom Bikson, Tim Wagner, Lotfi Merabet, Dylan J Edwards, Antoni Valero-Cabre, Alexander Rotenberg, Alvaro Pascual-Leone and 4 more

15 registry-linked trialsAbstract readReview
In one paragraph

Review in Brain stimulation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 15 registered trials, which are not on this map. Cited by 596 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
596citing papers in PubMed, 18 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02549560 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of the Transcranial Direct Current Stimulation on Prevention of Cognitive Dysfunction in Elderly Patients Submitted to Cardiac Surgeries: Prospective, Randomized and Double-blind Study

TypeinterventionalSponsorUniversity of Sao PauloRan2021 to 2023Enrolled138ConditionsPostoperative Cognitive DysfunctionArmstDCS
NCT02611414 phase2 / phase3unknown statusnot on this mapstarted 2016, after this paper: background citation

Effectiveness of Transcranial Direct Current Stimulation for the Treatment of Functional Dyspepsia: a Randomized Controlled Trial

TypeinterventionalSponsorHospital Ernesto DornellesRan2016 to 2020Enrolled70ConditionsDyspepsiaArmsanodal tDCS, Sham tDCS
NCT02683902 naunknown statusnot on this mapstarted 2016, after this paper: background citation

The Effect of Hypocaloric Diet Associated With tDCS on Weight Loss and Metabolic Profile: a Pilot, Double Blind, Randomized, Placebo-controlled Study

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2016 to 2018Enrolled20ConditionsPrediabetes, Obesity, Weight Loss, DiabetesArmsActive tDCS, Hypocaloric diet, Sham tDCS
NCT02739347 naterminatednot on this mapstarted 2016, after this paper: background citation

Non-Invasive Direct Current Stimulation for Cognition in Schizophrenia

TypeinterventionalSponsorBaylor College of MedicineRan2016 to 2019Enrolled17ConditionsSchizophrenia, PsychosisArmsActive Trans-cranial direct-current stimulation, Sham Trans-cranial direct current stimulation
NCT02915484 naterminatednot on this mapstarted 2016, after this paper: background citation

Transcranial Direct Current Stimulation (tDCS) in Chronic Post-Stroke Apathy

TypeinterventionalSponsorStony Brook UniversityRan2016 to 2017Enrolled12ConditionsApathy, StrokeArmsTranscranial Direct Current Stimulation
NCT03034109 naterminatednot on this mapstarted 2017, after this paper: background citation

Transcranial Direct Current Stimulation (tDCS) in Post-Stroke Working Memory Deficits

TypeinterventionalSponsorStony Brook UniversityRan2017 to 2017Enrolled5ConditionsStroke, Cognitive Deficit, Cognitive Impairment, Short-Term Memory ImpairmentArmsTranscranial Direct Current Stimulation
NCT03191916 naactive not recruitingnot on this mapstarted 2015, after this paper: background citation

Transcranial Direct Current Stimulation (tDCS) to Improve Cognitive Function and Cognitive Fatigue in Parkinson's Patients

TypeinterventionalSponsorSanford HealthRan2015 to 2025Enrolled40ConditionsParkinson DiseaseArmstranscranial direct current stimulation, Sham (for transcranial direct current stimulation)
NCT03947086 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Transcranial Direct Current Stimulation for Cognitive Rehabilitation of Children With Autistic Spectrum Disorders

TypeinterventionalSponsorFederal University of ParaíbaRan2018 to 2019Enrolled16ConditionsAutistic Disorders SpectrumArmsTranscranial Direct Current Stimulation (TDCS)- Active, Transcranial Direct Current Stimulation (TDCS)- Sham, Cognitive Training
NCT04000269 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Pilot Study Using Targeted High Definition Transcranial Direct Current Stimulation to Promote Upper Extremity Motor Function in Patients With Subacute Middle Cerebral Artery (MCA) Stroke

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2020 to 2022Enrolled0ConditionsMiddle Cerebral Artery StrokeArmsSoterix MxN Neuromodulation device, Sham Stimulation
NCT04117256 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Transcranial and Suboccipital Direct Current Stimulation on Endogenous Pain Modulation System in Healthy Volunteers.

TypeinterventionalSponsorUniversity of Castilla-La ManchaRan2019 to 2019Enrolled40ConditionsPain, Transcranial Direct Current StimulationArmsDirect Current Stimulation, Sham DCS
NCT04245059 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Safety Study Based on Transcranial Electrical Stimulation in Chile: a Case Series Study

TypeinterventionalSponsorCorporación de Rehabilitación Club de Leones Cruz del SurRan2019 to 2021Enrolled3ConditionsHealthy SubjectsArmsMulti-channel Transcranial direct current stimulation
NCT04780152 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Assessment of Efficacy and Safety of Anodal Transcranial Direct Current Stimulation (TDCS) in Pediatric and Teenage Patients With Major Depressive Disorder During COVID-19 Pandemics

TypeinterventionalSponsorEl Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco SuarezRan2021 to 2022Enrolled172ConditionsMajor Depressive DisorderArmsTranscranial Direct Current Stimulation, Placebo-simulation of transcranial direct current stimulation, Fluoxetine Tablets
NCT05886647 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Non-invasive Neurostimulation and Rehabilitation in the Treatment of Patients With Respiratory Disorders: Randomized Controlled Clinical Trial

TypeinterventionalSponsorSuellen AndradeRan2023 to 2024Enrolled30ConditionsLung DiseasesArmsActive non-invasive stimulation and inspiratory muscle training, Sham compatorator and inspiratory muscle training
NCT06813209 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Transcranial Electrical Stimulation by Continuous Current on the Right and Left Dorsolateral Prefrontal Cortex Associated or Not With Non-invasive Vagus Nerve Stimulation in Adult Individuals With Chronic Stress

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2025 to 2027Enrolled100ConditionsStress, SleepArmstDCS, tVNS
NCT06883266 narecruitingnot on this mapstarted 2024, after this paper: background citation

Transcranial Direct Current Stimulation (tDCS) to Improve Motor Function and Motor Fatigue in Parkinson's Patients

TypeinterventionalSponsorSanford HealthRan2024 to 2026Enrolled64ConditionsParkinsons Disease (PD)Armstranscranial direct current stimulation (tDCS), Sham (No Treatment)
3 · Its place in the literature

Who cites it

596 citing papers in PubMed, 18 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Digitalized transcranial electrical stimulation: A consensus statement.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
    Pooled it
  14. Evidence-based umbrella review of cognitive effects of prefrontal tDCS.Social cognitive and affective neuroscience · 2022
    Pooled it
  15. tDCS effect on prosocial behavior: a meta-analytic review.Social cognitive and affective neuroscience · 2022
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Pooled it
  19. Trial
  20. Trial

536 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Andre Russowsky BrunoniDepartment of Neurosciences and Behavior, Institute of Psychology, University of São Paulo, São Paulo, Brazil.
Michael A NitscheDepartment of Clinical Neurophysiology, Georg-August University, Goettingen, Germany.
Nadia BologniniDepartment of Psychology, University of Milano-Bicocca, Milan, Italy; Neuropsychological Laboratory, IRCCS Instituto Auxologico Italiano, Milan, Italy.
Marom BiksonThe City College of City University of New York, New York, New York.
Tim WagnerMassachusetts Institute of Technology, Boston, Massachusetts.
Lotfi MerabetMassachusets Eye and Ear Infirmary, Harvard University, Boston, Massachusetts.
Dylan J EdwardsBurke Medical Research Institute, White Plains, New York.
Antoni Valero-CabreBoston University School of Medicine, Boston, Massachusetts.
Alexander RotenbergDepartment of Neurology, Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Alvaro Pascual-LeoneBerenson-Allen Center for Non-invasive Brain Stimulation, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Roberta FerrucciCentro Clinico per la Neurostimolazione, le Neurotecnologie ed i Disordini del Movimento, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano Dipartimento di Scienze Neurologiche, Milan, Italy.
Alberto PrioriCentro Clinico per la Neurostimolazione, le Neurotecnologie ed i Disordini del Movimento, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano Dipartimento di Scienze Neurologiche, Milan, Italy.
Paulo Sergio BoggioSocial and Cognitive Neuroscience Laboratory and Developmental Disorders Program, Center for Health and Biological Sciences, Mackenzie Prebyterian University, Sao Paulo, Brazil.
Felipe FregniLaboratory of Neuromodulation, Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: fregni.felipe@mgh.harvard.edu.

Funding

Transcranial Direct Current Stimulation and Robotic Training in Chronic StrokeR01HD069776 · NICHD · WINIFRED MASTERSON BURKE MED RES INST · PI EDWARDS, DYLAN JAMES · 2012 to 2016
$3.2M
Investigation and treatment of central nervous system dysfunction in chronic pelvR21DK081773 · NIDDK · SPAULDING REHABILITATION HOSPITAL · PI FREGNI, FELIPE · 2009 to 2010
$475k
Transcranial Direct Current Stimulation and Motor Training in Chronic StrokeR21HD060999 · NICHD · WINIFRED MASTERSON BURKE MED RES INST · PI EDWARDS, DYLAN JAMES · 2009 to 2010
$468k
NICHD NIH HHS R01 HD069776NICHD NIH HHS R21 HD060999NICHD NIH HHS R21HD060999NIDDK NIH HHS 5R21DK081773-03NIDDK NIH HHS R21 DK081773
6 · The paper itself

Abstract

backgroundTranscranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers low-intensity, direct current to cortical areas facilitating or inhibiting spontaneous neuronal activity. In the past 10 years, tDCS physiologic mechanisms of action have been intensively investigated giving support for the investigation of its applications in clinical neuropsychiatry and rehabilitation. However, new methodologic, ethical, and regulatory issues emerge when translating the findings of preclinical and phase I studies into phase II and III clinical studies. The aim of this comprehensive review is to discuss the key challenges of this process and possible methods to address them.

methodsWe convened a workgroup of researchers in the field to review, discuss, and provide updates and key challenges of tDCS use in clinical research. MAIN FINDINGS/DISCUSSION: We reviewed several basic and clinical studies in the field and identified potential limitations, taking into account the particularities of the technique. We review and discuss the findings into four topics: (1) mechanisms of action of tDCS, parameters of use and computer-based human brain modeling investigating electric current fields and magnitude induced by tDCS; (2) methodologic aspects related to the clinical research of tDCS as divided according to study phase (ie, preclinical, phase I, phase II, and phase III studies); (3) ethical and regulatory concerns; and (4) future directions regarding novel approaches, novel devices, and future studies involving tDCS. Finally, we propose some alternative methods to facilitate clinical research on tDCS.

Indexed as

ForecastingAnimalsBiomedical ResearchBrainBrain DiseasesHumansTranscranial Magnetic Stimulation

Identifiers

PMID22037126
PMCPMC3270156

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 9 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.