Home-based self-administered transcranial direct current stimulation in older adults with knee osteoarthritis pain: An open-label study
| Autor: | Setor K. Sorkpor, Chengxue Zhong, Lindsey Park, Hongyu Miao, Salahadin Abdi, Hyochol Ahn, Raymond Y. Cho, Ricardo E. Jorge |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Visual analogue scale medicine.medical_treatment Self Administration Osteoarthritis Transcranial Direct Current Stimulation 03 medical and health sciences 0302 clinical medicine Physiology (medical) medicine Humans Pain Management Adverse effect Depression (differential diagnoses) Aged Aged 80 and over Transcranial direct-current stimulation business.industry General Medicine Middle Aged Osteoarthritis Knee medicine.disease Neurology McGill Pain Questionnaire 030220 oncology & carcinogenesis Brain stimulation Physical therapy Anxiety Female Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Neuroscience. 66:61-65 |
| ISSN: | 0967-5868 |
| Popis: | Clinic-based transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that has been shown to improve pain. However, no published studies have reported using home-based self-administered tDCS in older adults with knee osteoarthritis (OA). The present study aimed to evaluate the preliminary efficacy and feasibility of home-based self-administered tDCS with real-time remote supervision on clinical pain, anxiety, depression, and sleep disturbances in older adults with knee OA. Twenty 50- to 85-year-old community-dwelling participants with knee OA received 10 daily home-based sessions of 2 mA tDCS for 20 min with real-time remote supervision. We measured clinical pain severity via the Visual Analog Scale, Western Ontario and McMaster Universities Osteoarthritis Index, and Short-Form McGill Pain Questionnaire. We assessed anxiety, depression, and sleep disturbances using the Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety-short form, depression-short form, and sleep disturbance-short form, respectively. All 20 participants completed all 10 home-based tDCS sessions without serious adverse effects. Both clinical pain severity and sleep disturbances were improved after completion of the 10 tDCS sessions. Anxiety and depression scores were not significantly improved. We demonstrated that home-based self-administered tDCS with real-time remote supervision was feasible and beneficial in alleviating clinical pain in older adults with knee OA. These findings support future studies with larger samples and longer-term follow-up evaluations. |
| Databáze: | OpenAIRE |
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