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. Author manuscript; available in PMC: 2018 Apr 1.
Published in final edited form as: Neuromodulation. 2017 Feb 21;20(3):215–222. doi: 10.1111/ner.12574

Table 2.

Main characteristics of studies which encountered adverse effects

Author
(year)
Population Safety criteria Intervention Sessions Intensity Duration Current density
(mA/cm2)
Adverse
effects
Mortensen
(2015)
Intracerebral
hemorrhage mean
age:62.60 years ±
10.28 (SD)
Traumatic ICH, epilepsy, metal
implants in the head, other
neurological diseases/cognitive
disabilities
(i)A-tDCS+occupational
therapy;
(ii)sham
tDCS+occupational
therapy

5

1.5mA

20 min

0.04
Itching, tingling,
burning sensation,
headache and
sleepiness

Gillick (2015)

Children with
congenital
hemiparesis+mean
age:14 years ± 3.5
(SD)
Epilepsy, pregnancy, indwelling
metal or medical devices
incompatible with NIBS, evidence of
skin disease or skin abnormalities
and botulinum toxin or phenol
intramuscular block within 6 months
preceding tDCS
Bi-tDCS alone

1


0.7mA


10 min


0.02

Itchining, burning,
sleepiness and
difficulty of
concentration

Kim
(2014)

Subacute poststroke
+mean age:55.4
years ± 17.6 (SD)
Contraindications for TMS or tDCS,
previous seizure history, concurrent
use of Na+ channel blocking agent
or N-methyl-D-aspartate receptor
antagonist
(i)active wrist exercise
alone;
(ii)VR wrist exercise
alone;
(iii)active wrist exercise +
atDCS;
(iv)VR wrist exercise +
atDCS



4



1mA



20 min



0.028



Mild headache and
itching

Wang
(2014)

Subacute poststroke
+mean age:52.9
years ± 11.9 (SD)
Contraindications for TMS, history of
alcohol/drug abuse, use of certain
neuropsychotropic drugs, epilepsy,
having already received
methylphenidate and/or tDCS
treatment, being pregnant, coexisten
of advanced or terminal disease and
use of certain neuropsychotropic
drugs


(i)Drug alone;
(ii)tDCS alone;
(iii)drug + tDCS



1



1mA



20 min



0.028



Mild tingling and
mild fatigue
Rosso
(2014)
Chronic poststroke
+mean age:57 years
± 18 (SD)
No contraindication for tDCS (i)atDCS alone;
(ii)ctDCS alone
2 1mA 15 min 0.028 Itching
Wu
(2013)
Chronic poststroke
+mean age:45.9
years ± 11.2 (SD)
Unstable, progressive, or severe
neurologic disease and heart
conditions
(i)ctDCS+physical
therapy;
(ii)sham tDCS+physical
therapy

20

Not
Specified

20 min

Not Specified
Slight, itching and
tingling
Cherney (2013) Chronic
poststroke+age not
specified
Not specified ctDCS+speech therapy 30 1mA 13 min 0.015 Itching, burning
sensation
increasing over
days

Kim (2010)

Subacute poststroke
+mean age:55.3
years ± 16.4 (SD)
Presence of a metallic foreign body
implant, history of seizure or another
unstable medical condition,
depression history of severe alcohol
or drug abuse; Patients who were
taking Na+ or Ca2+ channel
blockers or N-methyl-D-aspartate
(NMDA) receptor antagonists were
also excluded
(i)atDCS+occupational
therapy;
(ii)ctDCS+occuptional
therapy;
(iii) sham
tDCS+occupational
therapy



10



2mA



20 min



0.08



Headache and
dizziness

Jo (2009)
Subacute poststroke
+mean age: 44 years
± 16.43 (SD)
Seizure disorder, intracranial metal
insertion, cardiac pacemaker or
history of other neuropsychiatric
diseases
(i)atDCS+working
memory task;
(ii) sham tDCS+working
memory task

2

2mA

30 min

0.08
Aching or burning
and transient skin
redness

Hesse (2007)
Subacute/
Chronic poststroke
+mean age:63.3
years
Preceding epileptic fits, an EEG
suspect of elevated cortical
excitability, a sensitive scalp skin,
severe cognitive impairment,
metallic implants within the brain,
previous brain neurosurgery,
medications altering the level of
cortical excitability or with a
presumed positive/negative effect
on brain plasticity
atDCS+robot assisted
arm training
30 1.5mA 7 min 0.042



Slight itching and
bearable
headache

Abbreviations: ICH, Intracranial Hemorrhage; a-tDCS, anodal transcranial Direct Current Stimulation; c-tDCS, cathodal transcranial Direct Current Stimulation; bi-tDCS, bihemispheric transcranial Direct Current Stimulation; mA, miliampère, min, minutes; NIBS, Non Invasive Brain Stimulation; TMS, Transcranial Magnetic Stimulation; VR, Virtual Reality; EEG, electroencephalogram.