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. 2020 Feb 24;15(2):e0223029. doi: 10.1371/journal.pone.0223029

Table 1. Summary characteristics of studies on remotely-delivered tDCS.

Authors (Year) Type of Study Disease N Age tDCS Current (mA) Number of tDCS Sessions Duration of tDCS Stimulation Electrode Placement Results
Agarwal et al. (2018) Open label study Parkinson Disease (PD) 16 Enrolled 10 in final analysis 67.6 ±5.9 2.0 10 20 Min Bilateral DLPFC Montage (Left Anodal) Significant improvement in motor symptoms.
Andrade (2013) Single case study Schizophrenia 1 25 Session 1–5 = 1.0. Session 6+, 2.0, then 3.0 1 or 2 sessions per day for 3 years Sessions 1–5 = 20 Min. After session 5 = 30 Min Anodal tDCS over left DLPFC and cathodal over left temporoparietal cortex. Greater improvement in psychosocial functions.
Andre et al. (2016) Single blind randomized sham controlled trial Mild Vascular Dementia 21 (13 active & 8 sham) 78.6 (age range: 63–94) 2.0 4 consecutive sessions 20 Min Anodal or sham over left DLPFC Anodal stimulation showed meaningful improvement in visual recall and reaction times.
Bystad et al. (2017) Single case study Alzheimer’s Disease 1 60 2.0 Daily for 8 consecutive months 30 Min Anodal over left temporal lobe (T3 in the 10/20 system) and reference electrode over right frontal lobe Cognitive function was stabilized; improved immediate and delayed recall.
Carvalho et al. (2018) Double blind randomized controlled rrial Healthy Subjects (HS) and Fibromyalgia (FM) HS: 20 enrolled 19 in final analysis HS: 26.31 ±4.89 2.0 HS: 10 HS: 20 Min HS: Anodal; Left primary motor cortex (M1) & Cathodal; contra-lateral supra-orbital area. The findings suggest tDCS is feasible for home use with monitoring.
FM; 49.5 ±8.48 FM: 60 (5 session per week) FM: 30 Min FM: 8 FM: Left DLPFC
Cha et al. (2016) Single blind randomized sham controlled trial Mal Debarquement Syndrome 24 (12 active 10 Sham & 1 open label) 52.9 (12.2) 1.0 20 (5 sessions per week) 20 Min Anodal placed over left DLPFC and cathodal over right DLPFC. Active tDCS after rTMS improved rocking perception, anxiety and dizziness.
Charvet et al. (2017) Double blind randomized controlled trial Multiple Sclerosis Study 1 15 Active; 20 Control Study 1 52 Study 1 = 1.5. Study 1: 10 20 Min Anodal was placed over the left dorsolateral prefontal cortex (DLPFC) tDCS has the potential to significantly reduce multiple sclerosis related fatigue.
Study 2 15 Active; 12 Sham Study 2 44.2 Study 2 = 2.0. Study 2: 20
Charvet et al. (2017) Open label study Multiple Sclerosis 45 25 tDCS + CT; 20 CT Only 51.96 (11.0) 1.5 10 20 Min Used “OLE” system, targeted DLPFC; Anodal on the left (F3), cathodal over right (F4). Anodal stimulation at both sites improved complex attention and response variability composites compared to CT only group.
Hagenacker et al. (2014) Randomized double-blind cross-over design Trigeminal Neuralgia 17 enrolled, 10 completed study 63 (age range 49–82) 1.0 14 consecutive daily sessions 20 Min Anodal tDCS over the primary motor cortex (M1). Pain intensity significantly reduced.
Hyvarinen et al. (2016) Double blind randomized controlled trial Tinnitus 35 (active tDCS = 23 & 12 sham) 51 (15.4) 2.0 10 consecutive sessions 20 Min Two different placements (1) Anodal over left temporal area & cathodal over frontal area; (2) Anodal & cathodal placed symmetrically bilaterally over frontal areas. Overall improvement in tinnitus severity.
Kasschau et al. (2015) Pilot study Multiple Sclerosis (MS) 20 (4 with proxy) N/A 1.5 10; over period of 2 weeks 20 Min Electrodes were placed in the bilateral dorsolateral prefrontal cortex (DLPC); Anode placed over left side. Feasibility of remotely-supervised tDCS established for MS patients with Expanded Disability Status Scale (EDSS) of 6.0 or below OR 6.5 or above with proxy.
Kasschau et al. (2016) Pilot study Multiple Sclerosis 20 (all active) 51 (9.25) 1.5 10 20 Min DLPFC; uniform bilateral dorsolateral prefrontal cortex (left anodal). Anodal stimulation improved all symptoms measured; pain, fatigue, affect and cognitive processing speed.
Marten et al. (2018) Randomized double-blind cross-over design Minimally Conscious State (MCS) 37 enrolled;27 Final analysis: 12 active/ sham 10 sham/ active Age range: 17–75 2.0 20 sessions over period of 4 weeks 20 Min Anodal: over left DLPFC & cathode over right supraorbital region. Moderate improvement in recovery of signs of consciousness.
  • Only 17 patients completed remote tDCS. The rest completed tDCS from nursing home/rehab center.

Mortensen et al. (2015) Double blind randomized controlled trial Stroke-Patients with upper limb motor impairment following intracerebral hemorrhage 15 (8 anodal tDCS, 7 sham) 44–76 1.5 5 consecutive sessions 20 Min Anodal or sham over primary motor cortex (M1); anode placed on ipsilesional MI and cathode over contralesional supraorbital region. Anodal tDCS + occupational therapy (OT) provide greater improvements compared to OT only.
Riggs et al. (2018) Multiple case study Chronically Ill with multiple symptoms 4 Age range: 44–63 Phase 1 10 daily consecutive sessions. Phase 2; as needed over 20 days. 20 Min DLPFC montage (left anodal) or MI-SO electrode montage Telehealth-tDCS protocol was successful and easy to replicate electrode placement at home via headband–pre-determined position.
Shaw et al. (2017) Double Blind Randomized Controlled Trial Multiple Sclerosis (MS) and Parkinson Disease (PD) Study 1 26 (MS) No Info. Study 1 = 1.5 Study 1 = 10 20 Min DLPFC (left anodal) Total of 748 sessions completed with high tolerability. tDCS is feasibility with remote supervision.
Study 2 MS = 20 & PD = 6 Study 2 MS = 2 PD = 2 or 1.5 Study 2 MS = 20 PD = 10