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  • SAGE Publications  (3)
  • Datta, Abhishek  (3)
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  • SAGE Publications  (3)
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  • 1
    In: Multiple Sclerosis Journal, SAGE Publications, Vol. 24, No. 13 ( 2018-11), p. 1760-1769
    Abstract: Fatigue is a common and debilitating feature of multiple sclerosis (MS) that remains without reliably effective treatment. Transcranial direct current stimulation (tDCS) is a promising option for fatigue reduction. We developed a telerehabilitation protocol that delivers tDCS to participants at home using specially designed equipment and real-time supervision (remotely supervised transcranial direct current stimulation (RS-tDCS)). Objective: To evaluate whether tDCS can reduce fatigue in individuals with MS. Methods: Dorsolateral prefrontal cortex left anodal tDCS was administered using a RS-tDCS protocol, paired with 20 minutes of cognitive training. Here, two studies are considered. Study 1 delivered 10 open-label tDCS treatments (1.5 mA; n = 15) compared to a cognitive training only condition ( n = 20). Study 2 was a randomized trial of active (2.0 mA, n = 15) or sham ( n = 12) delivered for 20 sessions. Fatigue was assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS)—Fatigue Short Form. Results and conclusion: In Study 1, there was modest fatigue reduction in the active group (−2.5 ± 7.4 vs −0.2 ± 5.3, p = 0.30, Cohen’s d = −0.35). However, in Study 2 there was statistically significant reduction for the active group (−5.6 ± 8.9 vs 0.9 ± 1.9, p = 0.02, Cohen’s d = −0.71). tDCS is a potential treatment for MS-related fatigue.
    Type of Medium: Online Resource
    ISSN: 1352-4585 , 1477-0970
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 1290669-4
    detail.hit.zdb_id: 2008225-3
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2012
    In:  Clinical EEG and Neuroscience Vol. 43, No. 3 ( 2012-07), p. 176-183
    In: Clinical EEG and Neuroscience, SAGE Publications, Vol. 43, No. 3 ( 2012-07), p. 176-183
    Abstract: During transcranial direct current stimulation (tDCS), controllable dose parameters are electrode number (typically 1 anode and 1 cathode), position, size, shape, and applied electric current. Because different electrode montages result in distinct brain current flow patterns across the brain, tDCS dose parameters can be adjusted, in an application-specific manner, to target or avoid specific brain regions. Though the tDCS electrode montage often follows basic rules of thumb (increased/decreased excitability “under” the anode/cathode electrode), computational forward models of brain current flow provide more accurate insight into detailed current flow patterns and, in some cases, can even challenge simplified electrode-placement assumptions. With the increased recognized value of computational forward models in informing tDCS montage design and interpretation of results, there have been recent advances in modeling tools and a greater proliferation of publications.  In addition, the importance of customizing tDCS for potentially vulnerable populations (eg, skull defects, brain damage/stroke, and extremes of age) can be considered. Finally, computational models can be used to design new electrode montages, for example, to improve spatial targeting such as high-definition tDCS. Pending further validation and dissemination of modeling tools, computational forward models of neuromodulation will become standard tools to guide the optimization of clinical trials and electrotherapy.
    Type of Medium: Online Resource
    ISSN: 1550-0594 , 2169-5202
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2647038-X
    detail.hit.zdb_id: 2140201-2
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2024
    In:  Human Factors: The Journal of the Human Factors and Ergonomics Society Vol. 66, No. 3 ( 2024-03), p. 862-871
    In: Human Factors: The Journal of the Human Factors and Ergonomics Society, SAGE Publications, Vol. 66, No. 3 ( 2024-03), p. 862-871
    Abstract: We propose and assess galvanic vestibular stimulation (GVS) as a novel means to provide information dissociated from self-orientation. Background In modern user interfaces, visual and auditory modalities dominate information transfer so much that these “processing channels” become overloaded with information. Fortunately, the brain is capable of processing separate sensory sources in parallel enabling alternative display modalities to inform operators more effectively and without increasing cognitive strain. To date, the vestibular system, normally responsible for sensing self-orientation and helping with balance, has not been considered as a display modality. Method Bilateral GVS was provided at 0.6 mA for 1-second intervals with moderately high-frequency sinusoidal waveforms, designed to not elicit sensations of self-motion. We assessed subjects’ ability to differentiate between two cues of different frequencies. Results We found subjects were able to reliably distinguish between cues with an average just-noticeable difference threshold of only ±12 Hz (range across subjects: 5.4–19.6 Hz) relative to a pedestal cue of 50 Hz. Further, we found the GVS sensory modality to be robust to various environments: walking, standing, sitting, passive motion, and loud background noise. Finally, the application of the GVS cues did not have significant destabilizing effects when standing or walking. Conclusion These results show that GVS may be an effective alternative display modality, using varying frequency to encode information. It is robust to various operational environments and non-destabilizing. Application A fully functional display can convey information to operators of vehicles and other machinery as well as high-performance operators like astronauts and soldiers.
    Type of Medium: Online Resource
    ISSN: 0018-7208 , 1547-8181
    RVK:
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2024
    detail.hit.zdb_id: 2066426-6
    detail.hit.zdb_id: 212725-8
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