Skip to main content
Log in

Repeated sessions of transcranial direct current stimulation evaluation on fatigue and daytime sleepiness in Parkinson’s disease

  • Original Article
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

Parkinson is a common and disabling disease that affects patient’s and career’s quality of life. Unfortunately, medications, such as dopaminergic and sedative-hypnotic drugs, as an effective treatment have unwilling side effects. Recently, Transcranial Direct Current Stimulation (tDCS) in conjunction with medication becomes popular as a complementary safe treatment and several studies have proved its effectiveness on controlling motor and specially non-motor aspects of Parkinson’s disease. In this randomized double-blind parallel study, 23 patients with Parkinson’s disease divided into two groups of real tDCS plus occupational therapy and sham tDCS plus occupational therapy and the effects of therapeutic sessions (eight sessions tDCS with 0.06 mA/cm2 current, 20 min on dorsolateral prefrontal cortex) were evaluated on fatigue and daytime sleepiness just after therapeutic course and in 3-month follow-up. tDCS had a significant effect on fatigue and no effect on daytime sleepiness reduction in patients with Parkinson’s disease. tDCS is an effective and safe complementary treatment on fatigue reduction in Parkinson’s disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Li G (1995) Clinical analysis of Parkinson’s disease treated by integration of traditional Chinese medicine and western medicine. J Tradit Chin Med 15(3):163–169

    CAS  PubMed  Google Scholar 

  2. Jankovic J (2008) Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry 79:368–376

    Article  CAS  PubMed  Google Scholar 

  3. Doruk D, Gray Z, Bravo GL, PascualLeone A, Fregni F (2014) Effects of tDCS on executive function in Parkinson’s disease. Neurosci Lett 582:2731

    Article  Google Scholar 

  4. Chaudhuri KR, Prieto-Jurcynska C, Naidu Y, Mitra T, Frades-Payo B, Tluk S et al (2010) The nondeclaration of nonmotor symptoms of Parkinson’s disease to health care professionals: an international study using the nonmotor symptoms questionnaire. Mov Disord 25:704–709

    Article  PubMed  Google Scholar 

  5. F.Del Sorboa, A.Albanesea, (2012), Clinical management of pain and fatigue in Parkinson’s disease, Parkinsonism and Related Disorders. 18S1 S233–S236

  6. Tandberg E, Larsen JP, Karlsen K (1998) A community-based study of sleep disorders in patients with Parkinson’s disease. Mov Disord 13:895–899

    Article  CAS  PubMed  Google Scholar 

  7. Factor SA, McAlarney T, Sanchez-Ramos JR, Weiner WJ (1990) Sleep disorders and sleep effect in Parkinson’s disease. Mov Disord 5:280–285

    Article  CAS  PubMed  Google Scholar 

  8. B.Forogh, Z.Mirshaki,GR. Raissi, A.Shirazi, K.Mansoori,T.Ahadi, (2015), Repeated sessions of transcranial direct current stimulation for treatment of chronic subjective tinnitus: a pilot randomized controlled trial, Neurol Sci. 2393–2399

  9. Pena-Gomez C, Sala-Lonch R, Junque C, Clemente IC, Vidal D, Bargallo N et al (2012) Modulation of large-scale brain networks by transcranial direct current stimulation evidenced by resting-state functional MRI. Brain Stimul 5:252–263

    Article  PubMed  Google Scholar 

  10. Odin K, Ray Chaudhuri JT, Slevin D et al (2015) Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson’s disease: consensus from an international survey and discussion program. Parkinson Related Dis 21:1133–1144

    Article  CAS  Google Scholar 

  11. Doruka D, Grayb Z, Bravoa GL et al (2014) Effects of tDCS on executive function in Parkinson’s disease. Neurosci Lett 582:27–31

    Article  Google Scholar 

  12. Boggio PS, Ferrucci R, Rigonatti SP et al (2006) Effects of transcranial direct current stimulation on working memory in patients with Parkinson’s disease. J Neurol Sci 249:31–38

    Article  PubMed  Google Scholar 

  13. Kikuchi A, Takeda A, Kimpara T, Nakagawa M, Kawashima R, Sugiura M, Kinomura S, Fukuda H, Chida K, Okita N, Takase S, Itoyama Y (2001) Hypoperfusion in the supplementary motor area, dorsolateral prefrontal cortex and insular cortex in Parkinson’s disease. J Neurol Sci 15;193(1):29–36

  14. Herz MD, Eickhoff SB, Lokkegaard A, Siebner HR (2013) Functional Neuroimaging of Motor Control in Parkinson’s Disease: A Meta-Analysis, Human Brain Mapping

  15. Valentino F, Cosentino G, Brighina F, Pozzi NG, Sandrini G, Fierro B, Savettieri G, D’Amelio C, Pacchetti M, (2014) Transcranial direct current stimulation for treatment of freezing of gait: a Crossover study, Mov Disord 10649

  16. Keeser D, Meind T, Bor J, Palm U, Pogarell O, Mulert C et al (2011) Prefrontal transcranial direct current stimulation changes connectivity of resting-state networks during fMRI. J Neurosci 31:15284–15293

    Article  CAS  PubMed  Google Scholar 

  17. Saiote C, Goldschmidt T, Timäus C, Steenwijk MD, Opitz A, Antal A, Paulus W, Nitsche MA (2014) Impact of transcranial direct current stimulation on fatigue in multiple sclerosis. Restor Neurol Neurosci 32(3):423–436

    PubMed  Google Scholar 

  18. Ferrucci R, Vergari M, Cogiamanian F, Bocci T, Ciocca M, Tomasini E, Riz M, Scarpini E, Priori A (2014) Transcranial direct current stimulation (tDCS) for fatigue in multiple sclerosis. NeuroRehabilitation 34(1):121–127

    PubMed  Google Scholar 

  19. Acler M, Bocci T, Valenti D, Turri M, Priori A, Bertolasi L (2013) Transcranial direct current stimulation (tDCS) for sleep disturbances and fatigue in patients with post-polio syndrome. Restor Neurol Neurosci 31(5):661–668

    PubMed  Google Scholar 

  20. Brunoni A, Valiengo L, Baccaro A, Zanão TA, de Oliveira JF, Boggio PS, Lotufo PA, Benseñor IM, Fregni F (2013) The sertraline vs electrical current therapy for treating depression clinical study: results from a factorial. Randomized, Controlled Trial Arch Gen Psychiatry 70:1–9

    Google Scholar 

  21. Loo CK, Alonzo A, Martin D, Mitchell PB, Galvez V, Sachdev P (2012) Transcranial direct current stimulation for depression: 3-week, randomised, sham-controlled trial. Br J Psychiatry 200:52–59

    Article  PubMed  Google Scholar 

  22. Brunoni AR, Ferrucci R, Bortolomasi M et al (2011) Transcranial direct current stimulation (tDCS) in unipolar vs. bipolar depressive disorder. Prog Neuropsychopharmacol Biol Psychiatry 35:96–101

    Article  CAS  PubMed  Google Scholar 

  23. Boggio PS, Rigonatti SP, Ribeiro RB et al (2008) A randomized, double-blind clinical trial on the efficacy of cortical direct current stimulation for the treatment of major depression. Int J Neuropsychopharmacol 11:249–254

    Article  PubMed  Google Scholar 

  24. Fregni F, Boggio PS, Nitsche MA et al (2006) Cognitive effects of repeated sessions of transcranial direct current stimulation in patients with depression. Depress Anxiety 23:482–484

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We are grateful to patients who participated in this project and Pouria Ghaboussi, MD for his help in identification of treatment protocol.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Simin Sajadi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Forogh, B., Rafiei, M., Arbabi, A. et al. Repeated sessions of transcranial direct current stimulation evaluation on fatigue and daytime sleepiness in Parkinson’s disease. Neurol Sci 38, 249–254 (2017). https://doi.org/10.1007/s10072-016-2748-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-016-2748-x

Keywords

Navigation