Training in the practice of noninvasive brain stimulation: Recommendations from an IFCN committee. Issue 3 (March 2021)

• Record Type: Journal Article
• Authors: Fried, Peter J.; Santarnecchi, Emiliano; Antal, Andrea; Bartres-Faz, David; Bestmann, Sven; Carpenter, Linda L.; Celnik, Pablo; Edwards, Dylan; Farzan, Faranak; Fecteau, Shirley; George, Mark S.; He, Bin; Kim, Yun-Hee; Leocani, Letizia; Lisanby, Sarah H.; Loo, Colleen; Luber, Bruce; Nitsche, Michael A.; Paulus, Walter; Rossi, Simone; Rossini, Paolo M.; Rothwell, John; Sack, Alexander T.; Thut, Gregor; Ugawa, Yoshikazu; Ziemann, Ulf; Hallett, Mark; Pascual-Leone, Alvaro
• Is Part Of: Clinical neurophysiology. Volume 132:Issue 3(2021)
• Page Start: 819
• Page End: 837
• Publication Date: 2021-03
• Subjects: Training -- Guidelines -- Noninvasive brain stimulation -- Transcranial magnetic stimulation -- Transcranial electric stimulation; AMT Active motor threshold -- APB Abductor pollicis brevis -- B.A. Bachelor of the Arts -- B.S. Bachelor of Science -- BLS Basic life support -- CBI Cerebellar inhibition -- CMAP Compound muscle action potential -- CPR Cardiopulmonary resuscitation -- cSP (Contralateral) cortical silent period -- cTBS Continuous theta-burst stimulation -- D-wave Direct wave -- D.O. Doctor of Osteopathic Medicine -- EEG Electroencephalography -- EMG Electromyography -- FDA (United States) Food and Drug Administration -- FDI First dorsal interosseous -- I-wave Indirect wave -- ICF Intra-cortical facilitation -- IDE Investigational device exemption -- IFCN International Federation of Clinical Neurophysiology -- IHI Inter-hemispheric inhibition -- iSP Ipsilateral cortical silent period -- iTBS Intermittent theta-burst stimulation -- LICI Long-interval intra-cortical inhibition -- LTD Long-term depression -- LTP Long-term potentiation -- M.A. Master of the Arts -- M.D. Doctor of Medicine -- M.S. Master of Science -- MEG Magnetoencephalography -- MEP Motor evoked potential -- MRI Magnetic resonance imaging -- N.P. Nurse Practitioner -- NIBS Noninvasive brain stimulation -- PAS Paired associative stimulation -- PET Positron emission tomography -- QPS Quadripulse stimulation -- RMT Resting motor threshold -- rTMS Repetitive transcranial magnetic stimulation -- SAE Serious adverse event -- SAI Short-afferent inhibition -- SAS Spinal associative stimulation -- SICI Short-interval intra-cortical inhibition -- SUSAR Suspected unexpected serious adverse reaction -- tACS Transcranial alternating current stimulation -- TBS Theta-burst stimulation -- tDCS Transcranial direct current stimulation -- tES Transcranial electric stimulation -- TMS Transcranial magnetic stimulation -- tRNS Transcranial random noise stimulation -- US United States; Neurophysiology -- Periodicals; Electroencephalography -- Periodicals; Electromyography -- Periodicals; Neurology -- Periodicals; 612.8
• DOI: 10.1016/j.clinph.2020.11.018
• Languages: English
• ISSNs: 1388-2457

Abstract

Highlights: The field of NIBS is expanding and adequate training for all NIBS practitioners is needed. Training should be matched to the responsibilities of Technicians, Clinicians, and Scientists. We define competencies and propose curricula for TMS and tES organized in Core knowledge, Safety/ethics, Basic Skills, and Advanced Skills. Abstract: As the field of noninvasive brain stimulation (NIBS) expands, there is a growing need for comprehensive guidelines on training practitioners in the safe and effective administration of NIBS techniques in their various research and clinical applications. This article provides recommendations on the structure and content of this training. Three different types of practitioners are considered (Technicians, Clinicians, and Scientists), to attempt to cover the range of education and responsibilities of practitioners in NIBS from the laboratory to the clinic. Basic or core competencies and more advanced knowledge and skills are discussed, and recommendations offered regarding didactic and practical curricular components. We encourage individual licensing and governing bodies to implement these guidelines.