PMID- 38362860 OWN - NLM STAT- Publisher LR - 20240223 IS - 1464-5165 (Electronic) IS - 0963-8288 (Linking) DP - 2024 Feb 16 TI - Clinical application of transcutaneous auricular vagus nerve stimulation: a scoping review. PG - 1-31 LID - 10.1080/09638288.2024.2313123 [doi] AB - PURPOSE: Transcutaneous auricular vagus nerve stimulation (taVNS) is an emerging non-invasive neuromodulation therapy. This study aimed to explore the therapeutic use of taVNS, optimal stimulation parameters, effective sham protocols, and safety. METHODS: A scoping review was conducted. Five databases and grey literature were searched. The data extracted included stimulation parameters, adverse events (AEs), and therapeutic effects on clinical outcomes. RESULTS: 109 studies were included. taVNS was used across 21 different clinical populations, most commonly in psychiatric, cardiac, and neurological disorders. Overall, 2,214 adults received active taVNS and 1,017 received sham taVNS. Reporting of stimulation parameters was limited and inconsistent. taVNS appeared to have a favourable therapeutic effect across a wide range of clinical populations with varied parameters. Three sham protocols were reported but their effectiveness was documented in only two of the 54 sham-controlled studies. Most reported adverse events were localised to stimulation site. CONCLUSION: There is growing evidence for taVNS therapeutic effect. taVNS appears safe and tolerable. Sham protocols need evaluation. Standardised and comprehensive reporting of both stimulation parameters and adverse events is required. Two different questionnaires have been proposed to evaluate adverse events and the effectiveness of sham methods in blinding participants. FAU - Gerges, Ashraf N H AU - Gerges ANH AUID- ORCID: 0000-0001-9211-6585 AD - Innovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. FAU - Williams, Ellen E R AU - Williams EER AUID- ORCID: 0000-0002-9922-5255 AD - School of Biomedicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia. AD - Hopwood Centre for Neurobiology, Lifelong Health Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia. FAU - Hillier, Susan AU - Hillier S AUID- ORCID: 0000-0002-6071-6137 AD - Innovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. FAU - Uy, Jeric AU - Uy J AUID- ORCID: 0000-0002-1122-5593 AD - Innovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. FAU - Hamilton, Taya AU - Hamilton T AD - Perron Institute for Neurological and Translational Science, Perth, Australia. AD - Fourier Intelligence International Pte Ltd., Global Headquarters, Singapore, Singapore. FAU - Chamberlain, Saran AU - Chamberlain S AD - Innovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. FAU - Hordacre, Brenton AU - Hordacre B AUID- ORCID: 0000-0002-7129-6684 AD - Innovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. LA - eng PT - Journal Article PT - Review DEP - 20240216 PL - England TA - Disabil Rehabil JT - Disability and rehabilitation JID - 9207179 SB - IM OAB - Transcutaneous auricular vagus nerve stimulation (taVNS) showed therapeutic effect across a wide range of clinical populations including depression, epilepsy, and strokeThere is a preliminary indication that daily/weekly dose and overall duration of treatment are important to show therapeutic effectivenessWhen using taVNS as an intervention, the questionnaires proposed in this review should be used to evaluate blinding effectiveness and adverse events. OABL- eng OTO - NOTNLM OT - VNS OT - neuromodulation OT - rehabilitation OT - transauricular stimulation EDAT- 2024/02/16 12:45 MHDA- 2024/02/16 12:45 CRDT- 2024/02/16 07:57 PHST- 2024/02/16 12:45 [pubmed] PHST- 2024/02/16 12:45 [medline] PHST- 2024/02/16 07:57 [entrez] AID - 10.1080/09638288.2024.2313123 [doi] PST - aheadofprint SO - Disabil Rehabil. 2024 Feb 16:1-31. doi: 10.1080/09638288.2024.2313123.