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Repetitive Transcranial Magnetic Stimulation for Musculoskeletal Pain in Patients With Parkinson's Disease
Pain is an increasingly recognized non-motor symptom of Parkinson's disease (PD), with significant prevalence and negative impact on the quality of life of patients. Repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex(M1)has been proposed to provide definite analgesic effect for pain syndromes. However, very few placebo-controlled studies have been performed specifically to relieve pain in PD. What's more, based on behavioral measures alone, it is impossible to reveal the full network dynamics reflecting the impact of TMS. Electroencephalography (EEG), with high temporal resolution, records signal that its origin in electrical neural activity, which makes it suitable for measuring TMS-evoked activation. By recording the TMS induced neuronal activation directly from the cortex, TMS-EEG provides information on the excitability, effective connectivity of cortical area, thus exploring cortical network properties in different functional brain states. In addition, the use of EEG offers great prospects as a tool to select the right patients in order to achieve adequate, long-term pain relief. Besides assessing the efficacy and safety of high-frequency neuronavigated M1-rTMS in PD patients with musculoskeletal pain, the objective of this study additionally aimed to characterize cortical activation behind pain relief. Influence on motor and other non-motor symptoms after rTMS were also investigated.
Details
| Lead sponsor | Second Affiliated Hospital of Soochow University |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 62 |
| Start date | Sat Oct 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time) |
| Completion | Sun Dec 01 2024 00:00:00 GMT+0000 (Coordinated Universal Time) |
Conditions
- Parkinson's Disease
- Musculoskeletal Pain
- Repetitive Transcranial Magnetic Stimulation
- Primary Motor Cortex
- Electroencephalography
- Neuromodulation
Interventions
- active M1-rTMS
- sham rTMS
Countries
China