The Influence of Low Frequency Repetitive Transcranial Stimulation (r-TMS) Treatment on Motor and Cognitive Measurements in Patients With Parkinson's Disease

Sheba Medical Center

Status

Completed

Conditions

Parkinson's Disease

Treatments

Device: Repetitive transcranial stimulation

Study type

Interventional

Funder types

Other

Identifiers

NCT00858546

SHEBA-09-6874-OC-CTIL

Details and patient eligibility

About

The aim of the study is to test the effects of low frequency deep rTMS using the novel H-coil on the motor, affective and cognitive deficits in patients with Parkinson's disease (PD) and to establish its safety in this population.

The investigators anticipate to recruit 10 patients to an open pilot study. All patients will receive an active rTMS stimulation and will be given 12 treatment sessions, over a period of up to 4 weeks. Each of the 12 daily treatment sessions (lasting about 30 minutes each), will be consisted of 25 stimulation trains over the prefrontal cortex (20Hz trains, 2 seconds each with an inter-train interval of 20 seconds) and one train of 15 minutes at 1 Hz over the the motor cortex.

The following outcome measures will be taken prior to the treatment (screening visit), and at day 1, 10, 30, 60, and 90:

Unified Parkinson's Disease Rating Scale (UPDRS )
Clinical Global Impression of Severity (CGIS)
Pegboard test.
Tapping test
Up & Go test
Abnormal Involuntary Movement Scale (AIMS) Mood and affect Beck Depression Inventory (BDI) Cognition
Mini mental State examination (MMSE) 2. Digit forward and backward tests. 3. Word fluency. 4. Frontal Assessment Battery (FAB)

Side effects will be closely monitored by the researchers and will be promptly reported to the IRB

Enrollment

10 estimated patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

PD patients aged 40 years or older, diagnosed as idiopathic PD according to the UK Brain Bank criteria, with Hoehn & Yahr stages II - IV while "off".
Participants on antidepressants should be at least 2 months on stable therapy

Exclusion criteria

Patients who have concomitant epilepsy, a history of seizure or heat convulsion or history of epilepsy in first degree relative.
Patients on neuroleptics.
Patients with dementia or any unstable medical disorder.
History or current Unstable hypertension.
History of head injury or neurosurgical interventions.
History of any metal in the head (outside the mouth).
Known history of any metallic particles in the eye, implanted cardiac pacemaker or any intracardiac lines, implanted neurostimulators, surgical clips or any medical pumps.
History of migraine or frequent or severe headaches.
History of hearing loss.
The presence of cochlear implants
History of drug abuse or alcoholism.
Pregnancy or not using a reliable method of birth control.
Participation in current clinical study or clinical study within 30 days prior to this study