24 Participants Needed

Transcranial Magnetic Stimulation for Parkinson's Disease

TO
Overseen ByTomoha Ogawa, BA
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: McGill University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how a specific brain area affects movement in people with Parkinson's disease during the transition from walking on a special treadmill to regular ground. Researchers will use Transcranial Magnetic Stimulation (TMS) to stimulate the brain and observe any changes in participants' walking patterns. The study compares the effects of real and sham TMS treatments. It seeks participants with Parkinson's disease who can walk independently for 30 minutes and have never used a split-belt treadmill.

As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could enhance understanding and treatment of Parkinson's disease.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that transcranial magnetic stimulation is safe for people with Parkinson's disease?

Research has shown that transcranial magnetic stimulation (TMS) is generally safe for people with Parkinson's disease. In past studies, the risk of side effects, such as headaches, was low—about 4 out of 100 people experienced one. Importantly, no seizures were reported. Most side effects, like headaches, were mild and resolved on their own. Overall, TMS is considered well-tolerated, with a strong safety record in Parkinson's patients.12345

Why are researchers excited about this trial?

Researchers are excited about transcranial magnetic stimulation (TMS) for Parkinson's Disease because it offers a non-invasive approach that targets the brain directly. Unlike traditional treatments like levodopa or dopamine agonists, which are medications, TMS uses magnetic fields to stimulate specific brain areas, potentially reducing symptoms without the need for drugs. This technique could minimize side effects associated with long-term medication use. Additionally, by alternating between active TMS and sham TMS, researchers can better understand its effectiveness, paving the way for new insights into managing Parkinson's symptoms.

What evidence suggests that transcranial magnetic stimulation is effective for Parkinson's disease?

This trial will compare the effects of active repetitive transcranial magnetic stimulation (rTMS) with sham rTMS in individuals with Parkinson's disease. Studies have shown that rTMS can improve movement in people with Parkinson's disease. Research indicates that targeting specific brain areas with rTMS can enhance movement and might also aid thinking skills. Data from various studies suggest that rTMS is more effective than no treatment. Additionally, rTMS is considered safe, with only a few side effects reported. Overall, strong evidence supports rTMS in addressing movement problems in Parkinson's disease.26789

Who Is on the Research Team?

CP

Caroline Paquette, PhD

Principal Investigator

McGill University

Are You a Good Fit for This Trial?

This trial is for individuals with Parkinson's Disease who are interested in participating in a study to understand brain function related to movement. Specific eligibility criteria details were not provided, so it's best to contact the study team for more information on who can join.

Inclusion Criteria

I have been diagnosed with Parkinson's disease.
No previous experience with split-belt treadmill
No mild cognitive impairment (Montreal Cognitive Assessment ≥ 25)
See 4 more

Exclusion Criteria

Implanted deep brain stimulator
I have severe movement issues affecting my walking and balance.
I cannot walk safely on a moving treadmill.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 day
1 visit (in-person)

Clinical Assessment

Clinical assessment based on questionnaires, 10-Meter Walk Task, and finding TMS targets and thresholds

1 day
1 visit (in-person)

Intervention

rTMS-active or rTMS-sham intervention with pre- and post-tests for overground and SBT walking

2 days
2 visits (in-person, at least 48 hours apart)

Follow-up

Participants are monitored for safety and effectiveness after intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Transcranial Magnetic Stimulation Active
  • Transcranial Magnetic Stimulation Sham

Trial Overview

The trial is testing how applying repeated transcranial magnetic stimulation (rTMS) affects walking ability after using a split-belt treadmill. Participants will be divided into two groups: one receiving active rTMS and the other receiving sham (placebo) treatment.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Sham rTMS First followed by Active rTMS SecondExperimental Treatment2 Interventions
Group II: Active rTMS First followed by Sham rTMS SecondExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

McGill University

Lead Sponsor

Trials
421
Recruited
1,017,000+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41180704/

Efficacy of repetitive transcranial magnetic stimulation in ...

This updated meta-analysis provides evidence that rTMS is a safe and effective intervention for improving motor symptoms and cognitive ...

Efficacy and safety of repetitive transcranial magnetic ...

Efficacy and safety of repetitive transcranial magnetic stimulation on motor function, depression, and cognitive dysfunction in Parkinson's ...

Efficacy of repetitive transcranial magnetic stimulation in ...

The results suggest that high-frequency of rTMS on primary motor cortex (M1) is effective in improving motor symptoms; while the dorsolateral ...

Comparative efficacy of transcranial magnetic stimulation on ...

As shown in Figure 4, TMS could significantly improve motor symptoms in PD patients compared with the control group (the total pooled effect sizes, MD: −3.72, ...

Effect of different modalities of transcranial magnetic ...

TMS has some long-term sustained effects on improving cognitive function in Parkinson's patients. HF-rTMS is more effective in improving cognitive function in ...

Safety of Transcranial Magnetic Stimulation in Parkinson's ...

Risk of an adverse event from rTMS was 0.040 (95% CI: 0.029 – 0.053) per patient and no seizures were reported. Other adverse events included transient ...

Investigating the Safety of srTMS in the Treatment ...

The purpose of this study is to use a device called the magnetic stimulator to investigate the safe limit of srTMS, such as intensity of stimulation and the ...

Safety of Deep Repetitive Transcranial Magnetic Stimulation

Deep TMS can be safely administered to patients with PS and medical refractory symptoms and can decrease the subjective motor symptom severity and depression.

9.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/23473718/

Safety of transcranial magnetic stimulation in Parkinson's ...

Risk of an adverse event from rTMS was 0.040 (95% CI: 0.029-0.053) per patient and no seizures were reported. Other adverse events included transient headaches, ...