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NCT05537597Completed

Repetitive Transcranial Magnetic Stimulation for Musculoskeletal Pain in Patients With Parkinson's Disease

Repetitive Transcranial Magnetic Stimulation for Musculoskeletal Pain in Patients With Parkinson's Disease:Efficacy and Safety, Electrophysiological Mechanisms and Influence on Motor and Other Non-motor Symptoms

Source: ClinicalTrials.gov · Last updated 17 Feb 2026

Brief summary (registry, in English)

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.

Status (registry)
Completed
Study type
Interventional
Enrollment
62 (actual)
First submitted
2 Sept 2022
Start date
1 Oct 2022
Primary completion date
1 Dec 2024
Lead sponsor
Second Affiliated Hospital of Soochow University
NCT number
NCT05537597

What you commit to

  • Study type: Interventional
  • Participants enrolled: 62
  • From 1 Oct 2022 to the primary completion date, 1 Dec 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • histories of deep brain stimulation surgery

Other illness

  • unstable ongoing psychiatric disorder, history of substance abuse (alcohol, drugs)

Lab values

  • Other pain conditions, such as apparent osteoarthritis, or rheumatoid arthritis depended on laboratory or imaging findings

Other

  • Contraindications to rTMS
  • Mini-mental State Examination scores ≤24

Who the study is looking for

  • Idiopathic PD was diagnosed according to the 2015 Movement Disorder Society (MDS) clinical diagnostic criteria
  • Hoehn and Yahr stages of I to III
  • musculoskeletal pain was detected based on the Ford classification system for pain in PD. Pain duration of at least 3 months, with continuous moderate intensity pain (≥ 3/10 on a 0-10 numerical rating scale) occurring at least three days per week.
  • stable antiparkinsonian therapy for ≥4 weeks

Age in the registry: 40 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Department of Neurology, Second Affiliated Hospital of Soochow University
Coordinator of this site? Confirm its status
SuzhouChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.