Repetitive Transcranial Magnetic Stimulation for the Treatment of Freezing of Gait in Parkinson's Disease
Parkinson Disease, Gait Disorders, Neurologic
About this trial
This is an interventional treatment trial for Parkinson Disease focused on measuring freezing of gait, FMRI, rTMS
Eligibility Criteria
Inclusion Criteria:
- Subjects fulfilled the diagnosis of idiopathic Parkinson's disease according to MDS-PD criteria
- Hoehn & Yahr (H-Y) stage was 2 or 3
- All subjects had freezing of gait which was identified by FOGQ
Exclusion Criteria:
- cognitive impairment (MMSE score<22) or major depression (HAMD-24 score>25)
- severe visual and/or haring impairment
- significant medical or psychiatric illnesses
- history of deep brain stimulation (DBS) surgery or pacemaker implantation. MRI cannot be performed in those patients
- current treatment with medication cannot be maintained during the study
Sites / Locations
- Peking Union Medical College Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Sham Comparator
rTMS over M1 region
rTMS over supplementary motor area (SMA)
sham stimulation
The stimulus intensity was set to 100% of the resting motor threshold. Ten sessions of rTMS were delivered over 2 weeks, one session per day for 5 consecutive days per week. Each session consisted of 10 trains of 100 pulses at 10Hz with an inter-train interval of 40 seconds. In this group, the target of rTMS is M1 region.
The stimulus intensity was set to 100% of the resting motor threshold. Ten sessions of rTMS were delivered over 2 weeks, one session per day for 5 consecutive days per week. Each session consisted of 10 trains of 100 pulses at 10Hz with an inter-train interval of 40 seconds. In this group, the target of rTMS is SMA region.