At a glance
ClinicalIndex Comparison RecordStandardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Combined Therapy With rTMS and Botulinum Toxin in Primary Cervical Dystonia
In Brief
A clinical study evaluating NeuroStar TMS therapy, Sham NeuroStar TMS therapy, and 4 other interventions for Primary Cervical Dystonia and Dystonia. Completed, enrolled 9 participants across 2 sites.
Detailed Summary
Primary cervical dystonia (PCD) is the most common form of focal dystonia. PCD is frequently reported as a source of disability, decreased quality of life, and social stigma. Botulinum toxin (BoNT) is the gold standard treatment for PCD. The average duration of benefits from BoNT injections was about 9.5 weeks and BoNT treatment is known to provide only pure symptomatic benefits and does not seem to modify the disease pathophysiology. The investigator plans to use repetitive transcranial magnetic stimulation (rTMS) therapy as an adjunctive therapy in combination with BoNT injections as a novel approach to treat PCD. The primary goal of this study is to compare standard treatment with BoNT versus BoNT combined with a two week course of rTMS.
Study Details
Timeline
Interventions
Application of repetitious transcranial magnetic stimulation (TMS) pulses using NeuroStar device to a specific brain target at predefined stimulation parameters.
Same procedure as real rTMS without stimulating the cerebral cortex.
All participants will receive a clinical assessment of dystonia severity by using the TWSTRS test.
All participants will fill out the Craniocervical Dystonia Questionnaire (CDQ-24) quality of life questionnaire.
All participants will have a measure of the cerebellar-brain inhibition(CBI) which will be conducted by using a TMS device determining the ability of the coil to activate the cerebellum.
All participants will receive Botulinum toxin(BoNT) injections as part of their standard of care