Short-term motor improvement after sub-threshold 5-Hz repetitive transcranial magnetic stimulation of the primary motor hand area in Parkinson's disease
Hr. Siebner et al., Short-term motor improvement after sub-threshold 5-Hz repetitive transcranial magnetic stimulation of the primary motor hand area in Parkinson's disease, J NEUR SCI, 178(2), 2000, pp. 91-94
Ten unmedicated patients with Parkinson's disease received sub-threshold 5-
Hz repetitive transcranial magnetic stimulation (rTMS) over the primary mot
or hand area (M1(HAND)) contralaterally to the more affected upper limb. Co
mpared to a midfrontal sham-rTMS, real-rTMS over M1(HAND) was associated wi
th a significant decrease in the global motor UPDRS score 1 h after the ces
sation of rTMS. This was mainly due to a clinical improvement in the arm co
ntralaterally to the stimulated M1(HAND). These preliminary data suggest th
at focal rTMS of M1(HAND) may have a therapeutic potential in PD. (C) 2000
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