AI Article Synopsis

  • The study assessed the effectiveness of repetitive transcranial magnetic stimulation (rTMS) on cognitive function, mood, and mobility in patients with Parkinson's disease.
  • A systematic review and meta-analysis of 15 randomized controlled trials showed significant improvements in cognitive scores, walking ability, and reduction in depressive symptoms among patients receiving rTMS.
  • The findings indicate that rTMS may be a beneficial treatment for enhancing overall quality of life in Parkinson's disease patients.

Article Abstract

Objective: To evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) on cognitive function, depression, and walking ability in patients with Parkinson's disease.

Methods: A comprehensive search was conducted in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP Database, and Wanfang Database. Randomized controlled trials (RCTs) on rTMS treatment in Parkinson's disease patients were retrieved, covering the period from the inception of each database to July 2024. The quality of the included studies was assessed using the Cochrane risk of bias tool. Two researchers independently screened the literature, extracted data, and assessed the risk of bias in the studies. Data synthesis and analysis were performed using RevMan 5.4 and Stata 17.0 software.

Results: A total of 15 studies were included. The meta-analysis revealed that rTMS significantly improved the MOCA score (MD = 2.98, 95% CI 2.08, 3.88, P = 0.000), TUGT score (SMD=-0.72, 95% CI -1.43, 0.00, P = 0.048), FOG-Q score (SMD=-0.54, 95% CI -0.97, -0.11, P = 0.01), and UPDRS-III score (SMD=-0.66, 95% CI -0.84, -0.47, P = 0.000) in Parkinson's disease patients, and also alleviated depressive symptoms as measured by the HAMD (SMD=-0.43, 95% CI -0.72, -0.13, P = 0.004).

Conclusions: rTMS can improve cognitive function, depressive symptoms, and walking ability in patients with Parkinson's disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668114PMC
http://dx.doi.org/10.1186/s12883-024-03990-9DOI Listing

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