None listed
Conditions
Brief summary
Pain is one of the most detrimental non-motor symptoms of Parkinson’s disease (PD), with up to 85% of people with PD experiencing pain in some form. Despite this, pain is often undiagnosed and frequently overlooked by clinicians and other healthcare professionals, leading to a lack of treatment (Ford, 2010). This study seeks to test the efficacy of a non-invasive brain stimulation technique (tDCS) for the treatment of pain. This treatment has resulted in improvement of pain in people with Multiple Sclerosis and fibromyalgia. It is hypothesised that tDCS will reduce pain in PD.
Interventions
This study will use a randomised controlled trial using transcranial direct current stimulation (tDCS). Upon study entry, participants will be assigned to one of the following 2 groups: 1. Anodal (active) tDCS 2. Sham (control) tDCS Active tDCS Participants in the active tDCS groups (the anodal (active) group) will receive 20 minutes of constant current 1.5 mA (equivalent to 0.08 mA/cm2). Stimulation over the left dorsal lateral prefrontal cortex (DLPFC). This level is consistent with safety guidelines (Nitsche et al., 2008) and is well tolerated in those with Parkinson's Disease (PD; Lawrence et al., 2018). tDCS will be delivered by a constant current stimulator (Soterix®), which is administered using two 35 cm 2 sponge electrodes that have been soaked in saline solution. The anode electrode will be placed over F3 according to the 10-20 international system for EEG electrode placement, to stimulate the left DLPFC. The cathode (neutral) electrode will be position on the left side of the forehead. There will be a period of 30 seconds at the beginning and end of the tDCS for ramp up/down. This intervention will be administered by the project PhD student who will be fully trained on the the set-up and administration of tDCS. The intervention will be delivered face-to-face and individually. Participants will receive 20 mins of tDCS, twice a week, for four weeks (8 sessions in total).
Sponsors
Study design
Eligibility
Inclusion criteria
1) Diagnosed with idiopathic PD by a neurologist or geriatrician in accordance with the United Kingdom Parkinson’s Disease Society Brain Bank Clinical (UKPDSBBC) criteria. 2) A score of 13 or above on the Telephone Interview for Cognitive Status - 30 (TISC-30) indicating informed consent can be given. 3) Must experience at least one type of pain as indicated on the King's Parkinson's Disease Pain Scale.
Exclusion criteria
1) A score of below 13 on the TISC-30 (see Key Inclusion criteria) 2) Recent history of brain surgery. 3) Deep Brain Stimulation (DBS) implant. 4) Active skin disease on the scalp. 5) History of migraine. 6) History of epilepsy. 7) Unstable medical condition (e.g., uncontrolled diabetes) 8) Metal implants in the head/brain. 9) Currently using a hearing aid.