TABLE 2.
Study | References | Total sample size | Stage 1: M1 (Hz) | Stage 2: PFC (Hz) | Sessions | Change in motor symptoms | Change in non-motor symptoms | Other |
1 | Spagnolo et al., 2014 | 27 | 10 | 10 | 12 | Yes, motor UPDRS p < 0.001 | * | Effect largest in advanced disease |
2 | Cohen et al., 2016 | 19 | 1 | 10 | 12 | Yes, motor UPDRS p < 0.04 | * | Significant total UPDRS change, p < 0.02 |
3 | Torres et al., 2015 | 45 | 1 | 10 | 12 | Yes, motor UPDRS p < 0.0001 | Yes, non-motor UPDRS p < 0.0001 | Significant improvement remained at 30 day follow-up |
4 | Cohen et al., 2018 | 48 | 1 | 10 | 24 | No significant difference between active/sham. Within the active there was significant improvement. | * | Primary endpoint was 90 days after treatment initiation. Effect was largest in advanced disease. |
5 | Spagnolo et al., 2020 | 60 | 10 | 10 | 12 | Yes, total UPDRS worse side p < 0.04, better side p < 0.01 | * | Significant improvement in UPDRS tremor subscale. |
6 | Cont et al., 2022 | 21 | 1 | 10 | 1–11 | No. Trend toward UPDRS decrease (p = 0.1) | Yes, Becks Depression Inventory p = 0.015 | Inpatient study. Large range of TMS sessions. Effects largest in advanced disease. |
UPDRS, Unified Parkinson’s Disease Rating Scale. *Not explicitly assessed or reported.