Combined Transcranial and Peripheral Muscle Magnetic Stimulation in Chronic Tinnitus
rpms-tinn
1 other identifier
interventional
54
1 country
1
Brief Summary
Magnetic stimulation of the brain (repetitive transcranial magnetic stimulation) and of neck muscles (repetitive peripheral muscle stimulation) is used to alter tinnitus-related cortical activity and neck muscles tension.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2014
CompletedFirst Submitted
Initial submission to the registry
December 1, 2014
CompletedFirst Posted
Study publicly available on registry
December 3, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedMay 13, 2016
May 1, 2016
1.7 years
December 1, 2014
May 12, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Change of tinnitus severity as measured by the tinnitus questionnaire
week 12
Secondary Outcomes (5)
Change of tinnitus severity as measured by the tinnitus questionnaire
week 2, week 4, week 12
Change of tinnitus severity as measured by numeric rating scales
week 2, week 4, week 12
Change of depressive symptoms as measured by the major depression inventory
week 2, week 4, week 12
Change in quality of life as measured by the WHOQoL-Bref
week 2, week 4, week 12
Change in neck pain by the neck pain and disability scale
week 2, week 4, week 12
Study Arms (1)
rPMS and rTMS
EXPERIMENTALrPMS Stimulation of the neck muscles in five medial-lateral movements starting from the neck: left and right trapezius and deltoid muscle, trapezius and lattissimus dorsi muslce, and over the backbone. 20 stimuli per movement with 2s inter-train interval; four repetitions for each of the five movements; the first 20 trains with a frequency of 5Hz, the second 20 trains at 20Hz; stimulation at individual comfortable level (20-30% stimulator output); round coil. rTMS 20Hz stimulation with 2000 stimuli over the left dorso-lateral prefrontal cortex at 110% motor threshold; followed by 1Hz stimulation with 2000 stimuli over the left temporo-parietal cortex; stimulation intensity 110% motor threshold; butterfly coil. For stimulation we use MagPro X100 (Medtronic, Denmark).
Interventions
rPMS Stimulation of the neck muscles in five medial-lateral movements starting from the neck: left and right trapezius and deltoid muscle, trapezius and lattissimus dorsi muslce, and over the backbone. 20 stimuli per movement with 2s inter-train interval; four repetitions for each of the five movements; the first 20 trains with a frequency of 5Hz, the second 20 trains at 20Hz; stimulation at individual comfortable level (20-30% stimulator output); round coil. rTMS 20Hz stimulation with 2000 stimuli over the left dorso-lateral prefrontal cortex at 110% motor threshold; followed by 1Hz stimulation with 2000 stimuli over the left temporo-parietal cortex; stimulation intensity 110% motor threshold; butterfly coil. For stimulation we use MagPro X100 (Medtronic, Denmark).
Eligibility Criteria
You may qualify if:
- Diagnosis of bothersome, subjective chronic tinnitus
- Duration of tinnitus more than 6 months
You may not qualify if:
- Objective tinnitus
- Treatable cause of the tinnitus
- Involvement in other treatments for tinnitus at the same time
- Clinically relevant psychiatric comorbidity
- Clinically relevant unstable internal or neurological comorbidity
- History of or evidence of significant brain malformation or neoplasm, head injury
- Cerebral vascular events
- Neurodegenerative disorder affecting the brain or prior brain surgery
- Metal objects in and around body that can not be removed
- Pregnancy
- Alcohol or drug abuse
- Acute neck or back pain
- Neck or back pain of unknown etiology
- Implants in the neck or back, that are sensitive to magnetic fields
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Regensburg
Regensburg, Germany, 93053, Germany
Related Publications (1)
Vielsmeier V, Schecklmann M, Schlee W, Kreuzer PM, Poeppl TB, Rupprecht R, Langguth B, Lehner A. A Pilot Study of Peripheral Muscle Magnetic Stimulation as Add-on Treatment to Repetitive Transcranial Magnetic Stimulation in Chronic Tinnitus. Front Neurosci. 2018 Feb 20;12:68. doi: 10.3389/fnins.2018.00068. eCollection 2018.
PMID: 29515350DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Berthold Langguth, MD, PhD
Department of Psychiatry, University of Regensburg, Germany
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD
Study Record Dates
First Submitted
December 1, 2014
First Posted
December 3, 2014
Study Start
August 1, 2014
Primary Completion
April 1, 2016
Study Completion
April 1, 2016
Last Updated
May 13, 2016
Record last verified: 2016-05