Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease

Parkinson’s Disease (PD) is a progressive neurodegenerative disorder marked by motor and non-motor symptoms, including cognitive decline, mood disturbances, and sensory deficits. While dopaminergic treatments remain the gold standard, they present long-term side effects and limited impact on non-mot...

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Main Authors: Anna Carolyna Gianlorenço, Lucas Camargo, Elayne Borges Fernandes, Elly Pichardo, Huan Jui Yeh, Dilana Hazer-Rau, Rafael Storz, Felipe Fregni
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/12/7/773
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author Anna Carolyna Gianlorenço
Lucas Camargo
Elayne Borges Fernandes
Elly Pichardo
Huan Jui Yeh
Dilana Hazer-Rau
Rafael Storz
Felipe Fregni
author_facet Anna Carolyna Gianlorenço
Lucas Camargo
Elayne Borges Fernandes
Elly Pichardo
Huan Jui Yeh
Dilana Hazer-Rau
Rafael Storz
Felipe Fregni
author_sort Anna Carolyna Gianlorenço
collection DOAJ
description Parkinson’s Disease (PD) is a progressive neurodegenerative disorder marked by motor and non-motor symptoms, including cognitive decline, mood disturbances, and sensory deficits. While dopaminergic treatments remain the gold standard, they present long-term side effects and limited impact on non-motor symptoms. Transcranial Pulse Stimulation (TPS) has emerged as a promising adjunct therapy in neurological and psychiatric conditions, but its effects in PD remain underexplored. This open-label, single-arm trial protocol involves 14 PD participants and outlines a personalized 12-session treatment approach combined with a homogeneously distributed TPS intervention among patients with PD. The approach addresses the subject’s most prominent symptoms, as identified through validated clinical assessments, encompassing domains related to both motor and non-motor symptoms. Over 2.5 months, besides the intervention sessions, the 14 participants will undergo an MRI brain scan, a baseline assessment, a post-treatment assessment, and a 1-month follow-up assessment. The study aims to determine whether personalized TPS is a feasible and safe intervention and whether it improves PD symptoms across multiple functional domains. This study represents the first structured attempt to evaluate a multimodal, personalized TPS intervention in patients with PD. It addresses gaps in current treatment approaches and may support the development of future strategies for integrated, symptom-targeted neuromodulation.
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spelling doaj-art-11d65d3f48d44173a80abefd8d5780c22025-08-20T03:13:41ZengMDPI AGBioengineering2306-53542025-07-0112777310.3390/bioengineering12070773Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s DiseaseAnna Carolyna Gianlorenço0Lucas Camargo1Elayne Borges Fernandes2Elly Pichardo3Huan Jui Yeh4Dilana Hazer-Rau5Rafael Storz6Felipe Fregni7Spaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USASpaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USASpaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USASpaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USASpaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USASTORZ MEDICAL AG, 8274 Tagerwilen, SwitzerlandSTORZ MEDICAL AG, 8274 Tagerwilen, SwitzerlandSpaulding Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02115, USAParkinson’s Disease (PD) is a progressive neurodegenerative disorder marked by motor and non-motor symptoms, including cognitive decline, mood disturbances, and sensory deficits. While dopaminergic treatments remain the gold standard, they present long-term side effects and limited impact on non-motor symptoms. Transcranial Pulse Stimulation (TPS) has emerged as a promising adjunct therapy in neurological and psychiatric conditions, but its effects in PD remain underexplored. This open-label, single-arm trial protocol involves 14 PD participants and outlines a personalized 12-session treatment approach combined with a homogeneously distributed TPS intervention among patients with PD. The approach addresses the subject’s most prominent symptoms, as identified through validated clinical assessments, encompassing domains related to both motor and non-motor symptoms. Over 2.5 months, besides the intervention sessions, the 14 participants will undergo an MRI brain scan, a baseline assessment, a post-treatment assessment, and a 1-month follow-up assessment. The study aims to determine whether personalized TPS is a feasible and safe intervention and whether it improves PD symptoms across multiple functional domains. This study represents the first structured attempt to evaluate a multimodal, personalized TPS intervention in patients with PD. It addresses gaps in current treatment approaches and may support the development of future strategies for integrated, symptom-targeted neuromodulation.https://www.mdpi.com/2306-5354/12/7/773Parkinson’s diseasebrain stimulationtranscranial pulse stimulation
spellingShingle Anna Carolyna Gianlorenço
Lucas Camargo
Elayne Borges Fernandes
Elly Pichardo
Huan Jui Yeh
Dilana Hazer-Rau
Rafael Storz
Felipe Fregni
Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
Bioengineering
Parkinson’s disease
brain stimulation
transcranial pulse stimulation
title Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
title_full Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
title_fullStr Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
title_full_unstemmed Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
title_short Study Protocol: Investigating the Effects of Transcranial Pulse Stimulation in Parkinson’s Disease
title_sort study protocol investigating the effects of transcranial pulse stimulation in parkinson s disease
topic Parkinson’s disease
brain stimulation
transcranial pulse stimulation
url https://www.mdpi.com/2306-5354/12/7/773
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