{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:44:52Z","timestamp":1791791092849,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n For some patients with cervical dystonia (CD), botulinum toxin (BoNT) injections last less than 12\u2009weeks.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To determine if a novel, accelerated repetitive transcranial magnetic stimulation (rTMS) protocol is a safe and feasible adjunctive treatment with BoNT for CD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients with CD reporting BoNT benefit lasting \u22649\u2009weeks were enrolled in a randomized double\u2010blind, sham\u2010controlled, crossover study. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), mood, cognitive, and gait measures were collected before, after, and 2\u2010weeks following rTMS\/SHAM.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In a homogenous subset of patients (N\u2009=\u20094\/5), TWSTRS scores were lower 2\u2010weeks following rTMS, but evidence of an effect was potentially limited by sample size. There was little evidence of rTMS effects on mood, cognition, or gait.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Accelerated rTMS for CD was safe, feasible, and well\u2010tolerated; larger randomized studies are needed to determine whether accelerated rTMS may be an effective treatment bridge for dystonia symptoms.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/mdc3.70862","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:48:36Z","timestamp":1791787716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical Dystonia Treatment with Injections Supplemented by Transcranial Magnetic Stimulation: The D\u2010\n TWIST<\/scp>\n Pilot Randomized Controlled Trial"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1699-1817","authenticated-orcid":false,"given":"Jessica","family":"Frey","sequence":"first","affiliation":[{"name":"Department of Neurology West Virginia University, Rockefeller Neuroscience Institute Morgantown WV USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9757-9973","authenticated-orcid":false,"given":"Aparna Wagle","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8411-1792","authenticated-orcid":false,"given":"Janine Lobo","family":"Lopes","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Fanty","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9076-7891","authenticated-orcid":false,"given":"Manahil","family":"Wajid","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9253-3899","authenticated-orcid":false,"given":"Adolfo","family":"Ramirez\u2010Zamora","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Louisville Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6914-9223","authenticated-orcid":false,"given":"Irene A.","family":"Malaty","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1955-8050","authenticated-orcid":false,"given":"Jackson","family":"Cagle","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2780-3666","authenticated-orcid":false,"given":"Coralie","family":"de Hemptinne","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8249-3093","authenticated-orcid":false,"given":"David M.","family":"Scarisbrick","sequence":"additional","affiliation":[{"name":"Department of Behavioral Medicine and Psychiatry West Virginia University, Rockefeller Neuroscience Institute Morgantown WV USA"},{"name":"Department of Neurosurgery Rutgers University, Robert Wood Johnson Medical School New Brunswick NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-1428","authenticated-orcid":false,"given":"Patrick","family":"Worhunsky","sequence":"additional","affiliation":[{"name":"West Virginia University, Rockefeller Neuroscience Institute Morgantown WV USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6222-0717","authenticated-orcid":false,"given":"Jun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Florida, Normal Fixel Institute for Neurological Diseases Gainesville FL 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