Evidence map›Paper›PMID 20708741›Full record

Trial reportJournal of communication disorders

Subthalamic nucleus deep brain stimulation changes velopharyngeal control in Parkinson's disease.

Michael J Hammer, Steven M Barlow, Kelly E Lyons, Rajesh Pahwa

Abstract readClinical Trial
In one paragraph

Trial report in Journal of communication disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Aerodynamic and Acoustic Characteristics of Nasal Airflow in Parkinson's Disease.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Sensory contribution to vocal emotion deficit in Parkinson's disease after subthalamic stimulation.Cortex; a journal devoted to the study of the nervous system and behavior · 2015
    Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Michael J HammerDepartment of Surgery, Division of Otolaryngology, University of Wisconsin, Madison, WI, USA. hammer@surgery.wisc.edu
Steven M Barlow
Kelly E Lyons
Rajesh Pahwa

Funding

Research Design and Analysis Core (RDAC)P30HD002528 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI FOWLER, STEPHEN CLETIUS · 1985 to 2015
$22.1M
Institutional Clinical and Translational Science Award (UW-Madison)KL2RR025012 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$11.1M
Training & Education:Advanced Multidisciplinary Clinical Research (TEAM) (RMI)K12RR023268 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI CARNES, MOLLY L · 2005 to 2007
$6.3M
Participant Recruitment and ManagementP30DC005803 · NIDCD · UNIVERSITY OF KANSAS LAWRENCE · PI STORKEL, HOLLY L · 2002 to 2016
$5.8M
Sensorimotor Control of the Human Orofacial SystemR01DC003311 · NIDCD · UNIVERSITY OF NEBRASKA LINCOLN · PI BARLOW, STEVEN M · 2002 to 2012
$4.7M
Laryngeal Sensorimotor Control in Parkinson's DiseaseF31DC007260 · NIDCD · UNIVERSITY OF KANSAS LAWRENCE · PI HAMMER, MICHAEL J · 2004 to 2006
$58k
NCRR NIH HHS K12 RR023268NCRR NIH HHS KL2 RR025012NCRR NIH HHS RR023268NCRR NIH HHS RR025012NICHD NIH HHS HD02528NICHD NIH HHS P30 HD002528NIDCD NIH HHS DC003311NIDCD NIH HHS DC005803NIDCD NIH HHS DC007260NIDCD NIH HHS F31 DC007260NIDCD NIH HHS P30 DC005803NIDCD NIH HHS R01 DC003311
6 · The paper itself

Abstract

purposeAdequate velopharyngeal control is essential for speech, but may be impaired in Parkinson's disease (PD). Bilateral subthalamic nucleus deep brain stimulation (STN DBS) improves limb function in PD, but the effects on velopharyngeal control remain unknown. We tested whether STN DBS would change aerodynamic measures of velopharyngeal control, and whether these changes were correlated with limb function and stimulation settings.

methodsSeventeen PD participants with bilateral STN DBS were tested within a morning session after a minimum of 12h since their most recent dose of anti-PD medication. Testing occurred when STN DBS was on, and again 1h after STN DBS was turned off, and included aerodynamic measures during syllable production, and standard neurological ratings of limb function.

resultsWe found that PD participants exhibited changes with STN DBS, primarily consistent with increased intraoral pressure (n=7) and increased velopharyngeal closure (n=5). These changes were modestly correlated with measures of limb function, and were correlated with stimulation frequency.

conclusionOur findings suggest that STN DBS may change velopharyngeal control during syllable production in PD, with greater benefit associated with low frequency stimulation. However, DBS demonstrates a more subtle influence on speech-related velopharyngeal control than limb motor control. This distinction and its underlying mechanisms are important to consider when assessing the impact of STN DBS on PD. LEARNING OUTCOMES: As a result of this activity, the participant will be able to (1) describe the effects of deep brain stimulation on limb and speech function; (2) describe the effects of deep brain stimulation on velopharyngeal control; and (3) discuss the possible reasons for differences in limb outcomes compared with speech function with deep brain stimulation of the subthalamic nucleus.

Indexed as

Deep Brain StimulationAdultAgedFemaleHumansMaleMiddle AgedMotor SkillsParkinson DiseaseRespiratory Physiological PhenomenaSpeech DisordersSubthalamic NucleusVelopharyngeal Insufficiency

Identifiers

PMID20708741
PMCPMC3010465

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.