Evidence map›Paper›PMID 24244388›Full record

Trial reportPloS one2013

Bimanual force coordination in Parkinson's disease patients with bilateral subthalamic deep brain stimulation.

Stacey L Gorniak, Cameron C McIntyre, Jay L Alberts

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Systemic effects of deep brain stimulation on synergic control in Parkinson's disease.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2018
    Article
  6. Article
  7. 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

3 authors.

Stacey L GorniakDepartment of Health and Human Performance, University of Houston, Houston, Texas, United States of America ; Centers for Neuromotor and Biomechanics Research and Neuro-Engineering and Cognitive Science, University of Houston, Houston, Texas, United States of America.
Cameron C McIntyre
Jay L Alberts

Funding

Model-Based Optimization of Clinical Deep Brain StimulationR01NS059736 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI MCINTYRE, CAMERON · 2007 to 2011
$1.7M
Comparison of Unilateral and Bilateral Subthalamic Stimulation in Parkinson'sR01NS058706 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI ALBERTS, JAY L. · 2009 to 2012
$1.4M
NINDS NIH HHS R01 NS058706NINDS NIH HHS R01NS058706-01NINDS NIH HHS R01 NS059736NINDS NIH HHS R01NS059736
6 · The paper itself

Abstract

objectiveStudies of bimanual actions similar to activities of daily living (ADLs) are currently lacking in evaluating fine motor control in Parkinson's disease patients implanted with bilateral subthalamic deep brain stimulators. We investigated basic time and force characteristics of a bimanual task that resembles performance of ADLs in a group of bilateral subthalamic deep brain stimulation (DBS) patients.

methodsPatients were evaluated in three different DBS parameter conditions off stimulation, on clinically derived stimulation parameters, and on settings derived from a patient-specific computational model. Model-based parameters were computed as a means to minimize spread of current to non-motor regions of the subthalamic nucleus via Cicerone Deep Brain Stimulation software. Patients were evaluated off parkinsonian medications in each stimulation condition.

resultsThe data indicate that DBS parameter state does not affect most aspects of fine motor control in ADL-like tasks; however, features such as increased grip force and grip symmetry varied with the stimulation state. In the absence of DBS parameters, patients exhibited significant grip force asymmetry. Overall UPDRS-III and UPDRS-III scores associated with hand function were lower while patients were experiencing clinically-derived or model-based parameters, as compared to the off-stimulation condition.

conclusionWhile bilateral subthalamic DBS has been shown to alleviate gross motor dysfunction, our results indicate that DBS may not provide the same magnitude of benefit to fine motor coordination.

Indexed as

Computer SimulationDeep Brain StimulationModels, BiologicalMovementFemaleHumansMaleMiddle AgedParkinson DiseaseSubthalamic Nucleus

Identifiers

PMID24244388
PMCPMC3823934

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Registered trials

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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.