Evidence map›Paper›PMID 29184533›Full record

ArticleFrontiers in neurology2017

Correlations between Motor Symptoms across Different Motor Tasks, Quantified

Andreas Kuhner, Tobias Schubert, Massimo Cenciarini, Isabella Katharina Wiesmeier, Volker Arnd Coenen, Wolfram Burgard, Cornelius Weiller, Christoph Maurer

Abstract read
In one paragraph

Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

8 authors.

Andreas KuhnerDepartment of Computer Science, University of Freiburg, Freiburg, Germany.
Tobias SchubertDepartment of Computer Science, University of Freiburg, Freiburg, Germany.
Massimo CenciariniBrainLinks BrainTools, Cluster of Excellence, University of Freiburg, Freiburg, Germany.
Isabella Katharina WiesmeierBrainLinks BrainTools, Cluster of Excellence, University of Freiburg, Freiburg, Germany.
Volker Arnd CoenenBrainLinks BrainTools, Cluster of Excellence, University of Freiburg, Freiburg, Germany.
Wolfram BurgardDepartment of Computer Science, University of Freiburg, Freiburg, Germany.
Cornelius WeillerBrainLinks BrainTools, Cluster of Excellence, University of Freiburg, Freiburg, Germany.
Christoph MaurerBrainLinks BrainTools, Cluster of Excellence, University of Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObjective assessments of Parkinson's disease (PD) patients' motor state using motion capture techniques are still rarely used in clinical practice, even though they may improve clinical management. One major obstacle relates to the large dimensionality of motor abnormalities in PD. We aimed to extract global motor performance measures covering different everyday motor tasks, as a function of a clinical intervention, i.e., deep brain stimulation (DBS) of the subthalamic nucleus.

methodsWe followed a data-driven, machine-learning approach and propose performance measures that employ Random Forests with probability distributions. We applied this method to 14 PD patients with DBS switched-off or -on, and 26 healthy control subjects performing the Timed Up and Go Test (TUG), the Functional Reach Test (FRT), a hand coordination task, walking 10-m straight, and a 90° curve.

resultsFor each motor task, a Random Forest identified a specific set of metrics that optimally separated PD off DBS from healthy subjects. We noted the highest accuracy (94.6%) for standing up. This corresponded to a sensitivity of 91.5% to detect a PD patient off DBS, and a specificity of 97.2% representing the rate of correctly identified healthy subjects. We then calculated performance measures based on these sets of metrics and applied those results to characterize symptom severity in different motor tasks. Task-specific symptom severity measures correlated significantly with each other and with the Unified Parkinson's Disease Rating Scale (UPDRS, part III, correlation of

conclusionThe close correlation of PD patients' various motor abnormalities quantified by different, task-specific severity measures suggests that these abnormalities are only facets of the underlying one-dimensional severity of motor deficits. The identification and characterization of this underlying motor deficit may help to optimize therapeutic interventions, e.g., to "automatically" adapt DBS settings in PD patients.

Indexed as

deep brain stimulationmotionParkinson’s diseaserandom forestsensor suit

Identifiers

PMID29184533
PMCPMC5694559

What OpenQuestion holds

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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.