Evidence map›Paper›PMID 31467660›Full record

ArticleParkinson's disease2019

Balance and Gait Improvements of Postoperative Rehabilitation in Patients with Parkinson's Disease Treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS).

Kazunori Sato, Noriaki Aita, Yoshihide Hokari, Eriko Kitahara, Mami Tani, Nana Izawa, Kozo Hatori, Ryota Nakamura, Fuyuko Sasaki, Satoko Sekimoto and 8 more

Open access · goldAbstract read
In one paragraph

Article in Parkinson's disease, 2019. 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
1.1field-weighted citation impact, top 22% of its field
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, 16 citations in OpenAlex.

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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

18 authors at 2 institutions in 1 country.

Kazunori SatoDepartment of Rehabilitation Medicine, Juntendo University Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4292-3095
Noriaki AitaDepartment of Rehabilitation Medicine, Juntendo University Hospital, Tokyo, Japan.
Yoshihide HokariDepartment of Rehabilitation Medicine, Juntendo University Hospital, Tokyo, Japan.
Eriko KitaharaDepartment of Rehabilitation Medicine, Juntendo University Hospital, Tokyo, Japan.
Mami TaniDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Nana IzawaDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Kozo HatoriDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Ryota NakamuraDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Fuyuko SasakiDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Satoko SekimotoDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0700-3469
Takayuki JoDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Genko OyamaDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7985-5367
Taku HatanoDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Yasushi ShimoDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Hirokazu IwamuroDepartment of Research and Therapeutics for Movement Disorders, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Atsushi UmemuraDepartment of Neurosurgery, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Nobutaka HattoriDepartment of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Toshiyuki FujiwaraDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1664-1745
Juntendo University · JPJuntendo University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep brain stimulation of the subthalamic nucleus (STN-DBS) is a surgical treatment to reduce the "off" state motor symptoms of Parkinson's disease (PD). Postural instability is one of the major impairments, which induces disabilities of activities of daily living (ADLs). The effectiveness of STN-DBS for postural instability is unclear, and the effect of rehabilitation following STN-DBS has remained uncertain.

objectiveThe purpose of this study was to examine changes in balance ability, gait function, motor performance, and ADLs following 2 weeks of postoperative rehabilitation in PD patients treated with STN-DBS.

methodsSixteen patients were reviewed retrospectively from February 2016 to March 2017. All patients were tested in their "on" medication state for balance and gait performance using the Mini-Balance Evaluation Systems Test (Mini-BESTest) and the Timed "Up and Go" (TUG) test before the operation, after the operation, and during the discharge period. The UPDRS motor score (UPDRS-III) and Barthel Index (BI) were assessed before the operation and during the discharge period. Rehabilitation focused on muscle strengthening with stretching and proactive balance training. Friedman's test and the post hoc Wilcoxon's signed-rank test were used to analyze the balance assessments, and ANOVA and the post hoc Tukey's test were used to analyze gait performance. The significance level was

resultsDuring the discharge period, the Mini-BESTest and TUG were significantly improved compared with the preoperative and postoperative periods (

conclusionThe results of this study suggest that postoperative rehabilitation improves balance and gait ability in patients with PD treated with STN-DBS.

Identifiers

PMID31467660
PMCPMC6701295
OpenAlexW2964858916

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.