Evidence map›Paper›PMID 32040563›Full record

ArticleBrain : a journal of neurology2020

Subthalamic nucleus activity dynamics and limb movement prediction in Parkinson's disease.

Saed Khawaldeh, Gerd Tinkhauser, Syed Ahmar Shah, Katrin Peterman, Ines Debove, T A Khoa Nguyen, Andreas Nowacki, M Lenard Lachenmayer, Michael Schuepbach, Claudio Pollo and 3 more

Abstract read
In one paragraph

Article in Brain : a journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Article
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  10. Review
  11. Wavelet-Based Bracketing, Time-Frequency Beta Burst Detection: New Insights in Parkinson's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Article
  12. Review
  13. Article
  14. Combining Multimodal Biomarkers to Guide Deep Brain Stimulation Programming in Parkinson Disease.Neuromodulation : journal of the International Neuromodulation Society · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

13 authors.

Saed KhawaldehMRC Brain Network Dynamics Unit, University of Oxford, UK.
Gerd TinkhauserMRC Brain Network Dynamics Unit, University of Oxford, UK.
Syed Ahmar ShahMRC Brain Network Dynamics Unit, University of Oxford, UK.
Katrin PetermanDepartment of Neurology, Bern University Hospital and University of Bern, Switzerland.
Ines DeboveDepartment of Neurology, Bern University Hospital and University of Bern, Switzerland.
T A Khoa NguyenDepartment of Neurosurgery, Bern University Hospital and University of Bern, Switzerland.
Andreas NowackiDepartment of Neurosurgery, Bern University Hospital and University of Bern, Switzerland.
M Lenard LachenmayerDepartment of Neurology, Bern University Hospital and University of Bern, Switzerland.
Michael SchuepbachDepartment of Neurology, Bern University Hospital and University of Bern, Switzerland.
Claudio PolloDepartment of Neurosurgery, Bern University Hospital and University of Bern, Switzerland.
Paul KrackDepartment of Neurology, Bern University Hospital and University of Bern, Switzerland.
Mark WoolrichNuffield Department of Clinical Neurosciences, University of Oxford, UK.
Peter BrownMRC Brain Network Dynamics Unit, University of Oxford, UK.

Funding

Medical Research Council MC_UU_00003/2Medical Research Council MC_UU_12024/1Medical Research Council MR/K005464/1Medical Research Council MR/L023784/2Wellcome Trust
6 · The paper itself

Abstract

Whilst exaggerated bursts of beta frequency band oscillatory synchronization in the subthalamic nucleus have been associated with motor impairment in Parkinson's disease, a plausible mechanism linking the two phenomena has been lacking. Here we test the hypothesis that increased synchronization denoted by beta bursting might compromise information coding capacity in basal ganglia networks. To this end we recorded local field potential activity in the subthalamic nucleus of 18 patients with Parkinson's disease as they executed cued upper and lower limb movements. We used the accuracy of local field potential-based classification of the limb to be moved on each trial as an index of the information held by the system with respect to intended action. Machine learning using the naïve Bayes conditional probability model was used for classification. Local field potential dynamics allowed accurate prediction of intended movements well ahead of their execution, with an area under the receiver operator characteristic curve of 0.80 ± 0.04 before imperative cues when the demanded action was known ahead of time. The presence of bursts of local field potential activity in the alpha, and even more so, in the beta frequency band significantly compromised the prediction of the limb to be moved. We conclude that low frequency bursts, particularly those in the beta band, restrict the capacity of the basal ganglia system to encode physiologically relevant information about intended actions. The current findings are also important as they suggest that local subthalamic activity may potentially be decoded to enable effector selection, in addition to force control in restorative brain-machine interface applications.

Indexed as

Action PotentialsBasal GangliaBeta RhythmDeep Brain StimulationExtremitiesFemaleHumansMaleMotor CortexMovementParkinson DiseaseSubthalamic Nucleusbrain computer interfacedeep brain recordingmachine learningParkinson’s diseasesubthalamic nucleus

Identifiers

PMID32040563
PMCPMC7009471

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.