Evidence map›Paper›PMID 32097881›Full record

ArticleParkinsonism & related disorders2020

Increased on-state cortico-mesencephalic functional connectivity in Parkinson disease with freezing of gait.

Daniel H Lench, Aaron Embry, Alyssa Hydar, Colleen A Hanlon, Gonzalo Revuelta

Abstract read
In one paragraph

Article in Parkinsonism & related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Functional MRI in Parkinson's disease with freezing of gait: a systematic review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Article
  6. Neuromodulation of Cortical Targets in Freezing of Gait.The European journal of neuroscience · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Functional Connectome in Parkinson's Disease and Parkinsonism.Current neurology and neuroscience reports · 2021
    Review
  17. 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

5 authors.

Daniel H LenchDepartment of Psychiatry, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA; Department of Neurosciences, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA.
Aaron EmbryDepartment of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA.
Alyssa HydarDepartment of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA.
Colleen A HanlonDepartment of Psychiatry, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA; Department of Neurosciences, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA; Center for Biomedical Imaging, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA.
Gonzalo RevueltaDepartment of Neurology, College of Health Professions, Medical University of South Carolina, Medical University of South Carolina, Charleston, SC, USA. Electronic address: revuelta@musc.edu.

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Identification of Gait and Imaging Markers for Freezing of Gait in Parkinson's DiseaseK23NS091391 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI REVUELTA, GONZALO JAVIER · 2015 to 2019
$982k
NCATS NIH HHS UL1 TR000062NINDS NIH HHS K23 NS091391
6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate ON-state resting state functional connectivity (FC) from the mesencephalic locomotor regions (MLR) to distributed sensorimotor cortical regions in patients with Freezing of Gait (FOG) and its association with gait performance.

methods54 individuals with PD were recruited for this study (50% of whom had FOG). All individuals received a resting state functional MRI in the ON state, and underwent a series of gait assessments during single and dual task conditions. FC with the MLR was calculated using a whole brain seed to voxel approach wherein the left and right MLR seeds were extracted from a published atlas. General linear regression was used to determine differences in connectivity between the individuals with ('freezers') and without ('non-freezers') FOG as well as the correlation between MLR connectivity and gait performance in the freezers.

resultsFreezers had significantly higher MLR connectivity to a network of sensorimotor regions compared to non-freezers. Additionally, among the freezers, higher FC with these regions was related to longer single-task and dual-task performance. There were no regions in which non-freezers had higher connectivity than freezers (p < 0.05, FWE corrected clusters for all analyses).

conclusionThese data support the hypothesis that freezers have significantly higher ON-state FC between the MLR and a network of cortical structures than non-freezers. Additionally, this elevated connectivity is directly related to worsening FOG severity. These data add to a theoretical foundation which suggests that cortical hyperconnectivity to the MLR is central to the underlying pathophysiology of FOG.

Indexed as

ConnectomeAgedCerebral CortexFemaleGait Disorders, NeurologicHumansMagnetic Resonance ImagingMaleMesencephalonMiddle AgedNerve NetParkinson DiseasePsychomotor PerformanceConnectivityfMRIFreezing of gaitGaitParkinsonResting state

Identifiers

PMID32097881
PMCPMC7208449

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.