Evidence map›Paper›PMID 33802532›Full record

ArticleBrain sciences2021

Facilitatory rTMS over the Supplementary Motor Cortex Impedes Gait Performance in Parkinson Patients with Freezing of Gait.

Florian Brugger, Regina Wegener, Florent Baty, Julia Walch, Marie T Krüger, Stefan Hägele-Link, Stephan Bohlhalter, Georg Kägi

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Theta-burst stimulation as a therapeutic tool in neurological pathology: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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 at 3 institutions in 2 countries.

Florian BruggerDepartment of Neurology, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.
Regina WegenerLaboratory for Motion Analysis, Department of Paediatric Orthopaedics, Children's Hospital of Eastern Switzerland, CH-9007 St. Gallen, Switzerland.
Florent BatyDepartment of Pulmology, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.
Julia WalchDepartment of Neurology, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.
Marie T KrügerDepartment of Neurosurgery, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.
Stefan Hägele-LinkDepartment of Neurology, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.
Stephan BohlhalterNeurocenter, Luzerner Kantonsspital, CH-6000 Luzern, Switzerland.
Georg KägiDepartment of Neurology, Kantonsspital St. Gallen, CH-9007 St. Gallen, Switzerland.ORCID 0000-0001-7749-8060
Kantonsspital St. Gallen · CHLuzerner Kantonsspital · CHUniversity of Bern · CH

Funding

Swiss Parkinson Association n.a.
6 · The paper itself

Abstract

Freezing of gait (FOG) in Parkinson's disease (PD) occurs frequently in situations with high environmental complexity. The supplementary motor cortex (SMC) is regarded as a major network node that exerts cortical input for motor control in these situations. We aimed at assessing the impact of single-session (excitatory) intermittent theta burst stimulation (iTBS) of the SMC on established walking during FOG provoking situations such as passing through narrow spaces and turning for directional changes. Twelve PD patients with FOG underwent two visits in the off-medication state with either iTBS or sham stimulation. At each visit, spatiotemporal gait parameters were measured during walking without obstacles and in FOG-provoking situations before and after stimulation. When patients passed through narrow spaces, decreased stride time along with increased stride length and walking speed (i.e., improved gait) was observed after both sham stimulation and iTBS. These effects, particularly on stride time, were attenuated by real iTBS. During turning, iTBS resulted in decreased stride time along with unchanged stride length, a constellation compatible with increased stepping frequency. The observed iTBS effects are regarded as relative gait deterioration. We conclude that iTBS over the SMC increases stepping frequency in PD patients with FOG, particularly in FOG provoking situations.

Indexed as

freezing of gaitParkinson’s diseaserTMSsupplementary motor cortex

Identifiers

PMID33802532
PMCPMC7999694
OpenAlexW3134183044

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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.