Evidence map›Paper›PMID 35702056›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2022

Cortical and Subthalamic Nucleus Spectral Changes During Limb Movements in Parkinson's Disease Patients with and Without Dystonia.

Joseph W Olson, Arie Nakhmani, Zachary T Irwin, Lloyd J Edwards, Christopher L Gonzalez, Melissa H Wade, Sarah D Black, Mohammad Z Awad, Daniel J Kuhman, Christopher P Hurt and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03409120 (Unlocking Dystonia From Parkinson's Disease With Directional DBS Technology), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT03409120 nacompletednot on this map

Unlocking Dystonia From Parkinson's Disease With Directional DBS Technology

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2018 to 2022Enrolled38ConditionsDystonia-Parkinsonism, Adult-Onset, Parkinson DiseaseArmsBoston Scientific Vercise PC IPG with directional DBS lead
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Subthalamic Nucleus Stimulation-Induced Local Field Potential Changes in Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  6. 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

12 authors at 1 institution in 1 country.

Joseph W OlsonDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-2783-1395
Arie NakhmaniDepartment of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-0987-4834
Zachary T IrwinDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lloyd J EdwardsDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Christopher L GonzalezDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0001-8816-4445
Melissa H WadeDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Sarah D BlackDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-0213-8233
Mohammad Z AwadDepartment of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-4013-8050
Daniel J KuhmanDepartment of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-5495-7081
Christopher P HurtDepartment of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Bart L GuthrieDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Harrison C WalkerDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · US

Funding

Noninvasive Biomarkers to Advance Emerging DBS Electrode Technologies in Parkinson's DiseaseUH3NS100553 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WALKER, HARRISON CARROLL · 2016 to 2021
$7.3M
Data Archive for the Brain Initiative (DABI)R24MH114796 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DUNCAN, DOMINIQUE, POURATIAN, NADER · 2018 to 2023
$6.2M
NIMH NIH HHS R24 MH114796NINDS NIH HHS UH3 NS100553
6 · The paper itself

Abstract

backgroundDystonia is an understudied motor feature of Parkinson's disease (PD). Although considerable efforts have focused on brain oscillations related to the cardinal symptoms of PD, whether dystonia is associated with specific electrophysiological features is unclear.

objectiveThe objective of this study was to investigate subcortical and cortical field potentials at rest and during contralateral hand and foot movements in patients with PD with and without dystonia.

methodsWe examined the prevalence and distribution of dystonia in patients with PD undergoing deep brain stimulation surgery.  During surgery, we recorded intracranial electrophysiology from the motor cortex and directional electrodes in the subthalamic nucleus (STN) both at rest and during self-paced repetitive contralateral hand and foot movements. Wavelet transforms and mixed models characterized changes in spectral content in patients with and without dystonia.

resultsDystonia was highly prevalent at enrollment (61%) and occurred most commonly in the foot. Regardless of dystonia status, cortical recordings display beta (13-30 Hz) desynchronization during movements versus rest, while STN signals show increased power in low frequencies (6.0 ± 3.3 and 4.2 ± 2.9 Hz peak frequencies for hand and foot movements, respectively). Patients with PD with dystonia during deep brain stimulation surgery displayed greater M1 beta power at rest and STN low-frequency power during movements versus those without dystonia.

conclusionsSpectral power in motor cortex and STN field potentials differs markedly during repetitive limb movements, with cortical beta desynchronization and subcortical low-frequency synchronization, especially in patients with PD with dystonia. Greater knowledge on field potential dynamics in human motor circuits can inform dystonia pathophysiology in PD and guide novel approaches to therapy. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Deep Brain StimulationDystoniaDystonic DisordersParkinson DiseaseSubthalamic NucleusHumansBiomarkerDystoniaMotor CortexParkinsonSpectral AnalysisSubthalamic Nucleus

Identifiers

PMID35702056
PMCPMC9541849
OpenAlexW4282920613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.