Evidence map›Paper›PMID 37759844›Full record

ArticleBrain sciences2023

Postural Instability and Risk of Falls in Patients with Parkinson's Disease Treated with Deep Brain Stimulation: A Stabilometric Platform Study.

Giorgio Leodori, Marco Santilli, Nicola Modugno, Michele D'Avino, Maria Ilenia De Bartolo, Andrea Fabbrini, Lorenzo Rocchi, Antonella Conte, Giovanni Fabbrini, Daniele Belvisi

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Unraveling the threads of stability: A review of the neurophysiology of postural control in Parkinson's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
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

10 authors at 3 institutions in 1 country.

Giorgio LeodoriIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0002-6631-6740
Marco SantilliIRCCS Neuromed, 86077 Pozzilli, Italy.
Nicola ModugnoIRCCS Neuromed, 86077 Pozzilli, Italy.
Michele D'AvinoIRCCS Neuromed, 86077 Pozzilli, Italy.
Maria Ilenia De BartoloDepartment of Human Neuroscience, University of Rome "Sapienza", 00185 Rome, Italy.ORCID 0000-0002-8747-9805
Andrea FabbriniDepartment of Human Neuroscience, University of Rome "Sapienza", 00185 Rome, Italy.
Lorenzo RocchiDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Cagliari, Italy.ORCID 0000-0003-3979-156X
Antonella ConteIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0002-6338-2961
Giovanni FabbriniIRCCS Neuromed, 86077 Pozzilli, Italy.
Daniele BelvisiIRCCS Neuromed, 86077 Pozzilli, Italy.
Istituto Neurologico Mediterraneo · ITSapienza University of Rome · ITUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postural instability (PI) in Parkinson's disease (PD) exposes patients to an increased risk of falls (RF). While dopaminergic therapy and deep brain stimulation (DBS) improve motor performance in advanced PD patients, their effects on PI and RF remain elusive. PI and RF were assessed using a stabilometric platform in six advanced PD patients. Patients were evaluated in OFF and ON dopaminergic medication and under four DBS settings: with DBS off, DBS bilateral, and unilateral DBS of the more- or less-affected side. Our findings indicate that dopaminergic medication by itself exacerbated PI and RF, and DBS alone led to a decline in RF. No combination of medication and DBS yielded a superior improvement in postural control compared to the baseline combination of OFF medication and the DBS-off condition. Yet, for ON medication, DBS significantly improved both PI and RF. Among DBS conditions, DBS bilateral provided the most favorable outcomes, improving PI and RF in the ON medication state and presenting the smallest setbacks in the OFF state. Conversely, the more-affected side DBS was less beneficial. These preliminary results could inform therapeutic strategies for advanced PD patients experiencing postural disorders.

Indexed as

deep brain stimulationfall riskfallsmovement disordersParkinson’s diseasepostural controlpostural instabilitystabilometric platform

Identifiers

PMID37759844
PMCPMC10526843
OpenAlexW4386221132

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.