Evidence map›Paper›PMID 37905677›Full record

Trial reportCNS neuroscience & therapeutics2024

Dopaminergic versus anticholinergic treatment effects on physiologic complexity of hand tremor in Parkinson's disease: A randomized crossover study.

Yusha Cui, Dongning Su, Junjiao Zhang, Joyce S T Lam, Shuangshuang Cao, Yaqin Yang, Yingshan Piao, Zhan Wang, Junhong Zhou, Hua Pan and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. 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

11 authors at 3 institutions in 3 countries.

Yusha CuiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Dongning SuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Junjiao ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Joyce S T LamPacific Parkinson's Research Centre, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
Shuangshuang CaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yaqin YangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yingshan PiaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zhan WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Junhong ZhouHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts, USA.
Hua PanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tao FengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-8530-4622
Capital Medical University · CNHarvard University · USUniversity of British Columbia · CA

Funding

National Natural Science Foundation of ChinaNatural Science Foundation of Beijing Municipality
6 · The paper itself

Abstract

aimsParkinsonian tremor (PT) is regulated by numerous neurophysiological components across multiple temporospatial scales. The dynamics of tremor fluctuation are thus highly complex. This study aimed to explore the effects of different medications on tremor complexity, and how the underlying factors contribute to such tremor complexity.

methodsIn this study, 66 participants received a 2-mg dose of benzhexol or a pre-determined dose of levodopa at two study visits in a randomized order. Before and after taking the medications, tremor fluctuation was recorded using surface electromyography electrodes and accelerometers in resting, posture, and weighting conditions with and without a concurrent cognitive task. Tremor complexity was quantified using multiscale entropy.

resultsTremor complexity in resting (p = 0.002) and postural condition (p < 0.0001) was lower when participants were performing a cognitive task compared to a task-free condition. After taking levodopa and benzhexol, participants had increased (p = 0.02-0.03) and decreased (p = 0.03) tremor complexity compared to pre-medication state, respectively. Tremor complexity and its changes as induced by medications were significantly correlated with clinical ratings and their changes (β = -0.23 to -0.39; p = 0.002-0.04), respectively.

conclusionTremor complexity may be a promising marker to capture the pathophysiology underlying the development of PT, aiding the characterization of the effects medications have on PT regulation.

Indexed as

Parkinson DiseaseCholinergic AntagonistsCross-Over StudiesDopamineHumansLevodopaTremorTrihexyphenidylCholinergic AntagonistsDopamineLevodopaTrihexyphenidylanticholinergiccognitive loadlevodopamultiscale entropyParkinsonian tremor

Identifiers

PMID37905677
PMCPMC11017432
OpenAlexW4388034307

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.