Evidence map›Paper›PMID 38070393›Full record

ArticleGait & posture2024

Impact of deep brain stimulation on gait in Parkinson disease: A kinematic study.

Richa Tripathi, J Lucas McKay, Stewart A Factor, Christine D Esper, Douglas Bernhard, Paola Testini, Svjetlana Miocinovic

Open access · greenAbstract read
In one paragraph

Article in Gait & posture, 2024. 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
2.3field-weighted citation impact, top 11% 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, 11 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Richa TripathiJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States. Electronic address: Richa.tripathi@emory.edu.
J Lucas McKayJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States; Department of Biomedical Informatics, Emory University School of Medicine, United States; Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Tech, United States.
Stewart A FactorJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States.
Christine D EsperJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States.
Douglas BernhardJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States.
Paola TestiniJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States.
Svjetlana MiocinovicJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, United States; Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Tech, United States.
Emory University · US

Funding

Emory Clinical Research Site for NEXTU10NS077366 · NINDS · EMORY UNIVERSITY · PI FACTOR, STEWART A · 2011 to 2017
$1.8M
Targeted activation of select neural pathways by deep brain stimulation in patients with Parkinson's diseaseK23NS097576 · NINDS · EMORY UNIVERSITY · PI MIOCINOVIC, SVJETLANA · 2016 to 2021
$1.1M
NINDS NIH HHS K23 NS097576NINDS NIH HHS U10 NS077366
6 · The paper itself

Abstract

backgroundThe effect of Deep Brain Stimulation (DBS) on gait in Parkinson's Disease (PD) is poorly understood. Kinematic studies utilizing quantitative gait outcomes such as speed, cadence, and stride length have shown mixed results and were done mostly before and after acute DBS discontinuation.

objectiveTo examine longitudinal changes in kinematic gait outcomes before and after DBS surgery.

methodWe retrospectively assessed changes in quantitative gait outcomes via motion capture in 22 PD patients before and after subthalamic (STN) or globus pallidus internus (GPi) DBS, in on medication state. Associations between gait outcomes and clinical variables were also assessed.

resultGait speed reduced from 110.7 ± 21.3 cm/s before surgery to 93.6 ± 24.9 after surgery (7.7 ± 2.9 months post-surgery, duration between assessments was 15.0 ± 3.8 months). Cadence, step length, stride length, and single support time reduced, while total support time, and initial double support time increased. Despite this, there was overall improvement in the Movement Disorder Society-Unified Parkinson Disease Rating Scale-Part III score "on medication/on stimulation" score (from 19.8 ± 10.7-13.9 ± 8.6). Change of gait speed was not related to changes in levodopa dosage, disease duration, unilateral vs bilateral stimulation, or target nucleus.

conclusionQuantitative gait outcomes in on medication state worsened after chronic DBS therapy despite improvement in other clinical outcomes. Whether these changes reflect the effects of DBS as opposed to ongoing disease progression is unknown.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusBiomechanical PhenomenaGaitGlobus PallidusHumansRetrospective StudiesTreatment OutcomeDeep Brain StimulationGaitKinematicsMotion AnalysisParkinson’s disease

Identifiers

PMID38070393
PMCPMC11700382
OpenAlexW4389454457

What OpenQuestion holds

Textmetadata
LicenceTDM
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.