Evidence map›Paper›PMID 38101024›Full record

ArticleParkinsonism & related disorders2024

Subthalamic functional connectivity associated with freezing of gait dopa-response.

Daniel H Lench, Jade D Doolittle, Viswanathan Ramakrishnan, Nathan Rowland, Gonzalo J Revuelta

Open access · bronzeAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 1 institution in 1 country.

Daniel H LenchDepartment of Neurology, Medical University of South Carlina, Charleston, SC, USA. Electronic address: lenchd@musc.edu.
Jade D DoolittleDepartment of Neurology, Medical University of South Carlina, Charleston, SC, USA.
Viswanathan RamakrishnanDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Nathan RowlandDepartment of Neurosurgery, Medical University of South Carlina, Charleston, SC, USA; MUSC Institute for Neuroscience Discovery (MIND), Medical University of South Carolina, Charleston, SC, 29425, USA.
Gonzalo J RevueltaDepartment of Neurology, Medical University of South Carlina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Medical University of South Carolina · US

Funding

Identification of Gait and Imaging Markers for Freezing of Gait in Parkinson's DiseaseK23NS091391 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI REVUELTA, GONZALO JAVIER · 2015 to 2019
$982k
A Neural Basis for Cognitive Decline Following Deep Brain StimulationK99NS131447 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LENCH, DANIEL · 2023 to 2024
$255k
NINDS NIH HHS K23 NS091391NINDS NIH HHS K99 NS131447
6 · The paper itself

Abstract

introductionFreezing of gait (FOG) is a prevalent and debilitating feature of Parkinson's Disease (PD). The subthalamic nucleus (STN) is a center for controlled locomotion and a common DBS target. The objective of this study was to identify STN circuitry associated with FOG response to dopaminergic medication. In this study, we compare BOLD functional connectivity of the subthalamic nucleus (STN) in participants with and without dopa-responsive FOG.

methods55 PD participants either with FOG (n = 38) or without FOG (n = 17) were recruited. Among FOG participants 22 were dopa-responsive and 16 were dopa-unresponsive. STN whole-brain connectivity was performed using CONN toolbox. The relationship between the degree of self-reported FOG dopa-response and STN connectivity was evaluated using partial correlations corrected for age, disease duration, and levodopa equivalent daily dose.

resultsRight STN connectivity with the cerebellar locomotor region and the temporal/occipital cortex was greater in the dopa-responsive FOG group (voxel threshold p < 0.01, FWE corrected p < 0.05). Left STN connectivity with the occipital cortex was greater in the dopa-responsive FOG group and connectivity with the postcentral gyrus was greater in the dopa-unresponsive FOG group. Strength of connectivity to these regions correlated with l-dopa induced improvement in UPDRS Item-14 (FOG), but not UPDRS Part-III (overall motor score). DISCUSSION: We demonstrate that dopa-unresponsive FOG is associated with changes in BOLD functional connectivity between the STN and locomotor as well as sensory processing regions. This finding supports the conceptual framework that effective treatment for freezing of gait likely requires the engagement of both locomotor and sensory brain regions.

Indexed as

Deep Brain StimulationGait Disorders, NeurologicParkinson DiseaseGaitHumansLevodopaLevodopaConnectivityDopamineFreezingGaitParkinson's disease

Identifiers

PMID38101024
PMCPMC10872230
OpenAlexW4389514496

What OpenQuestion holds

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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.