Evidence map›Paper›PMID 38654246›Full record

ArticleBiomedical engineering online2024

Video-based analysis of the blink reflex in Parkinson's disease patients.

Talisa S Jansen, Gökhan Güney, Bergita Ganse, Mariana H G Monje, Jörg B Schulz, Manuel Dafotakis, Christoph Hoog Antink, Anne K Braczynski

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 23% 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, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

8 authors at 5 institutions in 2 countries.

Talisa S JansenDepartment of Neurology, RWTH University Hospital, Aachen, Germany.
Gökhan GüneyKIS*MED (AI Systems in Medicine Lab) Technische Universität Darmstadt, Darmstadt, Germany.
Bergita GanseInnovative Implant Development, Saarland University, Homburg, Germany.
Mariana H G MonjeDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Jörg B SchulzDepartment of Neurology, RWTH University Hospital, Aachen, Germany.
Manuel DafotakisDepartment of Neurology, RWTH University Hospital, Aachen, Germany.
Christoph Hoog AntinkKIS*MED (AI Systems in Medicine Lab) Technische Universität Darmstadt, Darmstadt, Germany. hoogantink@kismed.tu-darmstadt.de.
Anne K BraczynskiDepartment of Neurology, RWTH University Hospital, Aachen, Germany.
Universitätsklinikum Aachen · DETechnical University of Darmstadt · DEForschungszentrum Jülich · DENorthwestern University · USSaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We developed a video-based tool to quantitatively assess the Glabellar Tap Reflex (GTR) in patients with idiopathic Parkinson's disease (iPD) as well as healthy age-matched participants. We also video-graphically assessed the effect of dopaminergic medication on the GTR in iPD patients, as well as the frequency and blinking duration of reflex and non-reflex blinks. The Glabellar Tap Reflex is a clinical sign seen in patients e.g. suffering from iPD. Reliable tools to quantify this sign are lacking.

methodsWe recorded the GTR in 11 iPD patients and 12 healthy controls (HC) with a consumer-grade camera at a framerate of at least 180 images/s. In these videos, reflex and non-reflex blinks were analyzed for blink count and blinking duration in an automated fashion.

resultsWith our setup, the GTR can be extracted from high-framerate cameras using landmarks of the MediaPipe face algorithm. iPD patients did not habituate to the GTR; dopaminergic medication did not alter that response. iPD patients' non-reflex blinks were higher in frequency and higher in blinking duration (width at half prominence); dopaminergic medication decreased the median frequency (Before medication-HC: p < 0.001, After medication-HC: p = 0.0026) and decreased the median blinking duration (Before medication-HC: p = 0.8594, After medication-HC: p = 0.6943)-both in the direction of HC.

conclusionWe developed a quantitative, video-based tool to assess the GTR and other blinking-specific parameters in HC and iPD patients. Further studies could compare the video data to electromyogram (EMG) data for accuracy and comparability, as well as evaluate the specificity of the GTR in patients with other neurodegenerative disorders, in whom the GTR can also be present. SIGNIFICANCE: The video-based detection of the blinking parameters allows for unobtrusive measurement in patients, a safer and more comfortable option.

Indexed as

BlinkingParkinson DiseaseVideo RecordingAgedCase-Control StudiesFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedAlgorithm-basedBlinkingCamera-basedGlabellar Tap ReflexMedia Pipe face meshVideo analysis

Identifiers

PMID38654246
PMCPMC11036732
OpenAlexW4395048916

What OpenQuestion holds

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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.