Evidence map›Paper›PMID 39323762›Full record

ArticleFrontiers in bioengineering and biotechnology2024

Case report: Improvement of gait with adaptive deep brain stimulation in a patient with Parkinson's disease.

Ioannis U Isaias, Laura Caffi, Linda Borellini, Antonella M Ampollini, Marco Locatelli, Gianni Pezzoli, Alberto Mazzoni, Chiara Palmisano

Abstract readCase Reports
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
  2. Article
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  6. Article
  7. Advanced Therapeutics in Parkinson's Disease: What's New?Current neurology and neuroscience reports · 2026
    Review
  8. Low-Frequency Adaptive Deep Brain Stimulation for Parkinson's Disease.medRxiv : the preprint server for health sciences · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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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

8 authors.

Ioannis U Isaias *Parkinson Institute of Milan, ASST G.Pini-CTO, Milano, Italy.
Laura Caffi *Parkinson Institute of Milan, ASST G.Pini-CTO, Milano, Italy.
Linda BorelliniFoundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Antonella M AmpolliniFoundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Marco LocatelliFoundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Gianni PezzoliParkinson Institute of Milan, ASST G.Pini-CTO, Milano, Italy.
Alberto MazzoniThe BioRobotics Institute, Sant'Anna School of Advanced Studies, Pisa, Italy.
Chiara PalmisanoParkinson Institute of Milan, ASST G.Pini-CTO, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gait disturbance is a common and severe symptom of Parkinson's disease that severely impairs quality of life. Current treatments provide only partial benefits with wide variability in outcomes. Also, deep brain stimulation of the subthalamic nucleus (STN-DBS), a mainstay treatment for bradykinetic-rigid symptoms and parkinsonian tremor, is poorly effective on gait. We applied a novel DBS paradigm, adjusting the current amplitude linearly with respect to subthalamic beta power (adaptive DBS), in one parkinsonian patient with gait impairment and chronically stimulated with conventional DBS. We studied the kinematics of gait and gait initiation (anticipatory postural adjustments) as well as subthalamic beta oscillations with both conventional and adaptive DBS. With adaptive DBS, the patient showed a consistent and long-lasting improvement in walking while retaining benefits on other disease-related symptoms. We suggest that adaptive DBS can benefit gait in Parkinson's disease possibly by avoiding overstimulation and dysfunctional entrainment of the supraspinal locomotor network.

Indexed as

adaptive deep brain stimulationgaitlocal field potentialsParkinson’s diseasesubthalamic nucleus

Identifiers

PMID39323762
PMCPMC11423205

What OpenQuestion holds

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Registered trials

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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.