Evidence map›Paper›PMID 40776425›Full record

ArticleThe American journal of case reports2025

Deep-Brain Stimulation and Intensive Rehabilitation in a Patient with Parkinson Disease: A Case Report.

Giorgio Ferriero, Valerio Massimo Magro, Paola Emilia Ferrara, Mariantonietta Ariani, Daniele Coraci, Sefora Codazza, Loredana Maggi, Gianpaolo Ronconi

Abstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Giorgio FerrieroUnit of Physical and Rehabilitation Medicine, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy.ORCID 0000-0002-7873-6777
Valerio Massimo MagroDepartment of Physical Medicine and Rehabilitation, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-0850-2764
Paola Emilia FerraraUniversity Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-1903-3449
Mariantonietta ArianiDepartment of Neurosciences, Sense Organs and Thorax, Catholic University of the Sacred Heart, Rome, Italy.ORCID 0009-0001-3061-3575
Daniele CoraciDepartment of Neuroscience, Section of Rehabilitation, University of Padova, Padua, Italy.ORCID 0000-0002-7019-9006
Sefora CodazzaUniversity Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.ORCID 0009-0004-0282-2822
Loredana MaggiDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0003-0822-8483
Gianpaolo RonconiCatholic University of the Sacred Heart, Rome, Italy.ORCID 0000-0002-7310-093X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Parkinson disease (PD) is a common neurodegenerative disease. Intensive rehabilitation programs improve motor and non-motor symptoms in people with PD. Quite recently, deep-brain stimulation (DBS) has become an established therapeutic tool for treating patients with a disease who have troublesome motor fluctuations and dyskinesias refractory to best medical therapy. CASE REPORT A 56-year-old man affected by PD with motor complications was admitted to undergo deep-brain stimulation. After the operation, he was transferred to the Intensive Rehabilitation Department and received multidrug therapy. First, we tried to optimize the pharmacological therapy. To achieve this goal, we performed a physiatric evaluation with the device turned off. We set up an Individual Rehabilitation Project with active kinesitherapy for maintaining the strength and muscular resistance of the shoulder and pelvic girdle, upper limbs, and lower limbs, exercises to improve trunk stability and balance reactions, exercises to improve motor coordination and static and dynamic balance, gait training with gait pattern, training for climbing and descending stairs, and functional re-education. For the headache, we requested a magnetic resonance imaging (MRI) of the brain, that showed the correct positioning of the electrodes bilaterally, with the identification of a moderate amount of air (pneumocephalus). At the same time, adjustment/switching on of the stimulator was carried out, which was well tolerated, adjusting the stimulation parameters of the sensors both on the right and left during hospitalization and gradually modifying the pharmacological therapy. CONCLUSIONS The combination of internal-geriatric expertise together with the collaboration between neurologist and physiatrist are fundamental for management of these patients. Intensive rehabilitation is ideal for these subjects before discharge and subsequent post-procedural follow-up.

Indexed as

Deep Brain StimulationExercise TherapyParkinson DiseaseHumansMaleMiddle Aged

Identifiers

PMID40776425
PMCPMC12341441

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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.