Evidence map›Paper›PMID 41724592›Full record

ArticleMovement disorders clinical practice2026

Subthalamic Nucleus Deep Brain Stimulation Improves Kinetic Tremor in Parkinson's Disease.

Iwan Grooters, Bart E K S Swinnen, Yarit Wiggerts, Maarten Bot, Pepijn van den Munckhof, P Rick Schuurman, Martijn Beudel, Rob M A de Bie, Arthur W G Buijink

Abstract read
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Article in Movement disorders clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Iwan GrootersDepartment of Neurology, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0009-0004-5432-2184
Bart E K S SwinnenDepartment of Neurology, University Hospitals Leuven, Leuven, Belgium.
Yarit WiggertsDepartment of Neurology, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.
Maarten BotDepartment of Neurosurgery, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.
Pepijn van den MunckhofDepartment of Neurosurgery, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-5044-3705
P Rick SchuurmanDepartment of Neurosurgery, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.
Martijn BeudelDepartment of Neurology, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-2488-7051
Rob M A de BieDepartment of Neurology, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-5267-0784
Arthur W G BuijinkDepartment of Neurology, Amsterdam University Medical Center, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough resting tremor is a characteristic feature of Parkinson's disease (PD), many patients also suffer from action tremor. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective in reducing motor symptoms. However, it is unclear to what extent STN-DBS improves action tremor in PD, particularly kinetic tremor.

objectivesEvaluate the effectiveness of STN-DBS on resting, postural, and kinetic tremor, with particular focus on kinetic tremor.

methodsPD patients treated with bilateral STN-DBS were included. Patients with a score of ≥1 for tremor subtypes in either stimulation condition were included for tremor subtype analyses. The Movement Disorders Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) was administered OFF-medication, for both the OFF- and ON-stimulation condition, 6-12 months post-surgery. Wilcoxon signed-rank tests were used and effect sizes calculated. In addition, sensitivity analyses and a systematic literature review was performed.

results422 patients were included. For tremor subtype analyses, 251 patients were included for resting tremor amplitude, 270 for resting tremor constancy, 215 for postural tremor and 144 for kinetic tremor. DBS significantly improved all tremor subtypes (P < 0.001). Effect sizes were very large across tremor subtypes (Cohen's d > 1.00). Mean percentage improvement was comparable among resting (71.3%), postural (64.6%), and kinetic (65.1%) tremor. Similarly, the proportion of patients experiencing complete bilateral tremor resolution was consistent across tremor subtypes, 50.2% for resting, 55.8% for postural, and 51.4% for kinetic tremor.

conclusionsBilateral STN-DBS appears to improve all tremor subtypes in PD equally, including postural and kinetic tremor.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusTremorAgedFemaleHumansMaleMiddle AgedTreatment Outcomeaction tremordeep brain stimulationkinetic tremorParkinson's diseasesubthalamic nucleus

Identifiers

PMID41724592
PMCPMC13339267

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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.