Objective measurement of muscle rigidity in parkinsonian patients treated with subthalamic stimulation
Identifieur interne : 002172 ( Main/Exploration ); précédent : 002171; suivant : 002173Objective measurement of muscle rigidity in parkinsonian patients treated with subthalamic stimulation
Auteurs : Johannes Levin [Allemagne] ; Siegbert Krafczyk [Allemagne] ; Peter Valkovi [Slovaquie] ; Thomas Eggert [Allemagne] ; Jens Claassen [Allemagne] ; Kai Bötzel [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-01-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Deep Brain Stimulation, Deep brain stimulation, Disease Progression, Elbow Joint (physiopathology), Electromyography, Female, Human, Humans, Male, Middle Aged, Muscle Rigidity (diagnosis), Nervous system diseases, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Parkinsonian Disorders (physiopathology), Parkinsonian Disorders (therapy), Severity of Illness Index, Subthalamic nucleus, Treatment, Treatment Outcome, deep brain stimulation, electromyography, rigidity, subthalamic nucleus.
- MESH :
- diagnosis : Muscle Rigidity.
- physiopathology : Elbow Joint, Parkinson Disease, Parkinsonian Disorders.
- therapy : Parkinson Disease, Parkinsonian Disorders.
- Aged, Aged, 80 and over, Deep Brain Stimulation, Disease Progression, Electromyography, Female, Humans, Male, Middle Aged, Severity of Illness Index, Treatment Outcome.
Abstract
Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has been shown to be an effective treatment for Parkinson's disease (PD). The intraoperative positioning of DBS electrodes and postoperative adjustment of the stimulation parameters, however, require continuous, precise evaluation. Moreover, ambulatory measurements of the symptoms would also help to evaluate changes in the progression of PD in these patients. To this aim, we objectified rigidity measurements via surface EMG recordings of the Mm. biceps (bic) and triceps brachii (tric) in patients treated with chronic stimulation of the STN. We show that cessation and initiation of DBS have effects on the EMG profile during standardized extension and flexion movements in the elbow joint. These data correlate significantly with clinical ratings. Thus, EMG recordings of the Mm. bic and tric during this standardized extension‐flexion movement can be used to objectively measure rigidity and to monitor its course over time. In view of its low technical requirements, this technique lends itself to use during DBS implantation surgery and in the clinical environment. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22291
Affiliations:
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type="city">Munich</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-01-15">2009-01-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="57">57</biblScope><biblScope unit="page" to="63">63</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">6500E1E1EED85BAE0187BFE0463751589ABEE14E</idno><idno type="DOI">10.1002/mds.22291</idno><idno type="ArticleID">MDS22291</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Deep Brain Stimulation</term><term>Deep brain stimulation</term><term>Disease Progression</term><term>Elbow Joint (physiopathology)</term><term>Electromyography</term><term>Female</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Muscle Rigidity (diagnosis)</term><term>Nervous system diseases</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Parkinsonian Disorders (physiopathology)</term><term>Parkinsonian Disorders (therapy)</term><term>Severity of Illness Index</term><term>Subthalamic nucleus</term><term>Treatment</term><term>Treatment Outcome</term><term>deep brain stimulation</term><term>electromyography</term><term>rigidity</term><term>subthalamic nucleus</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Muscle Rigidity</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Elbow Joint</term><term>Parkinson Disease</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Deep Brain Stimulation</term><term>Disease Progression</term><term>Electromyography</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Electromyographie</term><term>Homme</term><term>Maladie de Parkinson</term><term>Noyau sousthalamique</term><term>Pathologie du système nerveux</term><term>Stimulation cérébrale profonde</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has been shown to be an effective treatment for Parkinson's disease (PD). The intraoperative positioning of DBS electrodes and postoperative adjustment of the stimulation parameters, however, require continuous, precise evaluation. Moreover, ambulatory measurements of the symptoms would also help to evaluate changes in the progression of PD in these patients. To this aim, we objectified rigidity measurements via surface EMG recordings of the Mm. biceps (bic) and triceps brachii (tric) in patients treated with chronic stimulation of the STN. We show that cessation and initiation of DBS have effects on the EMG profile during standardized extension and flexion movements in the elbow joint. These data correlate significantly with clinical ratings. Thus, EMG recordings of the Mm. bic and tric during this standardized extension‐flexion movement can be used to objectively measure rigidity and to monitor its course over time. In view of its low technical requirements, this technique lends itself to use during DBS implantation surgery and in the clinical environment. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Slovaquie</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Levin, Johannes" sort="Levin, Johannes" uniqKey="Levin J" first="Johannes" last="Levin">Johannes Levin</name></region><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name><name sortKey="Claassen, Jens" sort="Claassen, Jens" uniqKey="Claassen J" first="Jens" last="Claassen">Jens Claassen</name><name sortKey="Eggert, Thomas" sort="Eggert, Thomas" uniqKey="Eggert T" first="Thomas" last="Eggert">Thomas Eggert</name><name sortKey="Krafczyk, Siegbert" sort="Krafczyk, Siegbert" uniqKey="Krafczyk S" first="Siegbert" last="Krafczyk">Siegbert Krafczyk</name></country><country name="Slovaquie"><noRegion><name sortKey="Valkovi, Peter" sort="Valkovi, Peter" uniqKey="Valkovi P" first="Peter" last="Valkovi">Peter Valkovi</name></noRegion><name sortKey="Valkovi, Peter" sort="Valkovi, Peter" uniqKey="Valkovi P" first="Peter" last="Valkovi">Peter Valkovi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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