Effect of short and long term STN stimulation periods on parkinsonian signs
Identifieur interne : 002883 ( Main/Exploration ); précédent : 002882; suivant : 002884Effect of short and long term STN stimulation periods on parkinsonian signs
Auteurs : Molly M. Sturman [États-Unis] ; David E. Vaillancourt [États-Unis] ; Mark B. Shapiro [États-Unis] ; Leo Verhagen Metman [États-Unis] ; Roy A. E. Bakay [États-Unis] ; Daniel M. Corcos [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-04-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Ankle Joint (physiopathology), Deep Brain Stimulation (methods), Deep brain stimulation, Elbow Joint (physiopathology), Female, Functional Laterality, Humans, Hypokinesia (diagnosis), Hypokinesia (physiopathology), Long term, Male, Middle Aged, Muscle Rigidity (physiopathology), Muscle Rigidity (therapy), Nervous system diseases, Parkinson Disease (physiopathology), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Short term, Sign, Subthalamic Nucleus (physiopathology), Subthalamic nucleus, deep brain stimulation, subthalamic nucleus.
- MESH :
- diagnosis : Hypokinesia.
- methods : Deep Brain Stimulation.
- physiopathology : Ankle Joint, Elbow Joint, Hypokinesia, Muscle Rigidity, Parkinson Disease, Subthalamic Nucleus.
- surgery : Parkinson Disease.
- therapy : Muscle Rigidity, Parkinson Disease.
- Aged, Female, Functional Laterality, Humans, Male, Middle Aged.
Abstract
Currently, no study of subthalamic nucleus (STN) stimulation has compared continuous stimulation with a period of short‐term stimulation, which is frequently employed in the clinic and in research studies. Therefore, this study examined the effects of STN stimulation over 90 min (short) and greater than 3 months (long) on the cardinal signs of Parkinson's disease. The 90 min time period immediately followed a 12 hour withdrawal from both STN stimulation and medication. Ten PD patients who received STN stimulation were studied. Bradykinesia, rigidity, and tremor were evaluated using the UPDRS and motor control measures which included peak velocity (bradykinesia), work (rigidity), and amplitude (tremor). Results showed no difference between 90 min and greater than 3 months of STN stimulation for the UPDRS or motor control measures. This finding confirms that the treatment efficacy that is derived from a relatively short time course of stimulation generalizes to longer time periods of high frequency STN stimulation that patients experience in their daily lives. As such, it is reasonable to evaluate the effect of DBS after 90 min of stimulation in clinical trials and research studies. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.21979
Affiliations:
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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="2008-04-30">2008-04-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="866">866</biblScope><biblScope unit="page" to="874">874</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">C09052A2A1D1B03E66629CBB3C21E8125D16FAA8</idno><idno type="DOI">10.1002/mds.21979</idno><idno type="ArticleID">MDS21979</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Ankle Joint (physiopathology)</term><term>Deep Brain Stimulation (methods)</term><term>Deep brain stimulation</term><term>Elbow Joint (physiopathology)</term><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Hypokinesia (diagnosis)</term><term>Hypokinesia (physiopathology)</term><term>Long term</term><term>Male</term><term>Middle Aged</term><term>Muscle Rigidity (physiopathology)</term><term>Muscle Rigidity (therapy)</term><term>Nervous system diseases</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (surgery)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Short term</term><term>Sign</term><term>Subthalamic Nucleus (physiopathology)</term><term>Subthalamic nucleus</term><term>deep brain stimulation</term><term>subthalamic nucleus</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypokinesia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Ankle Joint</term><term>Elbow Joint</term><term>Hypokinesia</term><term>Muscle Rigidity</term><term>Parkinson Disease</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Muscle Rigidity</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Court terme</term><term>Long terme</term><term>Maladie de Parkinson</term><term>Noyau sousthalamique</term><term>Pathologie du système nerveux</term><term>Signe</term><term>Stimulation cérébrale profonde</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Currently, no study of subthalamic nucleus (STN) stimulation has compared continuous stimulation with a period of short‐term stimulation, which is frequently employed in the clinic and in research studies. Therefore, this study examined the effects of STN stimulation over 90 min (short) and greater than 3 months (long) on the cardinal signs of Parkinson's disease. The 90 min time period immediately followed a 12 hour withdrawal from both STN stimulation and medication. Ten PD patients who received STN stimulation were studied. Bradykinesia, rigidity, and tremor were evaluated using the UPDRS and motor control measures which included peak velocity (bradykinesia), work (rigidity), and amplitude (tremor). Results showed no difference between 90 min and greater than 3 months of STN stimulation for the UPDRS or motor control measures. This finding confirms that the treatment efficacy that is derived from a relatively short time course of stimulation generalizes to longer time periods of high frequency STN stimulation that patients experience in their daily lives. As such, it is reasonable to evaluate the effect of DBS after 90 min of stimulation in clinical trials and research studies. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Sturman, Molly M" sort="Sturman, Molly M" uniqKey="Sturman M" first="Molly M." last="Sturman">Molly M. Sturman</name></region><name sortKey="Bakay, Roy A E" sort="Bakay, Roy A E" uniqKey="Bakay R" first="Roy A. E." last="Bakay">Roy A. E. Bakay</name><name sortKey="Bakay, Roy A E" sort="Bakay, Roy A E" uniqKey="Bakay R" first="Roy A. E." last="Bakay">Roy A. E. Bakay</name><name sortKey="Corcos, Daniel M" sort="Corcos, Daniel M" uniqKey="Corcos D" first="Daniel M." last="Corcos">Daniel M. Corcos</name><name sortKey="Corcos, Daniel M" sort="Corcos, Daniel M" uniqKey="Corcos D" first="Daniel M." last="Corcos">Daniel M. Corcos</name><name sortKey="Corcos, Daniel M" sort="Corcos, Daniel M" uniqKey="Corcos D" first="Daniel M." last="Corcos">Daniel M. Corcos</name><name sortKey="Corcos, Daniel M" sort="Corcos, Daniel M" uniqKey="Corcos D" first="Daniel M." last="Corcos">Daniel M. Corcos</name><name sortKey="Metman, Leo Verhagen" sort="Metman, Leo Verhagen" uniqKey="Metman L" first="Leo Verhagen" last="Metman">Leo Verhagen Metman</name><name sortKey="Metman, Leo Verhagen" sort="Metman, Leo Verhagen" uniqKey="Metman L" first="Leo Verhagen" last="Metman">Leo Verhagen Metman</name><name sortKey="Shapiro, Mark B" sort="Shapiro, Mark B" uniqKey="Shapiro M" first="Mark B." last="Shapiro">Mark B. Shapiro</name><name sortKey="Vaillancourt, David E" sort="Vaillancourt, David E" uniqKey="Vaillancourt D" first="David E." last="Vaillancourt">David E. Vaillancourt</name><name sortKey="Vaillancourt, David E" sort="Vaillancourt, David E" uniqKey="Vaillancourt D" first="David E." last="Vaillancourt">David E. 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