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Objective Measurement of Muscle Rigidity in Parkinsonian Patients Treated with Subthalamic Stimulation

Identifieur interne : 002E76 ( Main/Merge ); précédent : 002E75; suivant : 002E77

Objective Measurement of Muscle Rigidity in Parkinsonian Patients Treated with Subthalamic Stimulation

Auteurs : Johannes Levin [Allemagne] ; Siegbert Krafczyk [Allemagne] ; Peter Valkovic [Slovaquie] ; Thomas Eggert [Allemagne] ; Jens Claassen [Allemagne] ; Kai Bötzel [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2009.

RBID : Pascal:09-0094108

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Homme, Traitement, Noyau sousthalamique, Electromyographie, Stimulation cérébrale profonde.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Deep brain stimulation, Electromyography, Human, Nervous system diseases, Parkinson disease, Subthalamic nucleus, Treatment.

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.

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Le document en format XML

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<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.</div>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Objective Measurement of Muscle Rigidity in Parkinsonian Patients Treated with Subthalamic Stimulation

Objective Measurement of Muscle Rigidity in Parkinsonian Patients Treated with Subthalamic Stimulation

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri