Subthalamic Nucleus Deep Brain Stimulation Improves Deglutition in Parkinson's Disease
Identifieur interne : 001085 ( PascalFrancis/Checkpoint ); précédent : 001084; suivant : 001086Subthalamic Nucleus Deep Brain Stimulation Improves Deglutition in Parkinson's Disease
Auteurs : Michelle R. Ciucci [États-Unis] ; Julie M. Barkmeier-Kraemer [États-Unis] ; Scott J. Sherman [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
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Abstract
Relatively little is known about the role of the basal ganglia in human deglutition. Deep brain stimulation (DBS) affords us a model for examining deglutition in humans with known impairment of the basal ganglia. The purpose of this study was to examine the effects of subthalamic nuclei (STN) DBS on the oral and pharyngeal stages of deglutition in individuals with Parkinson's Disease (PD). It was hypothesized that DBS would be associated with improved deglutition. Within participant, comparisons were made between DBS in the ON and OFF conditions using the dependent variables: pharyngeal transit time, maximal hyoid bone excursion, oral total composite score, and pharyngeal total composite score. Significant improvement occurred for the pharyngeal composite score and pharyngeal transit time in the DBS ON condition compared with DBS OFF. Stimulation of the STN may excite thalamocortical or brainstem targets to sufficiently overcome the bradykinesia/hypokinesia associated with PD and return some pharyngeal stage motor patterns to performance levels approximating those of "normal" deglutition. However, the degree of hyoid bone excursion and oral stage measures did not improve, suggesting that these motor acts may be under the control of different sensorimotor pathways within the basal ganglia.
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Ciucci</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Speech, Language, Hearing Sciences, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Arizona</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Surgery, Division of Otolarynology, University of Wisconsin</s1><s2>Madison, Wisconsin</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Barkmeier Kraemer, Julie M" sort="Barkmeier Kraemer, Julie M" uniqKey="Barkmeier Kraemer J" first="Julie M." last="Barkmeier-Kraemer">Julie M. 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Sherman</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Arizona</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0247713</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0247713 INIST</idno><idno type="RBID">Pascal:08-0247713</idno><idno type="wicri:Area/PascalFrancis/Corpus">001294</idno><idno type="wicri:Area/PascalFrancis/Curation">001A25</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001085</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Subthalamic Nucleus Deep Brain Stimulation Improves Deglutition in Parkinson's Disease</title><author><name sortKey="Ciucci, Michelle R" sort="Ciucci, Michelle R" uniqKey="Ciucci M" first="Michelle R." last="Ciucci">Michelle R. Ciucci</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Speech, Language, Hearing Sciences, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Arizona</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Surgery, Division of Otolarynology, University of Wisconsin</s1><s2>Madison, Wisconsin</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Barkmeier Kraemer, Julie M" sort="Barkmeier Kraemer, Julie M" uniqKey="Barkmeier Kraemer J" first="Julie M." last="Barkmeier-Kraemer">Julie M. Barkmeier-Kraemer</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Speech, Language, Hearing Sciences, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Sherman, Scott J" sort="Sherman, Scott J" uniqKey="Sherman S" first="Scott J." last="Sherman">Scott J. Sherman</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Arizona</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep brain stimulation</term><term>Dysphagia</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Subthalamic nucleus</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Dysphagie</term><term>Pathologie du système nerveux</term><term>Noyau sousthalamique</term><term>Stimulation cérébrale profonde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Relatively little is known about the role of the basal ganglia in human deglutition. Deep brain stimulation (DBS) affords us a model for examining deglutition in humans with known impairment of the basal ganglia. The purpose of this study was to examine the effects of subthalamic nuclei (STN) DBS on the oral and pharyngeal stages of deglutition in individuals with Parkinson's Disease (PD). It was hypothesized that DBS would be associated with improved deglutition. Within participant, comparisons were made between DBS in the ON and OFF conditions using the dependent variables: pharyngeal transit time, maximal hyoid bone excursion, oral total composite score, and pharyngeal total composite score. Significant improvement occurred for the pharyngeal composite score and pharyngeal transit time in the DBS ON condition compared with DBS OFF. Stimulation of the STN may excite thalamocortical or brainstem targets to sufficiently overcome the bradykinesia/hypokinesia associated with PD and return some pharyngeal stage motor patterns to performance levels approximating those of "normal" deglutition. However, the degree of hyoid bone excursion and oral stage measures did not improve, suggesting that these motor acts may be under the control of different sensorimotor pathways within the basal ganglia.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>23</s2></fA05><fA06><s2>5</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Subthalamic Nucleus Deep Brain Stimulation Improves Deglutition in Parkinson's Disease</s1></fA08><fA11 i1="01" i2="1"><s1>CIUCCI (Michelle R.)</s1></fA11><fA11 i1="02" i2="1"><s1>BARKMEIER-KRAEMER (Julie M.)</s1></fA11><fA11 i1="03" i2="1"><s1>SHERMAN (Scott J.)</s1></fA11><fA14 i1="01"><s1>Department of Speech, Language, Hearing Sciences, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Surgery, Division of Otolarynology, University of Wisconsin</s1><s2>Madison, Wisconsin</s2><s3>USA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neurology, University of Arizona</s1><s2>Tucson, Arizona</s2><s3>USA</s3><sZ>3 aut.</sZ></fA14><fA20><s1>676-683</s1></fA20><fA21><s1>2008</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000173776990070</s5></fA43><fA44><s0>0000</s0><s1>© 2008 INIST-CNRS. 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Ciucci</name></region><name sortKey="Barkmeier Kraemer, Julie M" sort="Barkmeier Kraemer, Julie M" uniqKey="Barkmeier Kraemer J" first="Julie M." last="Barkmeier-Kraemer">Julie M. Barkmeier-Kraemer</name><name sortKey="Ciucci, Michelle R" sort="Ciucci, Michelle R" uniqKey="Ciucci M" first="Michelle R." last="Ciucci">Michelle R. Ciucci</name><name sortKey="Sherman, Scott J" sort="Sherman, Scott J" uniqKey="Sherman S" first="Scott J." last="Sherman">Scott J. Sherman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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