Movement Disorders (revue)

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Deep brain stimulation and medication for parkinsonian tremor during secondary tasks

Identifieur interne : 001639 ( PascalFrancis/Corpus ); précédent : 001638; suivant : 001640

Deep brain stimulation and medication for parkinsonian tremor during secondary tasks

Auteurs : Molly M. Sturman ; David E. Vaillancourt ; Leo Verhagen Metman ; Diane K. Sierens ; Roy A. E. Bakay ; Daniel M. Corcos

Source :

RBID : Pascal:07-0349120

Descripteurs français

English descriptors

Abstract

This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 8
A08 01  1  ENG  @1 Deep brain stimulation and medication for parkinsonian tremor during secondary tasks
A11 01  1    @1 STURMAN (Molly M.)
A11 02  1    @1 VAILLANCOURT (David E.)
A11 03  1    @1 VERHAGEN METMAN (Leo)
A11 04  1    @1 SIERENS (Diane K.)
A11 05  1    @1 BAKAY (Roy A. E.)
A11 06  1    @1 CORCOS (Daniel M.)
A14 01      @1 Department of Movement Sciences, University of Illinois at Chicago @2 Chicago, Illinois @3 USA @Z 1 aut. @Z 2 aut. @Z 6 aut.
A14 02      @1 Department of Bioengineering, University of Illinois at Chicago @2 Chicago, Illinois @3 USA @Z 2 aut. @Z 6 aut.
A14 03      @1 Department of Neurological Sciences, Rush University Medical Center @2 Chicago, Illinois @3 USA @Z 3 aut. @Z 5 aut. @Z 6 aut.
A14 04      @1 Department of Neurosurgery, Rush University Medical Center @2 Chicago, Illinois @3 USA @Z 3 aut. @Z 5 aut.
A14 05      @1 Department of Neurological Surgery, Rockford Health System @2 Rockford, Illinois @3 USA @Z 4 aut.
A14 06      @1 Department of Physical Therapy, University of Illinois at Chicago @2 Chicago, Illinois @3 USA @Z 6 aut.
A20       @1 1157-1163
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000159429990150
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 07-0349120
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.
C02 01  X    @0 002B17
C02 02  X    @0 002B17A01
C02 03  X    @0 002B26I
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Tremblement @5 03
C03 03  X  ENG  @0 Tremor @5 03
C03 03  X  SPA  @0 Temblor @5 03
C03 04  X  FRE  @0 Chimiothérapie @5 09
C03 04  X  ENG  @0 Chemotherapy @5 09
C03 04  X  SPA  @0 Quimioterapia @5 09
C03 05  X  FRE  @0 Noyau sousthalamique @5 10
C03 05  X  ENG  @0 Subthalamic nucleus @5 10
C03 05  X  SPA  @0 Núcleo subtalámico @5 10
C03 06  X  FRE  @0 Stimulation cérébrale profonde @4 CD @5 96
C03 06  X  ENG  @0 Deep brain stimulation @4 CD @5 96
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Mouvement involontaire @5 41
C07 05  X  ENG  @0 Involuntary movement @5 41
C07 05  X  SPA  @0 Movimiento involuntario @5 41
C07 06  X  FRE  @0 Trouble neurologique @5 42
C07 06  X  ENG  @0 Neurological disorder @5 42
C07 06  X  SPA  @0 Trastorno neurológico @5 42
C07 07  X  FRE  @0 Système nerveux central @5 43
C07 07  X  ENG  @0 Central nervous system @5 43
C07 07  X  SPA  @0 Sistema nervioso central @5 43
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Format Inist (serveur)

NO : PASCAL 07-0349120 INIST
ET : Deep brain stimulation and medication for parkinsonian tremor during secondary tasks
AU : STURMAN (Molly M.); VAILLANCOURT (David E.); VERHAGEN METMAN (Leo); SIERENS (Diane K.); BAKAY (Roy A. E.); CORCOS (Daniel M.)
AF : Department of Movement Sciences, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (1 aut., 2 aut., 6 aut.); Department of Bioengineering, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (2 aut., 6 aut.); Department of Neurological Sciences, Rush University Medical Center/Chicago, Illinois/Etats-Unis (3 aut., 5 aut., 6 aut.); Department of Neurosurgery, Rush University Medical Center/Chicago, Illinois/Etats-Unis (3 aut., 5 aut.); Department of Neurological Surgery, Rockford Health System/Rockford, Illinois/Etats-Unis (4 aut.); Department of Physical Therapy, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (6 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 8; Pp. 1157-1163; Bibl. 34 ref.
LA : Anglais
EA : This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.
CC : 002B17; 002B17A01; 002B26I
FD : Système nerveux pathologie; Parkinson maladie; Tremblement; Chimiothérapie; Noyau sousthalamique; Stimulation cérébrale profonde
FG : Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Mouvement involontaire; Trouble neurologique; Système nerveux central
ED : Nervous system diseases; Parkinson disease; Tremor; Chemotherapy; Subthalamic nucleus; Deep brain stimulation
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder; Central nervous system
SD : Sistema nervioso patología; Parkinson enfermedad; Temblor; Quimioterapia; Núcleo subtalámico
LO : INIST-20953.354000159429990150
ID : 07-0349120

Links to Exploration step

Pascal:07-0349120

Le document en format XML

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<div type="abstract" xml:lang="en">This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.</div>
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<s1>Department of Bioengineering, University of Illinois at Chicago</s1>
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<s3>USA</s3>
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<sZ>6 aut.</sZ>
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<s1>Department of Neurological Sciences, Rush University Medical Center</s1>
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<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
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<sZ>3 aut.</sZ>
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<s1>Department of Neurological Surgery, Rockford Health System</s1>
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<s3>USA</s3>
<sZ>4 aut.</sZ>
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<fA14 i1="06">
<s1>Department of Physical Therapy, University of Illinois at Chicago</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
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<fA20>
<s1>1157-1163</s1>
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<s0>This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.</s0>
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<s0>Temblor</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Chimiothérapie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Chemotherapy</s0>
<s5>09</s5>
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<s5>96</s5>
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<s5>37</s5>
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<s5>39</s5>
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<s5>40</s5>
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<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
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<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
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<s0>Mouvement involontaire</s0>
<s5>41</s5>
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<s0>Involuntary movement</s0>
<s5>41</s5>
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<s0>Movimiento involuntario</s0>
<s5>41</s5>
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<s5>42</s5>
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<s5>42</s5>
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<s5>42</s5>
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<ET>Deep brain stimulation and medication for parkinsonian tremor during secondary tasks</ET>
<AU>STURMAN (Molly M.); VAILLANCOURT (David E.); VERHAGEN METMAN (Leo); SIERENS (Diane K.); BAKAY (Roy A. E.); CORCOS (Daniel M.)</AU>
<AF>Department of Movement Sciences, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (1 aut., 2 aut., 6 aut.); Department of Bioengineering, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (2 aut., 6 aut.); Department of Neurological Sciences, Rush University Medical Center/Chicago, Illinois/Etats-Unis (3 aut., 5 aut., 6 aut.); Department of Neurosurgery, Rush University Medical Center/Chicago, Illinois/Etats-Unis (3 aut., 5 aut.); Department of Neurological Surgery, Rockford Health System/Rockford, Illinois/Etats-Unis (4 aut.); Department of Physical Therapy, University of Illinois at Chicago/Chicago, Illinois/Etats-Unis (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 8; Pp. 1157-1163; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>This study examined the efficacy of subthalamic nucleus (STN), deep brain stimulation (DBS), and medication for resting tremor during performance of secondary tasks. Hand tremor was recorded using accelerometry and electromyography (EMG) from 10 patients with Parkinson's disease (PD) and ten matched control subjects. The PD subjects were examined off treatment, on STN DBS, on medication, and on STN DBS plus medication. In the first experiment, tremor was recorded in a quiet condition and during a cognitive task designed to enhance tremor. In the second experiment, tremor was recorded in a quiet condition and during isometric finger flexion (motor task) with the contralateral limb at 5% of the maximal voluntary contraction (MVC) that was designed to suppress tremor. Results showed that: (1) STN DBS and medication reduced tremor during a cognitive task that exacerbated tremor, (2) STN DBS normalized tremor frequency in both the quiet and cognitive task conditions, whereas tremor amplitude was only normalized in the quiet condition, (3) a secondary motor task reduced tremor in a similar manner to STN DBS. These findings demonstrate that STN DBS still suppresses tremor in the presence of a cognitive task. Furthermore, a secondary motor task of the opposite limb suppresses tremor to levels comparable to STN DBS.</EA>
<CC>002B17; 002B17A01; 002B26I</CC>
<FD>Système nerveux pathologie; Parkinson maladie; Tremblement; Chimiothérapie; Noyau sousthalamique; Stimulation cérébrale profonde</FD>
<FG>Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Mouvement involontaire; Trouble neurologique; Système nerveux central</FG>
<ED>Nervous system diseases; Parkinson disease; Tremor; Chemotherapy; Subthalamic nucleus; Deep brain stimulation</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder; Central nervous system</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Temblor; Quimioterapia; Núcleo subtalámico</SD>
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