Subthalamic nucleus deep brain stimulation improves deglutition in Parkinson's disease.
Identifieur interne : 002075 ( PubMed/Checkpoint ); précédent : 002074; suivant : 002076Subthalamic nucleus deep brain stimulation improves deglutition in Parkinson's disease.
Auteurs : Michelle R. Ciucci [États-Unis] ; Julie M. Barkmeier-Kraemer ; Scott J. ShermanSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Aged, Barium Compounds (diagnostic use), Basal Ganglia (physiopathology), Deep Brain Stimulation, Deglutition, Deglutition Disorders (etiology), Deglutition Disorders (physiopathology), Deglutition Disorders (therapy), Female, Fluoroscopy, Humans, Hyoid Bone (radiography), Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Pharynx (physiopathology), Pharynx (radiography), Subthalamic Nucleus (physiopathology), Time Factors.
- MESH :
- chemical , diagnostic use : Barium Compounds.
- complications : Parkinson Disease.
- etiology : Deglutition Disorders.
- physiopathology : Basal Ganglia, Deglutition Disorders, Parkinson Disease, Pharynx, Subthalamic Nucleus.
- radiography : Hyoid Bone, Pharynx.
- therapy : Deglutition Disorders, Parkinson Disease.
- Aged, Deep Brain Stimulation, Deglutition, Female, Fluoroscopy, Humans, Male, Middle Aged, Time Factors.
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.
DOI: 10.1002/mds.21891
PubMed: 18163451
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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"><nlm:affiliation>Department of Speech, Language, Hearing Sciences, University of Arizona, Tucson, Arizona, USA. ciucci@mail.utexas.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Speech, Language, Hearing Sciences, University of Arizona, Tucson, Arizona</wicri:regionArea><placeName><region type="state">Arizona</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></author><author><name sortKey="Sherman, Scott J" sort="Sherman, Scott J" uniqKey="Sherman S" first="Scott J" last="Sherman">Scott J. Sherman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.21891</idno><idno type="RBID">pubmed:18163451</idno><idno type="pmid">18163451</idno><idno type="wicri:Area/PubMed/Corpus">002371</idno><idno type="wicri:Area/PubMed/Curation">002371</idno><idno type="wicri:Area/PubMed/Checkpoint">002075</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">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"><nlm:affiliation>Department of Speech, Language, Hearing Sciences, University of Arizona, Tucson, Arizona, USA. ciucci@mail.utexas.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Speech, Language, Hearing Sciences, University of Arizona, Tucson, Arizona</wicri:regionArea><placeName><region type="state">Arizona</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></author><author><name sortKey="Sherman, Scott J" sort="Sherman, Scott J" uniqKey="Sherman S" first="Scott J" last="Sherman">Scott J. Sherman</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Barium Compounds (diagnostic use)</term><term>Basal Ganglia (physiopathology)</term><term>Deep Brain Stimulation</term><term>Deglutition</term><term>Deglutition Disorders (etiology)</term><term>Deglutition Disorders (physiopathology)</term><term>Deglutition Disorders (therapy)</term><term>Female</term><term>Fluoroscopy</term><term>Humans</term><term>Hyoid Bone (radiography)</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (therapy)</term><term>Pharynx (physiopathology)</term><term>Pharynx (radiography)</term><term>Subthalamic Nucleus (physiopathology)</term><term>Time Factors</term></keywords><keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en"><term>Barium Compounds</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Deglutition Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Basal Ganglia</term><term>Deglutition Disorders</term><term>Parkinson Disease</term><term>Pharynx</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Hyoid Bone</term><term>Pharynx</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Deglutition Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Deep Brain Stimulation</term><term>Deglutition</term><term>Female</term><term>Fluoroscopy</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Time Factors</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><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18163451</PMID><DateCreated><Year>2008</Year><Month>05</Month><Day>01</Day></DateCreated><DateCompleted><Year>2008</Year><Month>05</Month><Day>30</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>5</Issue><PubDate><Year>2008</Year><Month>Apr</Month><Day>15</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Subthalamic nucleus deep brain stimulation improves deglutition in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>676-83</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.21891</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>2007 Movement Disorder Society</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ciucci</LastName><ForeName>Michelle R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Department of Speech, Language, Hearing Sciences, University of Arizona, Tucson, Arizona, USA. ciucci@mail.utexas.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barkmeier-Kraemer</LastName><ForeName>Julie M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Sherman</LastName><ForeName>Scott J</ForeName><Initials>SJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D017609">Barium Compounds</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017609">Barium Compounds</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000176">diagnostic use</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001479">Basal Ganglia</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D046690">Deep Brain Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003679">Deglutition</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003680">Deglutition Disorders</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005471">Fluoroscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006928">Hyoid Bone</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010614">Pharynx</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020531">Subthalamic Nucleus</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>1</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>5</Month><Day>31</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>1</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.21891</ArticleId><ArticleId IdType="pubmed">18163451</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Arizona</li></region></list><tree><noCountry><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="Sherman, Scott J" sort="Sherman, Scott J" uniqKey="Sherman S" first="Scott J" last="Sherman">Scott J. Sherman</name></noCountry><country name="États-Unis"><region name="Arizona"><name sortKey="Ciucci, Michelle R" sort="Ciucci, Michelle R" uniqKey="Ciucci M" first="Michelle R" last="Ciucci">Michelle R. Ciucci</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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