Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease
Identifieur interne : 002C83 ( Main/Exploration ); précédent : 002C82; suivant : 002C84Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease
Auteurs : S. Colnat-Coulbois [France] ; G C Gauchard [France] ; L. Maillard [France] ; G. Barroche [France] ; H. Vespignani [France] ; J. Auque [France] ; Ph P. PerrinSource :
- Journal of Neurology, Neurosurgery & Psychiatry [ 0022-3050 ] ; 2005-06.
English descriptors
- KwdEn :
- ADT, adaptation test, AP, anterior–posterior, Aged, Basal Ganglia (pathology), CoG, centre of gravity, CoP, centre of foot pressure, Deep Brain Stimulation (instrumentation), EC, eyes closed, EMG, electromyographic, EO, eyes open, ES, equilibrium score, Electrodes, Implanted, Electromyography (instrumentation), FFT, fast Fourier transformation, Female, Functional Laterality (physiology), Humans, L-Dopa, levodopa, LLR, long latency response, Lat, lateral sways, MLR, medium latency response, MRI, magnetic resonance imagery, Magnetic Resonance Imaging, Male, Middle Aged, Muscle Rigidity (etiology), Muscle Rigidity (prevention & control), Muscle, Skeletal (innervation), Nerve Degeneration (pathology), Neurosurgical Procedures, PD, Parkinson’s disease, PPN, pedonculo-pontine nucleus, Parkinson Disease (complications), Parkinson Disease (pathology), Parkinson Disease (therapy), Postoperative Care, Postural Balance (physiology), Preoperative Care, Proprioception (physiology), SLR, short latency response, SOT, sensory organisation test, SP, sway path, SS, strategy score, STN, subthalamic nucleus, Severity of Illness Index, Somatosensory Disorders (diagnosis), Somatosensory Disorders (etiology), Somatosensory Disorders (therapy), Subthalamic Nucleus (physiology), Subthalamic Nucleus (surgery), df, degrees of freedom.
- MESH :
- complications : Parkinson Disease.
- diagnosis : Somatosensory Disorders.
- etiology : Muscle Rigidity, Somatosensory Disorders.
- innervation : Muscle, Skeletal.
- instrumentation : Deep Brain Stimulation, Electromyography.
- pathology : Basal Ganglia, Nerve Degeneration, Parkinson Disease.
- physiology : Functional Laterality, Postural Balance, Proprioception, Subthalamic Nucleus.
- prevention & control : Muscle Rigidity.
- surgery : Subthalamic Nucleus.
- therapy : Parkinson Disease, Somatosensory Disorders.
- Aged, Electrodes, Implanted, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neurosurgical Procedures, Postoperative Care, Preoperative Care, Severity of Illness Index.
Abstract
Background: Parkinson’s disease (PD), the most common basal ganglia degenerative disease, affects balance control, especially when patients change balance strategy during postural tasks. Bilateral chronic stimulation of the subthalamic nucleus (STN) is therapeutically useful in advanced PD, and reduces the motor signs of patients. Nevertheless, the effects of STN stimulation on postural control are still debatable. Aims: To assess the impact of bilateral STN stimulation on balance control in PD and to determine how basal ganglia related sensorimotor modifications act on neurosensorial organisation of balance and motor postural programming. Methods: Twelve subjects aged 45–70 years underwent unified Parkinson’s disease rating scale motor (part III) clinical tests, static and dynamic posturography, including sensory organisation and adaptation tests, shortly before and six months after bilateral implantation of electrodes into the STN. Results: The postoperative static test showed an improvement in postural control precision both in eyes open and eyes closed conditions. The dynamic test highlighted the decreased number of falls and the ability of the patients to develop more appropriate sensorimotor strategies when stimulated. The sensory organisation test showed an improvement of equilibrium score and, thus, a better resolution of sensorial conflicts. Conclusions: STN stimulation allowed a reduction in rigidity and therefore an improvement in the ability to use muscular proprioception as reliable information, resulting in vestibulo-proprioceptive conflict suppression. STN stimulation has a synergistic effect with levodopa for postural control. Accordingly, non-dopaminergic pathways could be involved in postural regulation and STN stimulation may influence the functioning of these pathways.
Url:
- https://api.istex.fr/document/D312C0A8092B1829780F95B4651A372293DF6311/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739669
DOI: 10.1136/jnnp.2004.047829
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 002433
- to stream Istex, to step Curation: 002431
- to stream Istex, to step Checkpoint: 000B46
- to stream Pmc, to step Corpus: 000499
- to stream Pmc, to step Curation: 000496
- to stream Pmc, to step Checkpoint: 000913
- to stream PubMed, to step Corpus: 000F46
- to stream PubMed, to step Curation: 000F06
- to stream PubMed, to step Checkpoint: 000F06
- to stream Ncbi, to step Merge: 000526
- to stream Ncbi, to step Curation: 000526
- to stream Ncbi, to step Checkpoint: 000526
- to stream Main, to step Merge: 003054
- to stream Main, to step Curation: 002C83
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease</title><author><name sortKey="Colnat Coulbois, S" sort="Colnat Coulbois, S" uniqKey="Colnat Coulbois S" first="S" last="Colnat-Coulbois">S. Colnat-Coulbois</name></author><author><name sortKey="Gauchard, G C" sort="Gauchard, G C" uniqKey="Gauchard G" first="G C" last="Gauchard">G C Gauchard</name></author><author><name sortKey="Maillard, L" sort="Maillard, L" uniqKey="Maillard L" first="L" last="Maillard">L. Maillard</name></author><author><name sortKey="Barroche, G" sort="Barroche, G" uniqKey="Barroche G" first="G" last="Barroche">G. Barroche</name></author><author><name sortKey="Vespignani, H" sort="Vespignani, H" uniqKey="Vespignani H" first="H" last="Vespignani">H. Vespignani</name></author><author><name sortKey="Auque, J" sort="Auque, J" uniqKey="Auque J" first="J" last="Auque">J. Auque</name></author><author><name sortKey="Perrin, Ph P" sort="Perrin, Ph P" uniqKey="Perrin P" first="Ph P" last="Perrin">Ph P. Perrin</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D312C0A8092B1829780F95B4651A372293DF6311</idno><date when="2005" year="2005">2005</date><idno type="doi">10.1136/jnnp.2004.047829</idno><idno type="url">https://api.istex.fr/document/D312C0A8092B1829780F95B4651A372293DF6311/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002433</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002433</idno><idno type="wicri:Area/Istex/Curation">002431</idno><idno type="wicri:Area/Istex/Checkpoint">000B46</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000B46</idno><idno type="wicri:doubleKey">0022-3050:2005:Colnat Coulbois S:bilateral:subthalamic:nucleus</idno><idno type="wicri:source">PMC</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739669</idno><idno type="RBID">PMC:1739669</idno><idno type="wicri:Area/Pmc/Corpus">000499</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000499</idno><idno type="wicri:Area/Pmc/Curation">000496</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000496</idno><idno type="wicri:Area/Pmc/Checkpoint">000913</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000913</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000F46</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F46</idno><idno type="wicri:Area/PubMed/Curation">000F06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000F06</idno><idno type="wicri:Area/PubMed/Checkpoint">000F06</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000F06</idno><idno type="wicri:Area/Ncbi/Merge">000526</idno><idno type="wicri:Area/Ncbi/Curation">000526</idno><idno type="wicri:Area/Ncbi/Checkpoint">000526</idno><idno type="wicri:doubleKey">0022-3050:2005:Colnat Coulbois S:bilateral:subthalamic:nucleus</idno><idno type="wicri:Area/Main/Merge">003054</idno><idno type="wicri:Area/Main/Curation">002C83</idno><idno type="wicri:Area/Main/Exploration">002C83</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease</title><author><name sortKey="Colnat Coulbois, S" sort="Colnat Coulbois, S" uniqKey="Colnat Coulbois S" first="S" last="Colnat-Coulbois">S. Colnat-Coulbois</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurosurgery, University Hospital of Nancy, Nancy 54000</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName></affiliation></author><author><name sortKey="Gauchard, G C" sort="Gauchard, G C" uniqKey="Gauchard G" first="G C" last="Gauchard">G C Gauchard</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>National Institute for Health and Medical Research (INSERM), [EP]2R, Faculty of Medicine, Vandoeuvre-lès-Nancy 54500, and Balance Control and Motor Performance, UFR STAPS, Henri Poincaré-Nancy 1 University, Villers-lès-Nancy 54600</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName></affiliation></author><author><name sortKey="Maillard, L" sort="Maillard, L" uniqKey="Maillard L" first="L" last="Maillard">L. Maillard</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Nancy</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName><wicri:orgArea>Department of Neurology</wicri:orgArea></affiliation></author><author><name sortKey="Barroche, G" sort="Barroche, G" uniqKey="Barroche G" first="G" last="Barroche">G. Barroche</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Nancy</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName><wicri:orgArea>Department of Neurology</wicri:orgArea></affiliation></author><author><name sortKey="Vespignani, H" sort="Vespignani, H" uniqKey="Vespignani H" first="H" last="Vespignani">H. Vespignani</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Nancy</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName><wicri:orgArea>Department of Neurology</wicri:orgArea></affiliation></author><author><name sortKey="Auque, J" sort="Auque, J" uniqKey="Auque J" first="J" last="Auque">J. Auque</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurosurgery, University Hospital of Nancy, Nancy 54000</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName></affiliation></author><author><name sortKey="Perrin, Ph P" sort="Perrin, Ph P" uniqKey="Perrin P" first="Ph P" last="Perrin">Ph P. Perrin</name><affiliation><wicri:noCountry code="subField">Performance</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology, Neurosurgery & Psychiatry</title><title level="j" type="abbrev">J Neurol Neurosurg Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2005-06">2005-06</date><biblScope unit="volume">76</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="780">780</biblScope></imprint><idno type="ISSN">0022-3050</idno></series><idno type="istex">D312C0A8092B1829780F95B4651A372293DF6311</idno><idno type="DOI">10.1136/jnnp.2004.047829</idno><idno type="href">jnnp-76-780.pdf</idno><idno type="PMID">15897498</idno><idno type="local">0760780</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>ADT, adaptation test</term><term>AP, anterior–posterior</term><term>Aged</term><term>Basal Ganglia (pathology)</term><term>CoG, centre of gravity</term><term>CoP, centre of foot pressure</term><term>Deep Brain Stimulation (instrumentation)</term><term>EC, eyes closed</term><term>EMG, electromyographic</term><term>EO, eyes open</term><term>ES, equilibrium score</term><term>Electrodes, Implanted</term><term>Electromyography (instrumentation)</term><term>FFT, fast Fourier transformation</term><term>Female</term><term>Functional Laterality (physiology)</term><term>Humans</term><term>L-Dopa, levodopa</term><term>LLR, long latency response</term><term>Lat, lateral sways</term><term>MLR, medium latency response</term><term>MRI, magnetic resonance imagery</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Muscle Rigidity (etiology)</term><term>Muscle Rigidity (prevention & control)</term><term>Muscle, Skeletal (innervation)</term><term>Nerve Degeneration (pathology)</term><term>Neurosurgical Procedures</term><term>PD, Parkinson’s disease</term><term>PPN, pedonculo-pontine nucleus</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (pathology)</term><term>Parkinson Disease (therapy)</term><term>Postoperative Care</term><term>Postural Balance (physiology)</term><term>Preoperative Care</term><term>Proprioception (physiology)</term><term>SLR, short latency response</term><term>SOT, sensory organisation test</term><term>SP, sway path</term><term>SS, strategy score</term><term>STN, subthalamic nucleus</term><term>Severity of Illness Index</term><term>Somatosensory Disorders (diagnosis)</term><term>Somatosensory Disorders (etiology)</term><term>Somatosensory Disorders (therapy)</term><term>Subthalamic Nucleus (physiology)</term><term>Subthalamic Nucleus (surgery)</term><term>df, degrees of freedom</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscle Rigidity</term><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Deep Brain Stimulation</term><term>Electromyography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Basal Ganglia</term><term>Nerve Degeneration</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Functional Laterality</term><term>Postural Balance</term><term>Proprioception</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Muscle Rigidity</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Neurosurgical Procedures</term><term>Postoperative Care</term><term>Preoperative Care</term><term>Severity of Illness Index</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Parkinson’s disease (PD), the most common basal ganglia degenerative disease, affects balance control, especially when patients change balance strategy during postural tasks. Bilateral chronic stimulation of the subthalamic nucleus (STN) is therapeutically useful in advanced PD, and reduces the motor signs of patients. Nevertheless, the effects of STN stimulation on postural control are still debatable. Aims: To assess the impact of bilateral STN stimulation on balance control in PD and to determine how basal ganglia related sensorimotor modifications act on neurosensorial organisation of balance and motor postural programming. Methods: Twelve subjects aged 45–70 years underwent unified Parkinson’s disease rating scale motor (part III) clinical tests, static and dynamic posturography, including sensory organisation and adaptation tests, shortly before and six months after bilateral implantation of electrodes into the STN. Results: The postoperative static test showed an improvement in postural control precision both in eyes open and eyes closed conditions. The dynamic test highlighted the decreased number of falls and the ability of the patients to develop more appropriate sensorimotor strategies when stimulated. The sensory organisation test showed an improvement of equilibrium score and, thus, a better resolution of sensorial conflicts. Conclusions: STN stimulation allowed a reduction in rigidity and therefore an improvement in the ability to use muscular proprioception as reliable information, resulting in vestibulo-proprioceptive conflict suppression. STN stimulation has a synergistic effect with levodopa for postural control. Accordingly, non-dopaminergic pathways could be involved in postural regulation and STN stimulation may influence the functioning of these pathways.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Grand Est</li><li>Lorraine (région)</li></region><settlement><li>Nancy</li></settlement></list><tree><noCountry><name sortKey="Perrin, Ph P" sort="Perrin, Ph P" uniqKey="Perrin P" first="Ph P" last="Perrin">Ph P. Perrin</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Colnat Coulbois, S" sort="Colnat Coulbois, S" uniqKey="Colnat Coulbois S" first="S" last="Colnat-Coulbois">S. Colnat-Coulbois</name></region><name sortKey="Auque, J" sort="Auque, J" uniqKey="Auque J" first="J" last="Auque">J. Auque</name><name sortKey="Barroche, G" sort="Barroche, G" uniqKey="Barroche G" first="G" last="Barroche">G. Barroche</name><name sortKey="Gauchard, G C" sort="Gauchard, G C" uniqKey="Gauchard G" first="G C" last="Gauchard">G C Gauchard</name><name sortKey="Maillard, L" sort="Maillard, L" uniqKey="Maillard L" first="L" last="Maillard">L. Maillard</name><name sortKey="Vespignani, H" sort="Vespignani, H" uniqKey="Vespignani H" first="H" last="Vespignani">H. Vespignani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonFranceV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002C83 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002C83 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonFranceV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:D312C0A8092B1829780F95B4651A372293DF6311
|texte= Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease
}}
| This area was generated with Dilib version V0.6.29. |  |