La maladie de Parkinson en France (serveur d'exploration)

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Effect of bilateral subthalamic nucleus deep brain stimulation on postural adjustments during arm movement.

Identifieur interne : 000D07 ( Ncbi/Merge ); précédent : 000D06; suivant : 000D08

Effect of bilateral subthalamic nucleus deep brain stimulation on postural adjustments during arm movement.

Auteurs : S. Bleuse [France] ; A. Delval ; J L Blatt ; P. Derambure ; A. Destée ; L. Defebvre

Source :

RBID : pubmed:21507712

English descriptors

Abstract

Although it is well known that postural adjustment (PA) is impaired in advanced Parkinson's disease (PD), the potentially compensatory effects of bilateral subthalamic nucleus deep brain stimulation (STN DBS) in this respect are less clear.

DOI: 10.1016/j.clinph.2011.02.034
PubMed: 21507712

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pubmed:21507712

Le document en format XML

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<nlm:affiliation>Department of Clinical Neurophysiology, Université Lille Nord de France, UDSL, Laboratoire Neurosciences Fonctionnelles et Pathologies, LNFP-FRE 3291 CNRS, F-59037 Lille cedex, France. severine.bleuse@chru-lille.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Clinical Neurophysiology, Université Lille Nord de France, UDSL, Laboratoire Neurosciences Fonctionnelles et Pathologies, LNFP-FRE 3291 CNRS, F-59037 Lille cedex</wicri:regionArea>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement (physiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Posture (physiology)</term>
<term>Subthalamic Nucleus (physiology)</term>
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<term>Deep Brain Stimulation</term>
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<term>Movement</term>
<term>Posture</term>
<term>Subthalamic Nucleus</term>
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<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Although it is well known that postural adjustment (PA) is impaired in advanced Parkinson's disease (PD), the potentially compensatory effects of bilateral subthalamic nucleus deep brain stimulation (STN DBS) in this respect are less clear.</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Although it is well known that postural adjustment (PA) is impaired in advanced Parkinson's disease (PD), the potentially compensatory effects of bilateral subthalamic nucleus deep brain stimulation (STN DBS) in this respect are less clear.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">While standing on a force platform and in the absence of antiparkinsonian medication, 10 patients performed voluntary, unilateral arm movements before surgery (the 'off stim' condition) and then afterwards (the 'on stim' condition). The patients' PAs were monitored by vertical torque (Tz) and compared with those recorded in control subjects.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients with STN DBS and control subjects showed similar values for PA amplitude, duration and latency.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">STN stimulation may induce better postural control during the movement preparation and execution phases. Our results argue in favour of a positive effect of STN DBS on PA.</AbstractText>
<AbstractText Label="SIGNIFICANCE" NlmCategory="CONCLUSIONS">The PA amplitude (provided by Tz) may be a strong marker reflecting the clinical improvement seen in stimulated PD patients.</AbstractText>
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