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Impact of sub-thalamic nucleus deep brain stimulation on dual tasking gait in Parkinson’s disease

Overview of attention for article published in Journal of NeuroEngineering and Rehabilitation, April 2013
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  • Above-average Attention Score compared to outputs of the same age and source (54th percentile)

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Title
Impact of sub-thalamic nucleus deep brain stimulation on dual tasking gait in Parkinson’s disease
Published in
Journal of NeuroEngineering and Rehabilitation, April 2013
DOI 10.1186/1743-0003-10-38
Pubmed ID
Authors

Eliraz Seri-Fainshtat, Zvi Israel, Aner Weiss, Jeffrey M Hausdorff

Abstract

BACKGROUND: The beneficial effects of bilateral sub-thalamic nucleus deep brain stimulation on motor function and gait in advanced Parkinson's disease are established. Less is known about the effect of stimulation on cognitive function and the capacity to walk while dual tasking, an ability that has been related to fall risk. Everyday walking takes place in complex environments that often require multi-tasking. Hence, dual tasking gait performance reflects everyday ambulation as well as gait automaticity. The purpose of this study was to examine the impact of sub-thalamic nucleus deep brain stimulation on dual task walking in patients with advanced Parkinson's disease. METHODS: Gait was assessed using a performance-based test and by quantifying single-task and dual task walking conditions in 28 patients with advanced Parkinson's disease. These tests were conducted in 4 conditions: "off" medication, with the stimulator turned on and off, and "on" medication, with the stimulator turned on and off. A previously validated, computerized neuro-psychological battery assessed executive function, attention and memory "off" and "on" deep brain stimulation, after subjects took their anti-Parkinsonian medications. RESULTS: Stimulation improved motor function and the spatiotemporal parameters of gait (e.g., gait speed) during both single-task and dual task walking conditions. Attention improved, but executive function did not. The dual task effect on gait did not change in response to stimulation. For example, during serial 3 subtractions, gait speed was reduced by -0.20 +/- 0.14 while off DBS and off meds and by -0.22 +/- 0.14 m/sec when the DBS was turned on (p = 0.648). Similarly, on medication, serial 3 subtractions reduced gait speed by -0.20 +/- 0.16 m/sec off DBS and by -0.22 +/- 0.09 m/sec on DBS (p = 0.543). CONCLUSIONS: Bilateral sub-thalamic nucleus deep brain stimulation improves motor symptoms, certain features of gait and even some aspects of cognitive function. However, stimulation apparently fails to reduce the negative impact of a dual task on walking abilities. These findings provide new insight into the effects of deep brain stimulation on gait during cognitively challenging conditions and everyday walking.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Belgium 2 1%
China 1 <1%
Canada 1 <1%
Unknown 135 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 23 17%
Student > Master 17 12%
Student > Bachelor 15 11%
Student > Doctoral Student 10 7%
Researcher 10 7%
Other 21 15%
Unknown 43 31%
Readers by discipline Count As %
Medicine and Dentistry 25 18%
Psychology 17 12%
Neuroscience 15 11%
Nursing and Health Professions 8 6%
Engineering 8 6%
Other 17 12%
Unknown 49 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 April 2013.
All research outputs
#15,270,134
of 22,707,247 outputs
Outputs from Journal of NeuroEngineering and Rehabilitation
#832
of 1,278 outputs
Outputs of similar age
#123,153
of 197,213 outputs
Outputs of similar age from Journal of NeuroEngineering and Rehabilitation
#4
of 11 outputs
Altmetric has tracked 22,707,247 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,278 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 197,213 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.