Stimulation of the Subthalamic Nucleus for the Treatment of Parkinsonʼs Disease: Postoperative Management, Programming and Rehabilitation

Stewart, R. Malcolm; Desaloms, J. Michael; Sanghera, Manjit K.

doi:10.1097/01376517-200504000-00009

Cited by 8 publications

(3 citation statements)

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“…41 Programming was performed by the neurophysiologist, neurosurgeon, and neurologist who were involved in the procedure and took place over a series of 2 to 3 office visits. Programming began after overnight withdrawal of anti-parkinson medications.…”

Section: Surgical Procedures and Stimulator Programmingmentioning

confidence: 99%

Gait Changes in Response to Subthalamic Nucleus Stimulation in People with Parkinson Disease

Kelly

Samii

Slimp

et al. 2006

Journal of Neurologic Physical Therapy

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The ability to detect changes in gait after STN stimulation using the UPDRS gait item was limited, but variable effects were detected by self-report, TUG time, and gait velocity. For half of the individuals studied, bilateral stimulation improved these measures, but gait worsened for the remaining individuals. Future research is needed to better understand factors that influence the effect of STN stimulation on walking, and assessment of gait changes in people with PD should include self-report and performance-based measures, such as the TUG test or gait velocity.

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Section: Surgical Procedures and Stimulator Programmingmentioning

confidence: 99%

Gait Changes in Response to Subthalamic Nucleus Stimulation in People with Parkinson Disease

Kelly

Samii

Slimp

et al. 2006

Journal of Neurologic Physical Therapy

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“…For example, deep brain stimulation (DBS) is being used to treat a variety of disabling neurological symptoms, most commonly the debilitating symptoms of Parkinson's disease (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems [for a review, see (255,256)]. Deep brain stimulation uses a surgically implanted, neurostimulator approximately the size of a stopwatch.…”

Section: Therapeutic Effects Of Electrical Stimulationmentioning

confidence: 99%

Functional Electrical Stimulation

Venkatasubramanian

Jung

Sweeney

2006

Encyclopedia of Medical Devices and Instrumentation

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Functional electrical stimulation (FES) is a rehabilitative technique where low level electrical voltages and currents are applied to an individual in order to improve or restore function lost to injury or disease. In its broadest definition, FES includes electrical stimulation technologies that, for example, are aimed at restoration of a sense of hearing for the deaf, vision for the blind, or suppression of seizures in epilepsy or tremors for people with Parkinson's disease. Most FES devices and systems are known then as “neuroprostheses” because through electrical stimulation they artificially modulate the excitability of neural tissue in order to restore function. While sometimes used synonymously with FES, the term functional neuromuscular stimulation (FNS) is most commonly used to describe only those FES technologies that are applied to the neuromuscular system in order to improve quality of life for people disabled by stroke, spinal cord injury, or other neurological conditions that result in impaired motor function (e.g., the abilities to move or breathe). Another technology closely related to FES is that of therapeutic electrical stimulation (TES), wherein electrical stimulation is applied to provide healing or recovery of tissues (e.g., muscle conditioning and strengthening, wound healing). As will be seen, some FES and FNS technologies concurrently provide or rely upon such therapeutic effects in order to successfully restore lost function. For illustrative purposes, much of this article is centered on FNS and related TES devices and technologies.

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“…11 The American Academy of Neurology Workforce Task Force in 2013 proposed that one strategy of helping to ensure access to neurologic services is to utilize supervised nurse practitioners or physician assistants. 12 These types of providers have been used successfully in stroke and telestroke, 13 Parkinson disease, 14 and headache management. 15 There are no published examples of utilizing a physician-nurse practitioner/physician assistant team to improve outpatient general neurology access.…”

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confidence: 99%

An option for improving access to outpatient general neurology

Ross

2014

Neur Clin Pract

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Creating a team of nurse practitioner/physician assistant providers with a supervising physician is one potential model to extend limited physician resources for those medical specialties such as neurology, whose outpatient access is suboptimal. We offered new patient appointments with the access team. Monthly lead time (time to third available appointment) revealed that overall new-patient access improved from an average time-to-appointment wait of 299 days down to 10 days. Patients completed an anonymous satisfaction survey about providers before and after the launch of the new access team; the results demonstrated preserved patient satisfaction with providers in this new team-based model.

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Stimulation of the Subthalamic Nucleus for the Treatment of Parkinsonʼs Disease: Postoperative Management, Programming and Rehabilitation

Cited by 8 publications

References 0 publications

Gait Changes in Response to Subthalamic Nucleus Stimulation in People with Parkinson Disease

Gait Changes in Response to Subthalamic Nucleus Stimulation in People with Parkinson Disease

Functional Electrical Stimulation

An option for improving access to outpatient general neurology

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