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Subthalamic stimulation improves motor function but not home and neighborhood mobility
Author(s) -
Daneault JeanFrançois,
Duval Christian,
BarbatArtigas Sébastien,
AubertinLeheudre Mylène,
Jodoin Nicolas,
Panisset Michel,
Sadikot Abbas F.
Publication year - 2014
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.25911
Subject(s) - deep brain stimulation , quality of life (healthcare) , physical medicine and rehabilitation , parkinson's disease , subthalamic nucleus , motor function , medicine , psychology , rating scale , physical therapy , disease , developmental psychology , nursing
Objective Subthalamic (STN) deep brain stimulation (DBS) is a recognized therapy for alleviating motor symptoms of Parkinson's disease (PD). However, little is known about its impact on mobility, an important component of quality of life (QoL). To address this issue, we assessed the impact of STN DBS on life‐space mobility and QoL. Methods Twenty surgical patients with PD were assessed using mobility and QoL scales and the United Parkinson's disease rating scale, and results were compared before surgery and 6 to 9 months postoperatively. Results STN DBS significantly improved motor dysfunction but had a limited impact on measures of life‐space mobility and QoL. Interpretation STN DBS improves motor function and some components of QoL. However, motor recovery does not translate into improved life‐space in the intermediate term. In addition to a focus on motor function, multidisciplinary attention to increasing mobility may further improve QoL in the intermediate and long‐term. © 2014 International Parkinson and Movement Disorder Society