Could deep brain stimulation help with driving for patients with Parkinson's?

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Could deep brain stimulation help with driving for patients with Parkinson's? / Buhmann, Carsten; Gerloff, Christian.

in: EXPERT REV MED DEVIC, Jahrgang 11, Nr. 5, 2014, S. 427-429.

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@article{44ff864294db432dae9b3972eec1e4d8,
title = "Could deep brain stimulation help with driving for patients with Parkinson's?",
abstract = "For mobility impaired people with Parkinson's disease (PD), driving a car is important to maintain independency. But driving ability is getting worse with disease progression. Meanwhile surgical treatment with deep brain stimulation (DBS) of the subthalamic nucleus is done routinely in advanced PD, but it is unknown how DBS might affect driving. In a driving simulator setting, we found PD patients undergone DBS surgery to drive safer than even less clinically affected PD patients treated with medication alone. Furthermore, patients with DBS surgery drove better under stimulation than under medication. In conclusion, DBS of the subthalamic nucleus appears to be beneficial for driving in PD patients, potentially due to non-motor effects on controlling the vehicle in the simulator setting. Nevertheless, results of this first pilot study on driving in PD patients with DBS should not encourage patients or physicians to consider DBS only to improve or regain driving competence.",
author = "Carsten Buhmann and Christian Gerloff",
note = "Editorial Material",
year = "2014",
doi = "10.1586/17434440.2014.929495",
language = "English",
volume = "11",
pages = "427--429",
journal = "EXPERT REV MED DEVIC",
issn = "1743-4440",
publisher = "Expert Reviews Ltd.",
number = "5",

}

RIS

TY - JOUR

T1 - Could deep brain stimulation help with driving for patients with Parkinson's?

AU - Buhmann, Carsten

AU - Gerloff, Christian

N1 - Editorial Material

PY - 2014

Y1 - 2014

N2 - For mobility impaired people with Parkinson's disease (PD), driving a car is important to maintain independency. But driving ability is getting worse with disease progression. Meanwhile surgical treatment with deep brain stimulation (DBS) of the subthalamic nucleus is done routinely in advanced PD, but it is unknown how DBS might affect driving. In a driving simulator setting, we found PD patients undergone DBS surgery to drive safer than even less clinically affected PD patients treated with medication alone. Furthermore, patients with DBS surgery drove better under stimulation than under medication. In conclusion, DBS of the subthalamic nucleus appears to be beneficial for driving in PD patients, potentially due to non-motor effects on controlling the vehicle in the simulator setting. Nevertheless, results of this first pilot study on driving in PD patients with DBS should not encourage patients or physicians to consider DBS only to improve or regain driving competence.

AB - For mobility impaired people with Parkinson's disease (PD), driving a car is important to maintain independency. But driving ability is getting worse with disease progression. Meanwhile surgical treatment with deep brain stimulation (DBS) of the subthalamic nucleus is done routinely in advanced PD, but it is unknown how DBS might affect driving. In a driving simulator setting, we found PD patients undergone DBS surgery to drive safer than even less clinically affected PD patients treated with medication alone. Furthermore, patients with DBS surgery drove better under stimulation than under medication. In conclusion, DBS of the subthalamic nucleus appears to be beneficial for driving in PD patients, potentially due to non-motor effects on controlling the vehicle in the simulator setting. Nevertheless, results of this first pilot study on driving in PD patients with DBS should not encourage patients or physicians to consider DBS only to improve or regain driving competence.

U2 - 10.1586/17434440.2014.929495

DO - 10.1586/17434440.2014.929495

M3 - Other (editorial matter etc.)

C2 - 24930934

VL - 11

SP - 427

EP - 429

JO - EXPERT REV MED DEVIC

JF - EXPERT REV MED DEVIC

SN - 1743-4440

IS - 5

ER -