Journal Article

FZJ-2024-06254

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Video-Guided Optimization of Stimulation Settings in Patients with Parkinson’s Disease and Deep Brain Stimulation

Jergas, H. (First author) ; Steffen, J. K. ; Schedlich-Teufer, C. ; Strelow, J. N. ; Kramme, J. ; Fink, G. R.FZJ* ; Visser-Vandewalle, V. ; Barbe, M. T. (Corresponding author) ; Wirths, J.

2024
MDPI AG Basel

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Please use a persistent id in citations: doi:10.3390/brainsci14090914  doi:10.34734/FZJ-2024-06254

Abstract: Deep brain stimulation (DBS) for Parkinson's disease (PD) often necessitates frequent clinic visits for stimulation program optimization, with limited experience in remote patient management. Due to the resource-intensive nature of these procedures, we investigated a way to simplify stimulation optimization for these patients that allows for the continuous monitoring of symptoms while also reducing patient burden and travel distances. To this end, we prospectively recruited ten patients treated with DBS for PD to evaluate the feasibility of telemedicinal optimization in a home-based setting. Patients recorded daily videos of a modified Unified Parkinson's Disease Rating Scale (UPDRS) III, which experienced DBS physicians located at the clinic assessed to provide instructions on adjusting stimulation settings using a handheld programmer with previously set programs as well as patient amplitude control. This study concluded with significant improvements in participants' motor status as measured by the UPDRS-III (p = 0.0313) compared to baseline values. These findings suggest that remote video-guided optimization of DBS settings is feasible and may enhance motor outcomes for patients.Keywords: home-based treatment; remote treatment; telemedicine.

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Contributing Institute(s):

1. Kognitive Neurowissenschaften (INM-3)

Research Program(s):

1. 5251 - Multilevel Brain Organization and Variability (POF4-525) (POF4-525)

Appears in the scientific report 2024

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