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@ARTICLE{Jergas:1032448,
      author       = {Jergas, Hannah and Steffen, Julia K. and Schedlich-Teufer,
                      Charlotte and Strelow, Joshua N. and Kramme, Johanna and
                      Fink, Gereon R. and Visser-Vandewalle, Veerle and Barbe,
                      Michael T. and Wirths, Jochen},
      title        = {{V}ideo-{G}uided {O}ptimization of {S}timulation {S}ettings
                      in {P}atients with {P}arkinson’s {D}isease and {D}eep
                      {B}rain {S}timulation},
      journal      = {Brain Sciences},
      volume       = {14},
      number       = {9},
      issn         = {2076-3425},
      address      = {Basel},
      publisher    = {MDPI AG},
      reportid     = {FZJ-2024-06254},
      pages        = {914 -},
      year         = {2024},
      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.},
      cin          = {INM-3},
      ddc          = {570},
      cid          = {I:(DE-Juel1)INM-3-20090406},
      pnm          = {5251 - Multilevel Brain Organization and Variability
                      (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5251},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {39335409},
      UT           = {WOS:001323876100001},
      doi          = {10.3390/brainsci14090914},
      url          = {https://juser.fz-juelich.de/record/1032448},
}