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Adaptive deep brain stimulation in Parkinson's disease - PubMed

5 hours ago
  • #Parkinson's disease
  • #neuromodulation
  • #deep brain stimulation
  • Adaptive deep brain stimulation (aDBS) modulates stimulation amplitude in real-time based on subthalamic beta activity (13-30 Hz).
  • aDBS shows potential benefits over conventional DBS in motor improvement, side-effect reduction, and energy efficiency.
  • Technical developments include sensing-enabled devices, stimulation algorithms, and new clinical indications.
  • Limitations include physiomarker variability, signal artifacts, and lack of standardized programming protocols.
  • aDBS represents a shift towards physiomarker-guided neuromodulation, requiring new infrastructure, training, and real-world studies.
  • The approach promises more personalized and responsive treatment for Parkinson's disease.