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Could adaptive deep brain stimulation treat freezing of gait in Parkinson's disease?

作者信息

Klocke Philipp, Loeffler Moritz A, Lewis Simon J G, Gharabaghi Alireza, Weiss Daniel

机构信息

Centre for Neurology, Department of Neurodegenerative Diseases, and Hertie Institute for Clinical Brain Research, University of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Parkinson's Disease Research Clinic, Macquarie Medical School, Macquarie University, 75 Talavera Road, Sydney, NSW, Australia.

出版信息

J Neurol. 2025 Mar 12;272(4):267. doi: 10.1007/s00415-025-13000-8.


DOI:10.1007/s00415-025-13000-8
PMID:40072634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11903562/
Abstract

Next-generation neurostimulators capable of running closed-loop adaptive deep brain stimulation (aDBS) are about to enter the clinical landscape for the treatment of Parkinson's disease. Already promising results using aDBS have been achieved for symptoms such as bradykinesia, rigidity and motor fluctuations. However, the heterogeneity of freezing of gait (FoG) with its wide range of clinical presentations and its exacerbation with cognitive and emotional load make it more difficult to predict and treat. Currently, a successful aDBS strategy to ameliorate FoG lacks a robust oscillatory biomarker. Furthermore, the technical implementation of suppressing an upcoming FoG episode in real-time represents a significant technical challenge. This review describes the neurophysiological signals underpinning FoG and explains how aDBS is currently being implemented. Furthermore, we offer a discussion addressing both theoretical and practical areas that will need to be resolved if we are going to be able to unlock the full potential of aDBS to treat FoG.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c052/11903562/9974e6742265/415_2025_13000_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c052/11903562/9974e6742265/415_2025_13000_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c052/11903562/9974e6742265/415_2025_13000_Fig1_HTML.jpg

相似文献

[1]
Could adaptive deep brain stimulation treat freezing of gait in Parkinson's disease?

J Neurol. 2025-3-12

[2]
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J Parkinsons Dis. 2024-11

[3]
Long-term effect of subthalamic nucleus deep brain stimulation on freezing of gait in Parkinson's disease.

J Neurosurg. 2019-1-11

[4]
Effects of deep brain stimulation of the subthalamic nucleus on freezing of gait in Parkinson's disease: a prospective controlled study.

J Neurol Neurosurg Psychiatry. 2014-1-6

[5]
Clinical and anatomical predictors for freezing of gait and falls after subthalamic deep brain stimulation in Parkinson's disease patients.

Parkinsonism Relat Disord. 2019-1-24

[6]
Deep brain stimulation effect on freezing of gait.

Mov Disord. 2008

[7]
Freezing of gait in Parkinson's disease: pathophysiology, risk factors and treatments.

Transl Neurodegener. 2020

[8]
Deep Brain Stimulation Modulates the Visual Pathway to Improve Freezing of Gait in Parkinson's Disease Patients.

World Neurosurg. 2024-7

[9]
Subthalamic neural entropy is a feature of freezing of gait in freely moving people with Parkinson's disease.

Neurobiol Dis. 2017-9-7

[10]
[Freezing of gait : phenomenology, pathophysiology, and therapeutic approaches].

Nervenarzt. 2009-6

引用本文的文献

[1]
The experience and perception of wearable devices in Parkinson's disease patients: a systematic review and meta-synthesis of qualitative studies.

J Neurol. 2025-4-19

本文引用的文献

[1]
Continuous multimodal data supply chain and expandable clinical decision support for oncology.

NPJ Digit Med. 2025-2-27

[2]
N2GNet tracks gait performance from subthalamic neural signals in Parkinson's disease.

NPJ Digit Med. 2025-1-4

[3]
Beta-gamma phase-amplitude coupling of scalp electroencephalography during walking preparation in Parkinson's disease differs depending on the freezing of gait.

Front Hum Neurosci. 2024-11-13

[4]
Supraspinal contributions to defective antagonistic inhibition and freezing of gait in Parkinson's disease.

Brain. 2024-12-3

[5]
Sensing data and methodology from the Adaptive DBS Algorithm for Personalized Therapy in Parkinson's Disease (ADAPT-PD) clinical trial.

NPJ Parkinsons Dis. 2024-9-17

[6]
Lateral Thinking: Pathway Specific Neurodegeneration of the Cortical Cholinergic System in Alzheimer's Disease.

medRxiv. 2024-7-16

[7]
Subthalamic control of impulsive actions: insights from deep brain stimulation in Parkinson's disease.

Brain. 2024-11-4

[8]
A machine learning contest enhances automated freezing of gait detection and reveals time-of-day effects.

Nat Commun. 2024-6-6

[9]
Modulation of subthalamic beta oscillations by movement, dopamine, and deep brain stimulation in Parkinson's disease.

NPJ Parkinsons Dis. 2024-4-5

[10]
Machine learning for adaptive deep brain stimulation in Parkinson's disease: closing the loop.

J Neurol. 2023-11

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