Title

Deep Brain Stimulation Amplitude Alters Posture Shift Velocity in Parkinson's Disease

Department

neurology

Document Type

Article

Abstract

Deep brain stimulation (DBS) of the subtha-lamic nucleus (STN) is now widely used to alleviate symptoms of Parkinson's disease (PD). The specific aim of this study was to identify posture control measures that may be used to improve selection of DBS parameters in the clinic and this was carried out by changing the DBS stimulation amplitude. A dynamic posture shift paradigm was used to assess posture control in 4 PD STN-DBS subjects. Each subject was tested at 4 stimulation amplitude settings. Movements of the center of pressure and the position of the pelvis were monitored and several quantitative indices were calculated. The presence of any statistically significant changes in several normalized indices due to reduced/no stimulation was tested using the one-sample t test. The peak velocity and the average movement velocity during the initial and mid phases of movement towards the target posture were substantially reduced. These results may be explained in terms of increased akinesia and bradykinesia due to altered stimulation conditions. Thus, the dynamic posture shift paradigm may be an effective tool to quantitatively characterize the effects of DBS on posture control and should be further investigated as a tool for selection of DBS parameters in the clinic. © Springer Science+Business Media B.V. 2011.

Medical Subject Headings

neurology

Publication Date

2012

Publication Title

Cognitive Neurodynamics

ISSN

18714080

Volume

6

Issue

4

First Page

325

Last Page

332

Digital Object Identifier (DOI)

10.1007/s11571-012-9201-5

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