DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease
Deep brain stimulation (DBS) surgery is a well-established therapy for control of motor symptoms in Parkinson’s disease. Despite an appropriate targeting and an accurate placement of DBS lead, a thorough and efficient programming is critical for a successful clinical outcome. DBS programming is a ti...
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Online Access: | http://dx.doi.org/10.1155/2017/8492619 |
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doaj-1435729144a34a6aa8a9f7475fecda062020-11-24T22:21:06ZengHindawi LimitedParkinson's Disease2090-80832042-00802017-01-01201710.1155/2017/84926198492619DBS Programming: An Evolving Approach for Patients with Parkinson’s DiseaseAparna Wagle Shukla0Pam Zeilman1Hubert Fernandez2Jawad A. Bajwa3Raja Mehanna4Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville, FL, USACenter for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville, FL, USACenter for Neurological Restoration, Cleveland Clinic, Cleveland, OH, USAParkinson’s Disease, Movement Disorders and Neurorestoration Program, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi ArabiaUniversity of Texas Health Science Center, McGovern Medical School, Houston, TX, USADeep brain stimulation (DBS) surgery is a well-established therapy for control of motor symptoms in Parkinson’s disease. Despite an appropriate targeting and an accurate placement of DBS lead, a thorough and efficient programming is critical for a successful clinical outcome. DBS programming is a time consuming and laborious manual process. The current approach involves use of general guidelines involving determination of the lead type, electrode configuration, impedance check, and battery check. However there are no validated and well-established programming protocols. In this review, we will discuss the current practice and the recent advances in DBS programming including the use of interleaving, fractionated current, directional steering of current, and the use of novel DBS pulses. These technological improvements are focused on achieving a more efficient control of clinical symptoms with the least possible side effects. Other promising advances include the introduction of computer guided programming which will likely impact the efficiency of programming for the clinicians and the possibility of remote Internet based programming which will improve access to DBS care for the patients.http://dx.doi.org/10.1155/2017/8492619 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aparna Wagle Shukla Pam Zeilman Hubert Fernandez Jawad A. Bajwa Raja Mehanna |
spellingShingle |
Aparna Wagle Shukla Pam Zeilman Hubert Fernandez Jawad A. Bajwa Raja Mehanna DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease Parkinson's Disease |
author_facet |
Aparna Wagle Shukla Pam Zeilman Hubert Fernandez Jawad A. Bajwa Raja Mehanna |
author_sort |
Aparna Wagle Shukla |
title |
DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease |
title_short |
DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease |
title_full |
DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease |
title_fullStr |
DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease |
title_full_unstemmed |
DBS Programming: An Evolving Approach for Patients with Parkinson’s Disease |
title_sort |
dbs programming: an evolving approach for patients with parkinson’s disease |
publisher |
Hindawi Limited |
series |
Parkinson's Disease |
issn |
2090-8083 2042-0080 |
publishDate |
2017-01-01 |
description |
Deep brain stimulation (DBS) surgery is a well-established therapy for control of motor symptoms in Parkinson’s disease. Despite an appropriate targeting and an accurate placement of DBS lead, a thorough and efficient programming is critical for a successful clinical outcome. DBS programming is a time consuming and laborious manual process. The current approach involves use of general guidelines involving determination of the lead type, electrode configuration, impedance check, and battery check. However there are no validated and well-established programming protocols. In this review, we will discuss the current practice and the recent advances in DBS programming including the use of interleaving, fractionated current, directional steering of current, and the use of novel DBS pulses. These technological improvements are focused on achieving a more efficient control of clinical symptoms with the least possible side effects. Other promising advances include the introduction of computer guided programming which will likely impact the efficiency of programming for the clinicians and the possibility of remote Internet based programming which will improve access to DBS care for the patients. |
url |
http://dx.doi.org/10.1155/2017/8492619 |
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