Gait-related beta-gamma phase amplitude coupling in the subthalamic nucleus of parkinsonian patients DOI Creative Commons
AmirAli Farokhniaee, Chiara Palmisano, Jasmin Del Vecchio Del Vecchio

и другие.

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Март 20, 2024

Abstract Analysis of coupling between the phases and amplitudes neural oscillations has gained increasing attention as an important mechanism for large-scale brain network dynamics. In Parkinson’s disease (PD), preliminary evidence indicates abnormal beta-phase to gamma-amplitude in different areas, including subthalamic nucleus (STN). We analyzed bilateral STN local field potentials (LFPs) eight subjects with PD chronically implanted deep stimulation electrodes during upright quiet standing unperturbed walking. Phase-amplitude (PAC) was computed using Kullback-Liebler method, based on modulation index. Neurophysiological recordings were correlated clinical kinematic measurements individual molecular imaging studies ([ 123 I]FP-CIT single-photon emission tomography). showed a dopamine-related increase beta-gamma PAC from Patients poor low walking spent significantly more time stance double support phase gait cycle. Our results provide new insights into contribution human suggest cross-frequency gateway convey patient-specific information motor control locomotion.

Язык: Английский

Mobile cognition: imaging the human brain in the ‘real world’ DOI
Matthias Stangl, Sabrina L. Maoz, Nanthia Suthana

и другие.

Nature reviews. Neuroscience, Год журнала: 2023, Номер 24(6), С. 347 - 362

Опубликована: Апрель 12, 2023

Язык: Английский

Процитировано

101

Insights and opportunities for deep brain stimulation as a brain circuit intervention DOI Creative Commons
Wolf‐Julian Neumann, Andreas Horn, Andrea A. Kühn

и другие.

Trends in Neurosciences, Год журнала: 2023, Номер 46(6), С. 472 - 487

Опубликована: Апрель 25, 2023

Deep brain stimulation (DBS) is an effective treatment and has provided unique insights into the dynamic circuit architecture of disorders. This Review illustrates our current understanding pathophysiology movement disorders their underlying circuits that are modulated with DBS. It proposes principles pathological network synchronization patterns like beta activity (13–35 Hz) in Parkinson's disease. We describe alterations from microscale including local synaptic via modulation mesoscale hypersynchronization to changes whole-brain macroscale connectivity. Finally, outlook on advances for clinical innovations next-generation neurotechnology provided: preoperative connectomic targeting feedback controlled closed-loop adaptive DBS as individualized network-specific interventions.

Язык: Английский

Процитировано

49

A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease DOI
Tomislav Milekovic, Eduardo Martin Moraud, Nicolo Macellari

и другие.

Nature Medicine, Год журнала: 2023, Номер 29(11), С. 2854 - 2865

Опубликована: Ноя. 1, 2023

Язык: Английский

Процитировано

48

Cross-Frequency Coupling and Intelligent Neuromodulation DOI Creative Commons
Chien-Hung Yeh, Zhang Chu-ting, Wenbin Shi

и другие.

Cyborg and Bionic Systems, Год журнала: 2023, Номер 4

Опубликована: Янв. 1, 2023

Cross-frequency coupling (CFC) reflects (nonlinear) interactions between signals of different frequencies. Evidence from both patient and healthy participant studies suggests that CFC plays an essential role in neuronal computation, interregional interaction, disease pathophysiology. The present review discusses methodological advances challenges the computation with particular emphasis on potential solutions to spurious coupling, inferring intrinsic rhythms a targeted frequency band, causal interferences. We specifically focus literature exploring context cognition/memory tasks, sleep, neurological disorders, such as Alzheimer's disease, epilepsy, Parkinson's disease. Furthermore, we highlight implication for optimization invasive noninvasive neuromodulation rehabilitation. Mainly, could support advancing understanding neurophysiology cognition motor control, serve biomarker symptoms, leverage therapeutic interventions, e.g., closed-loop brain stimulation. Despite evident advantages investigative translational tool neuroscience, further improvements are required facilitate practical correct use cyborg bionic systems field.

Язык: Английский

Процитировано

47

N2GNet tracks gait performance from subthalamic neural signals in Parkinson’s disease DOI Creative Commons
Jin Woo Choi, Chuyi Cui, Kevin B. Wilkins

и другие.

npj Digital Medicine, Год журнала: 2025, Номер 8(1)

Опубликована: Янв. 4, 2025

Abstract Adaptive deep brain stimulation (DBS) provides individualized therapy for people with Parkinson’s disease (PWP) by adjusting the in real-time using neural signals that reflect their motor state. Current algorithms, however, utilize condensed and manually selected features which may result a less robust biased therapy. In this study, we propose Neural-to-Gait Neural network (N2GNet), novel learning-based regression model capable of tracking gait performance from subthalamic nucleus local field potentials (STN LFPs). The LFP data were acquired when eighteen PWP performed stepping place, ground reaction forces measured to track weight shifts representing performance. By exhibiting stronger correlation compared higher-correlation beta power two leads outperforming other evaluated designs, N2GNet effectively leverages comprehensive frequency band, not limited range, solely STN LFPs.

Язык: Английский

Процитировано

2

Electrocorticography is superior to subthalamic local field potentials for movement decoding in Parkinson’s disease DOI Creative Commons
Timon Merk, Victoria Peterson, Witold Lipski

и другие.

eLife, Год журнала: 2022, Номер 11

Опубликована: Май 27, 2022

Brain signal decoding promises significant advances in the development of clinical brain computer interfaces (BCI). In Parkinson’s disease (PD), first bidirectional BCI implants for adaptive deep stimulation (DBS) are now available. can extend utility DBS but impact neural source, computational methods and PD pathophysiology on performance unknown. This represents an unmet need future neurotechnology. To address this, we developed invasive brain-signal approach based intraoperative sensorimotor electrocorticography (ECoG) subthalamic LFP to predict grip-force, a representative movement application, 11 patients undergoing DBS. We demonstrate that ECoG is superior accurate grip-force decoding. Gradient boosted decision trees (XGBOOST) outperformed other model architectures. negatively correlated with motor impairment, which could be attributed beta bursts preparation period. highlights capacity encode vigor. Finally, connectomic analysis individual channels across by using their fingerprints. Our study provides neurophysiological framework aid individualized precision-medicine intelligent

Язык: Английский

Процитировано

52

Biomaterials for neuroengineering: Applications and challenges DOI Creative Commons

Huanghui Wu,

E.J. Feng,

Huazong Yin

и другие.

Regenerative Biomaterials, Год журнала: 2025, Номер 12

Опубликована: Янв. 1, 2025

Abstract Neurological injuries and diseases are a leading cause of disability worldwide, underscoring the urgent need for effective therapies. Neural regaining enhancement therapies seen as most promising strategies restoring neural function, offering hope individuals affected by these conditions. Despite their promise, path from animal research to clinical application is fraught with challenges. Neuroengineering, particularly through use biomaterials, has emerged key field that paving way innovative solutions It seeks understand treat neurological disorders, unravel nature consciousness, explore mechanisms memory brain’s relationship behavior, tissue engineering, interfaces targeted drug delivery systems. These including both natural synthetic types, designed replicate cellular environment brain, thereby facilitating repair. This review aims provide comprehensive overview biomaterials in neuroengineering, highlighting functional across basic practice. covers recent developments biomaterial-based products, 2D 3D bioprinted scaffolds cell organoid culture, brain-on-a-chip systems, biomimetic electrodes brain–computer interfaces. also explores artificial synapses networks, discussing applications modeling microenvironments repair regeneration, modulation manipulation integration traditional Chinese medicine. serves guide role advancing neuroengineering solutions, providing insights into ongoing efforts bridge gap between innovation application.

Язык: Английский

Процитировано

1

Could adaptive deep brain stimulation treat freezing of gait in Parkinson’s disease? DOI Creative Commons
Philipp Klocke, M. Loeffler, Simon J.G. Lewis

и другие.

Journal of Neurology, Год журнала: 2025, Номер 272(4)

Опубликована: Март 12, 2025

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

Язык: Английский

Процитировано

1

Exercise and gait/movement analyses in treatment and diagnosis of Parkinson’s Disease DOI Creative Commons
Johannes Burtscher, Eduardo Martin Moraud, Davide Malatesta

и другие.

Ageing Research Reviews, Год журнала: 2023, Номер 93, С. 102147 - 102147

Опубликована: Ноя. 28, 2023

Cardinal motor symptoms in Parkinson's disease (PD) include bradykinesia, rest tremor and/or rigidity. This symptomatology can additionally encompass abnormal gait, balance and postural patterns at advanced stages of the disease. Besides pharmacological surgical therapies, physical exercise represents an important strategy for management these impairments. Traditionally, diagnosis classification such abnormalities have relied on partially subjective evaluations performed by neurologists during short temporally scattered hospital appointments. Emerging sports medical methods, including wearable sensor-based movement assessment computational-statistical analysis, are paving way more objective systematic diagnoses everyday life conditions. These approaches hold promise to facilitate customizing clinical trials specific PD groups, as well personalizing neuromodulation therapies prescriptions each individual, remotely regularly, according progression or symptoms. We aim summarize benefits with a emphasis gait deficits, provide overview recent advances analysis approaches, notably from science community, value prognosis. Although techniques becoming increasingly available, their standardization optimization purposes is critically missing, especially translation complex neurodegenerative disorders PD. highlight importance integrating state-of-the-art combination other motor, electrophysiological neural biomarkers, improve understanding diversity phenotypes, response dynamics progression.

Язык: Английский

Процитировано

16

Left Vagus Stimulation Modulates Contralateral Subthalamic β Power Improving the Gait in Parkinson's Disease DOI Creative Commons
Massimo Marano,

Gaia Anzini,

Luca Saltarocchi

и другие.

Movement Disorders, Год журнала: 2023, Номер 39(2), С. 424 - 428

Опубликована: Дек. 18, 2023

Abstract Background Transcutaneous vagus nerve stimulation (VNS) showed early evidence of efficacy for the gait treatment Parkinson's disease (PD). Objectives Providing data on neurophysiological and clinical effects transauricular VNS (taVNS). Methods Ten patients with recording deep brain (DBS) have been enrolled in a within participant design pilot study, double‐blind crossover sham‐controlled trial taVNS. Subthalamic local field potentials (β band power), Unified Disease Rating Scales (UPDRS), digital timed‐up‐and‐go test (TUG) were measured compared real versus sham taVNS during medication‐off/DBS‐OFF condition. Results The left induced reduction total β power contralateral (ie, right) subthalamic nucleus an improvement TUG time, speed, variability. taVNS‐induced correlated speed. No major changes observed at UPDRS. Conclusions is promising strategy management PD gait, deserving prospective trials chronic neuromodulation. © 2023 Authors. Movement Disorders published by Wiley Periodicals LLC behalf International Parkinson Disorder Society.

Язык: Английский

Процитировано

12