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Reengineering deep brain stimulation for movement disorders: Emerging technologies.

Aysegul Gunduz1,2, Kelly D Foote2,3, Michael S Okun2,4

  • 1J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL, USA.

Current Opinion in Biomedical Engineering
|February 17, 2018
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Deep brain stimulation (DBS) offers a promising treatment for movement disorders. Engineering innovations in DBS technology, including novel patterns and closed-loop systems, aim to enhance clinical outcomes and accessibility.

Keywords:
DBSDeep brain stimulationMovement disordersNeuromodulationNeurostimulator

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Area of Science:

  • Neurosurgery
  • Biomedical Engineering

Background:

  • Deep brain stimulation (DBS) is a key therapy for drug-resistant movement disorders.
  • Successful DBS relies on surgical precision, device technology, and expert programming.
  • Current programming requires extensive clinician time and patient visits.

Purpose of the Study:

  • To review engineering advancements enhancing DBS clinical implementation.
  • To explore innovations improving DBS therapeutic benefits and accessibility.

Main Methods:

  • Review of novel temporal stimulation patterns.
  • Analysis of innovative electrode designs for DBS.
  • Exploration of computational modeling for stimulation guidance.
  • Investigation of closed-loop DBS systems.
  • Assessment of remote programming technologies.

Main Results:

  • Engineering approaches can optimize DBS parameter settings.
  • Novel temporal patterns and electrode designs offer improved efficacy.
  • Computational models and closed-loop systems promise personalized stimulation.
  • Remote programming can increase accessibility and efficiency.

Conclusions:

  • Engineering innovations are crucial for advancing DBS therapy.
  • Optimized DBS technologies can improve patient outcomes and broaden treatment reach.
  • Future DBS development should focus on intelligent and adaptive systems.