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Patient-adjusted deep-brain stimulation programming is time saving in dystonia patients
Julien F Bally1,2, Mohamad Rohani3, Marta Ruiz-Lopez1,4
1Division of Neurology, Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, UHN, University of Toronto, 399 Bathurst St, 7McL412, Toronto, ON, M5T 2S8, Canada.
Journal of Neurology
|June 15, 2019
Summary
Advanced programming for deep-brain stimulation (DBS) in dystonia patients allows self-adjustment, proving effective and reducing hospital visits. This patient-centered approach optimizes DBS therapy efficiently.
Area of Science:
- Neurology
- Neurosurgery
- Biomedical Engineering
Background:
- Deep-brain stimulation (DBS) programming for dystonia is complex and time-consuming.
- Current methods require significant clinical resources and patient time.
Purpose of the Study:
- To evaluate the practicality, effectiveness, and time-saving potential of a patient self-adjustment programming paradigm for dystonia.
- To compare advanced mode (AM) programming with simple mode (SM) in dystonia patients.
Main Methods:
- Retrospective comparison of 102 dystonia patients undergoing DBS.
- Patients were allocated to either simple mode (SM) or advanced mode (AM) programming.
- Advanced mode allowed patients/caregivers to adjust stimulation parameters at home via a remote control.
Main Results:
- Both AM and SM programming resulted in similar clinical improvements in dystonia, assessed by BFM and TWSTRS scales.
- Optimization time was comparable between AM and SM groups (median 5.5 vs. 6.2 months).
- Advanced programming (AM) significantly reduced the number of required in-hospital visits (median 5 vs. 8 visits).
Conclusions:
- Patient self-adjustment programming (Advanced Mode) is feasible and practical for dystonia management.
- This approach significantly reduces consultation time and healthcare resource utilization.
- Advanced DBS programming offers an effective and efficient alternative for optimizing dystonia treatment.
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