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Related Experiment Video

Updated: Aug 11, 2025

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
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Does subthalamic nucleus deep brain stimulation affect the static balance at different frequencies?

Fatma Oz1, Bircan Yucekeya2, Irem Huzmeli2

  • 1Department of Anatomy, Faculty of Medical Science, Hatay Mustafa Kemal University, Hatay, Turkey.

Neurocirugia (English Edition)
|February 8, 2023
PubMed
Summary

Bilateral subthalamic nucleus deep brain stimulation (STN-DBS) did not negatively impact static balance in Parkinson

Keywords:
Enfermedad de ParkinsonEquilibrio estáticoEstimulación cerebral profunda del núcleo subtalámicoFrecuencia de estimulaciónParkinson's diseaseStatic balanceStimulation frequencySubthalamic nucleus deep brain stimulation

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Area of Science:

  • Neuroscience
  • Neurology
  • Rehabilitation Medicine

Background:

  • Idiopathic Parkinson's disease (PD) affects motor control, including balance.
  • Deep brain stimulation (DBS) is a therapeutic option for PD, targeting the subthalamic nucleus (STN).
  • The impact of varying STN-DBS frequencies on static balance requires further investigation.

Purpose of the Study:

  • To evaluate the effects of bilateral STN-DBS at different frequencies on static balance in PD patients.
  • To determine if specific stimulation frequencies enhance or impair postural stability.
  • To analyze the quantitative measures of center of pressure during static balance tests.

Main Methods:

  • Twenty idiopathic PD patients who underwent STN-DBS were included.
  • Static balance was assessed using the TecnoBody Rehabilitation System at 230, 130, 90, 60 Hz, and off-stimulation.
  • Tests included stabilometric assessments with eyes open/closed and single-leg stances, measuring center of pressure parameters.

Main Results:

  • No statistically significant differences in static balance tests were observed across frequencies (p>0.05).
  • A trend towards better balance was noted at 90 Hz.
  • A significant difference in forward-backward sway was found between off-stimulation and 130 Hz (p=0.04).

Conclusions:

  • Bilateral STN-DBS does not adversely affect static balance in Parkinson's disease patients.
  • Low-frequency (90 Hz) STN-DBS may offer benefits for static equilibrium.
  • Posturography systems are valuable for precise, quantitative balance assessments in DBS studies.