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Updated: Jun 21, 2025

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Exploring the complexity of EEG patterns in Parkinson's disease
Lorenzo Nucci1, Francesca Miraglia2,3, Chiara Pappalettera1,4
1Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Roma, Rome, 00166, Italy.
Early Parkinson's disease (PD) detection may be possible using electroencephalography (EEG). This study found reduced brain complexity, measured by approximate entropy (ApEn), in the beta band of PD patients compared to controls.
Area of Science:
- Neuroscience
- Biomarkers
- Neurophysiology
Background:
- Parkinson's disease (PD) is a progressive neurodegenerative disorder with significant motor dysfunction.
- Current diagnostic methods often identify the disease after substantial neuronal loss.
- Early detection is crucial for effective treatment and management of PD.
Purpose of the Study:
- To investigate differences in brain complexity between PD patients and healthy controls using resting-state EEG.
- To analyze brain activity in the beta frequency band (beta 1 and beta 2) using approximate entropy (ApEn).
- To explore the potential of ApEn as an early biomarker for PD.
Main Methods:
- Recruited 60 participants (25 PD patients, 35 healthy controls), matched for age and gender.
- Recorded resting-state electroencephalography (EEG) data.
- Computed approximate entropy (ApEn) in beta 1 (13-20 Hz) and beta 2 (20-30 Hz) bands across EEG channels and regions of interest (ROIs).
Main Results:
- PD patients exhibited statistically significant lower ApEn values in both beta 1 and beta 2 bands compared to healthy controls.
- Alterations in the beta 1 band were observed in frontocentral areas, while beta 2 band alterations were noted in centroparietal and frontocentral areas.
- Lower ApEn values in PD patients were specifically reported in central and parietal ROIs within the beta 2 band, suggesting impaired cortical mechanisms.
Conclusions:
- Reduced brain complexity, indicated by lower ApEn in the beta band, may reflect underlying dysfunction in Parkinson's disease.
- ApEn analysis of resting-state EEG shows potential as a non-invasive tool for early PD detection.
- Further research is warranted to validate ApEn as a diagnostic and rehabilitative planning tool for PD.
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