Towards full remote programming for deep brain stimulation in Parkinson's disease: A case series

Area of Science:

• Neurology
• Neurosurgery
• Digital Health

Background:

• Deep brain stimulation (DBS) is a key treatment for Parkinson's disease (PD).
• Remote programming (RP) offers an effective and economical alternative to in-person programming sessions.
• Limited data exists on exclusively remote programming (FRP) for postoperative DBS care.

Observation:

• This case report details the experience of five individuals with Parkinson's disease (PwPD) undergoing full remote programming (FRP) for their DBS implants.
• All 22 postoperative programming sessions were conducted remotely, integrating RP with online consultations.
• Four out of five PwPD reported improvements in motor symptoms and quality of life.

Findings:

• Full remote programming (FRP) demonstrated positive outcomes in PwPD, including reduced medication needs.
• The study observed improvements in motor symptoms and overall quality of life for the majority of participants.
• A total of 22 remote programming sessions were successfully completed.

Implications:

• FRP may be a feasible and safe option for postoperative management of PwPD with DBS.
• This approach could enhance accessibility and reduce healthcare costs associated with DBS therapy.
• Further research is warranted to validate the long-term efficacy and broader applicability of FRP.