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Fixing a Shaky Video to Remotely Program Deep Brain Stimulation.

Maria Belen Justich1, Alexandra Boogers1, Andres M Lozano2,3

  • 1Edmond J. Safra Program in Parkinson's disease and Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, UHN and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.

Tremor and Other Hyperkinetic Movements (New York, N.Y.)
|August 4, 2025
PubMed
Summary
This summary is machine-generated.

Remote programming of deep brain stimulation (DBS) for Parkinson's disease (PD) tremor was achieved using video assessment. This novel approach allows for effective tremor management in patients living far from specialized clinics.

Keywords:
Deep brain stimulationParkinson’s diseaseRemote ProgrammingTelemedicineTremor

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Area of Science:

  • Neurology
  • Neurosurgery
  • Biomedical Engineering

Background:

  • Deep brain stimulation (DBS) is a key therapy for Parkinson's disease (PD) tremor.
  • Remote care models can enhance patient access to specialized DBS programming.
  • Current DBS programming often requires in-person visits, posing challenges for distant patients.

Purpose of the Study:

  • To introduce and evaluate a novel remote strategy for assessing and programming DBS for tremor in PD.
  • To demonstrate the feasibility of remote tremor assessment using visual cues via video.

Main Methods:

  • A case study of a PD patient residing 1,500 km from a specialized center.
  • Utilized the Neurosphere™ Virtual Clinic platform for remote DBS programming.
  • Employed visual assessment of resting tremor via video frames to guide stimulation parameter adjustments.

Main Results:

  • Successfully programmed bilateral subthalamic nucleus DBS remotely for a PD patient.
  • Remote programming based on visually observed tremor reduction led to sustained patient benefit.
  • Demonstrated that visual tremor severity can guide stimulation adjustments effectively.

Conclusions:

  • Remote tremor assessment via video is a viable method for DBS programming in PD.
  • This strategy can improve accessibility to DBS care for patients in remote locations.
  • Visual observation of tremor provides a practical endpoint for remote stimulation optimization.