Evidence map›Paper›PMID 25703990›Full record

ArticleParkinsonism & related disorders2015

Motion sensor strategies for automated optimization of deep brain stimulation in Parkinson's disease.

Christopher L Pulliam, Dustin A Heldman, Tseganesh H Orcutt, Thomas O Mera, Joseph P Giuffrida, Jerrold L Vitek

Open access · greenAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
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  4. Computer-Guided Deep Brain Stimulation Programming for Parkinson's Disease.Neuromodulation : journal of the International Neuromodulation Society · 2016
    Trial
  5. Ultrasound-Informed State Estimation of Wrist Tremor Dynamics via Koopman Operator for Personalized Sensory Peripheral Nerve Stimulation.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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  9. A Wearable Dual-Mode Probe for Image-Guided Closed-Loop Ultrasound Neuromodulation.IEEE transactions on biomedical circuits and systems · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Christopher L PulliamGreat Lakes NeuroTechnologies, Cleveland, OH, USA. Electronic address: cpulliam@glneurotech.com.
Dustin A HeldmanGreat Lakes NeuroTechnologies, Cleveland, OH, USA.
Tseganesh H OrcuttUniversity of Minnesota, Minneapolis, MN, USA.
Thomas O MeraGreat Lakes NeuroTechnologies, Cleveland, OH, USA.
Joseph P GiuffridaGreat Lakes NeuroTechnologies, Cleveland, OH, USA.
Jerrold L VitekUniversity of Minnesota, Minneapolis, MN, USA.
Great Lakes NeuroTechnologies (United States) · USUniversity of Minnesota · US

Funding

ParkinTune: Automated PD Motor Symptom Assessment for DBS ProgrammingR44AG033520 · NIA · GREAT LAKES NEUROTECHNOLOGIES · PI GIUFFRIDA, JOSEPH P · 2008 to 2010
$1.4M
NIA NIH HHS R44 AG033520NIA NIH HHS R44AG033520
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) is a well-established treatment for Parkinson's disease (PD). Optimization of DBS settings can be a challenge due to the number of variables that must be considered, including presence of multiple motor signs, side effects, and battery life.

methodsNine PD subjects visited the clinic for programming at approximately 1, 2, and 4 months post-surgery. During each session, various stimulation settings were assessed and subjects performed motor tasks while wearing a motion sensor to quantify tremor and bradykinesia. At the end of each session, a clinician determined final stimulation settings using standard practices. Sensor-based ratings of motor symptom severities collected during programming were then used to develop two automated programming algorithms--one to optimize symptom benefit and another to optimize battery life. Therapeutic benefit was compared between the final clinician-determined DBS settings and those calculated by the automated algorithm.

resultsSettings determined using the symptom optimization algorithm would have reduced motor symptoms by an additional 13 percentage points when compared to clinician settings, typically at the expense of increased stimulation amplitude. By adding a battery life constraint, the algorithm would have been able to decrease stimulation amplitude by an average of 50% while maintaining the level of therapeutic benefit observed using clinician settings for a subset of programming sessions.

conclusionsObjective assessment in DBS programming can identify settings that improve symptoms or obtain similar benefit as clinicians with improvement in battery life. Both options have the potential to improve post-operative patient outcomes.

Indexed as

Deep Brain StimulationPatient Outcome AssessmentAgedAutomationFemaleHumansHypokinesiaMaleMiddle AgedParkinson DiseaseTremorBradykinesiaDeep brain stimulationOutpatient programmingParkinson's diseaseTremor

Identifiers

PMID25703990
PMCPMC4372473
OpenAlexW1975092621

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.