Evidence map›Paper›PMID 38094147›Full record

ArticleFrontiers in human neuroscience2023

Unraveling the complexities of programming neural adaptive deep brain stimulation in Parkinson's disease.

Kevin B Wilkins, Jillian A Melbourne, Pranav Akella, Helen M Bronte-Stewart

Abstract read
In one paragraph

Article in Frontiers in human neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Advanced Therapeutics in Parkinson's Disease: What's New?Current neurology and neuroscience reports · 2026
    Review
  5. Article
  6. Review
  7. Closing the loop in DBS: A data-driven approach.Parkinsonism & related disorders · 2025
    Review
  8. Article
  9. Article
  10. Review
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

4 authors.

Kevin B Wilkins *Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, United States.
Jillian A Melbourne *Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, United States.
Pranav AkellaDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, United States.
Helen M Bronte-StewartDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, United States.

Funding

Bilateral Closed Loop Deep Brain Stimulation for Freezing of Gait using Neural and Kinematic FeedbackUH3NS107709 · NINDS · STANFORD UNIVERSITY · PI BRONTE-STEWART, HELEN · 2019 to 2023
$6.1M
Neurostimulation of the Nucleus Basalis of Meynert for the cognitive-motor syndrome in Parkinson's diseaseUG3NS128150 · NINDS · STANFORD UNIVERSITY · PI BRONTE-STEWART, HELEN · 2022 to 2023
$2.2M
NINDS NIH HHS UG3 NS128150NINDS NIH HHS UH3 NS107709
6 · The paper itself

Abstract

Over the past three decades, deep brain stimulation (DBS) for Parkinson's disease (PD) has been applied in a continuous open loop fashion, unresponsive to changes in a given patient's state or symptoms over the course of a day. Advances in recent neurostimulator technology enable the possibility for closed loop adaptive DBS (aDBS) for PD as a treatment option in the near future in which stimulation adjusts in a demand-based manner. Although aDBS offers great clinical potential for treatment of motor symptoms, it also brings with it the need for better understanding how to implement it in order to maximize its benefits. In this perspective, we outline considerations for programing several key parameters for aDBS based on our experience across several aDBS-capable research neurostimulators. At its core, aDBS hinges on successful identification of relevant biomarkers that can be measured reliably in real-time working in cohesion with a control policy that governs stimulation adaption. However, auxiliary parameters such as the window in which stimulation is allowed to adapt, as well as the rate it changes, can be just as impactful on performance and vary depending on the control policy and patient. A standardize protocol for programming aDBS will be crucial to ensuring its effective application in clinical practice.

Indexed as

adaptivebetaclosed loopdeep brain stimulationglobus pallidus internus (GPi)Parkinson’s diseasesubthalamic nucleus (STN)

Identifiers

PMID38094147
PMCPMC10716917

What OpenQuestion holds

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LicenceCC BY
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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.