Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease

Local field potentials (LFP) of the subthalamic nucleus (STN) recorded during walking may provide clues for determining the function of the STN during gait and also, may be used as biomarker to steer adaptive brain stimulation devices. Here, we present LFP recordings from an implanted sensing neuros...

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Main Authors: Franz Hell, Annika Plate, Jan H. Mehrkens, Kai Bötzel
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:NeuroImage: Clinical
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158218301475
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author Franz Hell
Annika Plate
Jan H. Mehrkens
Kai Bötzel
author_facet Franz Hell
Annika Plate
Jan H. Mehrkens
Kai Bötzel
author_sort Franz Hell
collection DOAJ
description Local field potentials (LFP) of the subthalamic nucleus (STN) recorded during walking may provide clues for determining the function of the STN during gait and also, may be used as biomarker to steer adaptive brain stimulation devices. Here, we present LFP recordings from an implanted sensing neurostimulator (Medtronic Activa PC + S) during walking and rest with and without stimulation in 10 patients with Parkinson's disease and electrodes placed bilaterally in the STN. We also present recordings from two of these patients recorded with externalized leads. We analyzed changes in overall frequency power, bilateral connectivity, high beta frequency oscillatory characteristics and gait-cycle related oscillatory activity. We report that deep brain stimulation improves gait parameters. High beta frequency power (20-30 Hz) and bilateral oscillatory connectivity are reduced during gait, while the attenuation of high beta power is absent during stimulation. Oscillatory characteristics are affected in a similar way. We describe a reduction in overall high beta burst amplitude and burst lifetimes during gait as compared to rest off stimulation. Investigating gait cycle related oscillatory dynamics, we found that alpha, beta and gamma frequency power is modulated in time during gait, locked to the gait cycle. We argue that these changes are related to movement induced artifacts and that these issues have important implications for similar research. Keywords: Deep brain stimulation, Subthalamic nucleus, Gait, Oscillations, Beta rhythm
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spelling doaj.art-ff2e124ae5ea4e9a853cc8366715624d2022-12-22T00:08:35ZengElsevierNeuroImage: Clinical2213-15822018-01-0119396405Subthalamic oscillatory activity and connectivity during gait in Parkinson's diseaseFranz Hell0Annika Plate1Jan H. Mehrkens2Kai Bötzel3Department of Neurology, Ludwig-Maximilians-Universität München, Marchioninistr. 15, D-81377 Munich, Germany; Graduate School of Systemic Neurosciences, GSN, Ludwig-Maximilians-Universität München, Grosshadernerstr. 2, D-82152 Martinsried, Germany; Corresponding author at: Department of Neurology, Ludwig-Maximilians-University, Marchioninistrasse 15, D-81377 Munich, Germany.Department of Neurology, Ludwig-Maximilians-Universität München, Marchioninistr. 15, D-81377 Munich, Germany; Graduate School of Systemic Neurosciences, GSN, Ludwig-Maximilians-Universität München, Grosshadernerstr. 2, D-82152 Martinsried, GermanyDepartment of Neurosurgery, Ludwig-Maximilians-Universität München, Marchioninistr. 15, D-81377 Munich, GermanyDepartment of Neurology, Ludwig-Maximilians-Universität München, Marchioninistr. 15, D-81377 Munich, Germany; Graduate School of Systemic Neurosciences, GSN, Ludwig-Maximilians-Universität München, Grosshadernerstr. 2, D-82152 Martinsried, GermanyLocal field potentials (LFP) of the subthalamic nucleus (STN) recorded during walking may provide clues for determining the function of the STN during gait and also, may be used as biomarker to steer adaptive brain stimulation devices. Here, we present LFP recordings from an implanted sensing neurostimulator (Medtronic Activa PC + S) during walking and rest with and without stimulation in 10 patients with Parkinson's disease and electrodes placed bilaterally in the STN. We also present recordings from two of these patients recorded with externalized leads. We analyzed changes in overall frequency power, bilateral connectivity, high beta frequency oscillatory characteristics and gait-cycle related oscillatory activity. We report that deep brain stimulation improves gait parameters. High beta frequency power (20-30 Hz) and bilateral oscillatory connectivity are reduced during gait, while the attenuation of high beta power is absent during stimulation. Oscillatory characteristics are affected in a similar way. We describe a reduction in overall high beta burst amplitude and burst lifetimes during gait as compared to rest off stimulation. Investigating gait cycle related oscillatory dynamics, we found that alpha, beta and gamma frequency power is modulated in time during gait, locked to the gait cycle. We argue that these changes are related to movement induced artifacts and that these issues have important implications for similar research. Keywords: Deep brain stimulation, Subthalamic nucleus, Gait, Oscillations, Beta rhythmhttp://www.sciencedirect.com/science/article/pii/S2213158218301475
spellingShingle Franz Hell
Annika Plate
Jan H. Mehrkens
Kai Bötzel
Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
NeuroImage: Clinical
title Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
title_full Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
title_fullStr Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
title_full_unstemmed Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
title_short Subthalamic oscillatory activity and connectivity during gait in Parkinson's disease
title_sort subthalamic oscillatory activity and connectivity during gait in parkinson s disease
url http://www.sciencedirect.com/science/article/pii/S2213158218301475
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AT janhmehrkens subthalamicoscillatoryactivityandconnectivityduringgaitinparkinsonsdisease
AT kaibotzel subthalamicoscillatoryactivityandconnectivityduringgaitinparkinsonsdisease