Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings

Adaptive deep brain stimulation (aDBS) is a promising concept for feedback-based neurostimulation, with the potential of clinical implementation with the sensing-enabled Percept neurostimulator. We aim to characterize chronic electrophysiological activity during stimulation and to validate beta-band...

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Main Authors: Feldmann, LK, Lofredi, R, Neumann, WJ, Al-Fatly, B, Roediger, J, Bahners, BH, Nikolov, P, Denison, T, Saryyeva, A, Krauss, JK, Faust, K, Florin, E, Schnitzler, A, Schneider, GH, Kühn, AA
Format: Journal article
Language:English
Published: Springer Nature 2022
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author Feldmann, LK
Lofredi, R
Neumann, WJ
Al-Fatly, B
Roediger, J
Bahners, BH
Nikolov, P
Denison, T
Saryyeva, A
Krauss, JK
Faust, K
Florin, E
Schnitzler, A
Schneider, GH
Kühn, AA
author_facet Feldmann, LK
Lofredi, R
Neumann, WJ
Al-Fatly, B
Roediger, J
Bahners, BH
Nikolov, P
Denison, T
Saryyeva, A
Krauss, JK
Faust, K
Florin, E
Schnitzler, A
Schneider, GH
Kühn, AA
author_sort Feldmann, LK
collection OXFORD
description Adaptive deep brain stimulation (aDBS) is a promising concept for feedback-based neurostimulation, with the potential of clinical implementation with the sensing-enabled Percept neurostimulator. We aim to characterize chronic electrophysiological activity during stimulation and to validate beta-band activity as a biomarker for bradykinesia. Subthalamic activity was recorded during stepwise stimulation amplitude increase OFF medication in 10 Parkinson’s patients during rest and finger tapping. Offline analysis of wavelet-transformed beta-band activity and assessment of inter-variable relationships in linear mixed effects models were implemented. There was a stepwise suppression of low-beta activity with increasing stimulation intensity (p = 0.002). Low-beta power was negatively correlated with movement speed and predictive for velocity improvements (p < 0.001), stimulation amplitude for beta suppression (p < 0.001). Here, we characterize beta-band modulation as a chronic biomarker for motor performance. Our investigations support the use of electrophysiology in therapy optimization, providing evidence for the use of biomarker analysis for clinical aDBS.
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spelling oxford-uuid:1cb55861-56aa-4acb-a1e5-4a62b8e1a8322022-10-11T11:39:59ZToward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordingsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1cb55861-56aa-4acb-a1e5-4a62b8e1a832EnglishSymplectic ElementsSpringer Nature2022Feldmann, LKLofredi, RNeumann, WJAl-Fatly, BRoediger, JBahners, BHNikolov, PDenison, TSaryyeva, AKrauss, JKFaust, KFlorin, ESchnitzler, ASchneider, GHKühn, AAAdaptive deep brain stimulation (aDBS) is a promising concept for feedback-based neurostimulation, with the potential of clinical implementation with the sensing-enabled Percept neurostimulator. We aim to characterize chronic electrophysiological activity during stimulation and to validate beta-band activity as a biomarker for bradykinesia. Subthalamic activity was recorded during stepwise stimulation amplitude increase OFF medication in 10 Parkinson’s patients during rest and finger tapping. Offline analysis of wavelet-transformed beta-band activity and assessment of inter-variable relationships in linear mixed effects models were implemented. There was a stepwise suppression of low-beta activity with increasing stimulation intensity (p = 0.002). Low-beta power was negatively correlated with movement speed and predictive for velocity improvements (p < 0.001), stimulation amplitude for beta suppression (p < 0.001). Here, we characterize beta-band modulation as a chronic biomarker for motor performance. Our investigations support the use of electrophysiology in therapy optimization, providing evidence for the use of biomarker analysis for clinical aDBS.
spellingShingle Feldmann, LK
Lofredi, R
Neumann, WJ
Al-Fatly, B
Roediger, J
Bahners, BH
Nikolov, P
Denison, T
Saryyeva, A
Krauss, JK
Faust, K
Florin, E
Schnitzler, A
Schneider, GH
Kühn, AA
Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title_full Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title_fullStr Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title_full_unstemmed Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title_short Toward therapeutic electrophysiology: beta-band suppression as a biomarker in chronic local field potential recordings
title_sort toward therapeutic electrophysiology beta band suppression as a biomarker in chronic local field potential recordings
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