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Neuroscience
クリニックを自宅に持ち帰る:適応型脳深部刺激療法をサポートする在宅マルチモーダルデータ収集エコシス...
クリニックを自宅に持ち帰る:適応型脳深部刺激療法をサポートする在宅マルチモーダルデータ収集エコシス...
JoVE Journal
Neuroscience
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JoVE Journal Neuroscience
Bringing the Clinic Home: An At-Home Multi-Modal Data Collection Ecosystem to Support Adaptive Deep Brain Stimulation

クリニックを自宅に持ち帰る:適応型脳深部刺激療法をサポートする在宅マルチモーダルデータ収集エコシステム

Full Text
1,906 Views
06:32 min
July 14, 2023

DOI: 10.3791/65305-v

Gabrielle Strandquist1, Tomasz Frączek2, Tanner Dixon3, Shravanan Ravi3, Raphael Bechtold4, Daryl Lawrence5, Alicia Zeng6, Jack Gallant7, Simon Little3, Jeffrey Herron8

1Computer Science and Engineering,University of Washington, 2Neuroscience,University of Washington, 3Neurology,University of California, San Francisco, 4Bioengineering,University of Washington, 5Bioengineering,University of California, Berkeley, 6Biophysics,University of California, Berkeley, 7Psychology,University of California, Berkeley, 8Neurological Surgery,University of Washington

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This study presents a prototype at-home multi-modal data collection platform designed to optimize adaptive deep brain stimulation (aDBS) for individuals with neurological movement disorders, specifically Parkinson's disease. Key findings highlight the platform's deployment over a year, successfully monitoring therapy parameters and capturing crucial data while ensuring patient privacy.

Key Study Components

Area of Science

  • Neuroscience
  • Movement Disorders
  • Technology in Rehabilitation

Background

  • Adaptive deep brain stimulation (aDBS) is a promising therapy for Parkinson's disease.
  • Long-term monitoring and adjustment of therapy parameters outside clinical settings is essential.
  • The impact of various data types on assessing Parkinson's disease symptoms is investigated.

Purpose of Study

  • To demonstrate the feasibility of at-home aDBS monitoring.
  • To evaluate the effectiveness of remote data collection for therapy adjustments.
  • To explore changes in symptoms and movement quality over extended periods.

Methods Used

  • The study utilizes a multi-modal data collection platform designed for home use.
  • Parkinson's disease serves as the biological model for evaluating aDBS efficacy.
  • The platform captures video data to analyze kinematic movements, such as finger motions.
  • Data collection occurs as patients move freely, enabling naturalistic observation.
  • Key steps include continuous data monitoring and remote algorithm updates.

Main Results

  • The platform successfully monitored therapy parameters over a year, allowing exploration of symptom progression.
  • Data enabled in-depth analysis of movement quality in daily life scenarios.
  • Insights gained inform necessary measurements for managing diverse Parkinson's symptoms outside clinical settings.

Conclusions

  • The study demonstrates the potential for aDBS therapy to be effectively monitored at home.
  • This approach enhances patient privacy and comfort while ensuring effective symptom management.
  • It paves the way for further research on remote rehabilitation techniques and their implications in understanding Parkinson's disease mechanisms.

Frequently Asked Questions

What are the advantages of the at-home data collection platform?
The at-home platform allows for continuous monitoring of aDBS therapy, ensuring patient comfort and privacy while collecting comprehensive data on movement quality.
How is Parkinson's disease implemented as the main biological model?
Parkinson's disease serves as the focus in exploring the effects of aDBS therapy and is monitored through various movement assessments over an extended period.
What types of data are obtained through the platform?
The platform collects video data to analyze kinematic movements, providing insights into the patients' motor performance during daily activities.
How can the method be adapted for future studies?
The method may be adapted by integrating additional sensors or modalities to capture a broader range of data, further enhancing the comprehensiveness of assessments.
What are the key limitations of this approach?
Challenges may include maintaining data security and privacy, as well as ensuring reliable data collection in a home environment.
How does this study contribute to understanding Parkinson's disease?
The study enhances understanding of how continuous monitoring can adapt treatments based on real-time data, potentially improving therapeutic outcomes for Parkinson's patients.

このプロトコルは、神経学的運動障害を持つ人々のための適応的脳深部刺激療法(aDBS)を最適化する研究をサポートする在宅マルチモーダルデータ収集プラットフォームのプロトタイプを示しています。また、パーキンソン病患者の自宅に1年以上にわたってプラットフォームを導入した結果、重要な調査結果も紹介します。

私の研究は、パーキンソン病の適応的脳深部刺激療法(ADBS)を自宅で快適に自動化することを支持しています。1つの疑問は、この治療法が患者のプライバシーを確保しながら、クリニックの外で長期間安全に監視できるかどうかです。さらに、患者がクリニックに戻ることなく、ADBSパラメータを自動的に調整する可能性を検討しています。

ADBSの研究では、患者が日常生活を送る際の運動の質を正確に測定し、治療アルゴリズムの最新情報をリモートで配信するためのデータ収集プラットフォームが必要です。このプロトコルは、患者が自宅を自由に動き回るときに、指の動きのような孤立した運動学をキャプチャするためのビデオデータを含む、複数のモダリティを収集します。この結果から、パーキンソン病の長期にわたる変化を探ることができ、臨床観察以外でパーキンソン病のさまざまな症状を分析・治療するためにどのような測定が必要かを問うことができます。

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適応的脳深部刺激療法 神経疾患 パーキンソン病 ADBSアルゴリズム 症状関連バイオマーカー リアルタイム調整 マニュアルチューニング 最適構成 遠隔モニタリング データ収集プラットフォーム ニューラルデータ 慣性データ 映像データ プライバシー保護

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