Deep brain stimulation enhances movement complexity during gait in individuals with Parkinson's disease.

Abstract:

:Deep brain stimulation (DBS) is associated with substantial improvements in motor symptoms of PD. Emerging evidence has suggested that nonlinear measures of complexity may provide greater insight into the efficacy of anti-PD treatments. This study investigated sample entropy and complexity index values in individuals with PD when DBS was OFF compared to ON. Five individuals with PD using DBS performed a four-minute treadmill walking task while 3D kinematics were collected over two periods of 30 s. Participants were tested in the DBS-ON and DBS-OFF conditions. Sample entropy (SE) and complexity index (CI) values were calculated for ankle, knee and hip joint angles. Paired samples t-tests were used to compare mean SE and CI values between the DBS-OFF and DBS-ON conditions, respectively. No differences in SE or CI were observed between the DBS-ON and DBS-OFF conditions at the ankle. At the knee, the DBS-ON was associated with greater SE and CI values than the DBS-OFF condition. At the hip, DBS-ON was associated with greater SE and CI values than the DBS-OFF condition. DBS enhances complexity of movement at the hip and knee joints while complexity at the ankle joint is not significantly altered. Greater complexity of knee and hip joint motion may represent increased adaptability and a greater number of available strategies to complete the gait task.

journal_name

Neurosci Lett

journal_title

Neuroscience letters

authors

Powell DW,Blackmore SE,Puppa M,Lester D,Murray NG,Reed-Jones RJ,Xia RP

doi

10.1016/j.neulet.2018.05.010

subject

Has Abstract

pub_date

2020-05-29 00:00:00

pages

133588

eissn

0304-3940

issn

1872-7972

pii

S0304-3940(18)30337-9

journal_volume

728

pub_type

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