Principles of gait encoding in the subthalamic nucleus of people with Parkinson's disease.

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Serval ID
serval:BIB_106DBAF231BC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Principles of gait encoding in the subthalamic nucleus of people with Parkinson's disease.
Journal
Science translational medicine
Author(s)
Thenaisie Y., Lee K., Moerman C., Scafa S., Gálvez A., Pirondini E., Burri M., Ravier J., Puiatti A., Accolla E., Wicki B., Zacharia A., Castro Jiménez M., Bally J.F., Courtine G., Bloch J., Moraud E.M.
ISSN
1946-6242 (Electronic)
ISSN-L
1946-6234
Publication state
Published
Issued date
07/09/2022
Peer-reviewed
Oui
Volume
14
Number
661
Pages
eabo1800
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Disruption of subthalamic nucleus dynamics in Parkinson's disease leads to impairments during walking. Here, we aimed to uncover the principles through which the subthalamic nucleus encodes functional and dysfunctional walking in people with Parkinson's disease. We conceived a neurorobotic platform embedding an isokinetic dynamometric chair that allowed us to deconstruct key components of walking under well-controlled conditions. We exploited this platform in 18 patients with Parkinson's disease to demonstrate that the subthalamic nucleus encodes the initiation, termination, and amplitude of leg muscle activation. We found that the same fundamental principles determine the encoding of leg muscle synergies during standing and walking. We translated this understanding into a machine learning framework that decoded muscle activation, walking states, locomotor vigor, and freezing of gait. These results expose key principles through which subthalamic nucleus dynamics encode walking, opening the possibility to operate neuroprosthetic systems with these signals to improve walking in people with Parkinson's disease.
Keywords
Deep Brain Stimulation/methods, Gait/physiology, Gait Disorders, Neurologic/therapy, Humans, Parkinson Disease/therapy, Subthalamic Nucleus/physiology
Pubmed
Web of science
Create date
20/09/2022 14:47
Last modification date
07/03/2023 7:48
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