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The Need for Digital Health Solutions in Deep Brain Stimulation for Parkinson's Disease in the Time of COVID-19 and Beyond.
Rammo, Richard; Gostkowski, Michal; Rasmussen, Peter A; Nagel, Sean; Machado, Andre.
  • Rammo R; Center for Neurological Restoration, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
  • Gostkowski M; Center for Neurological Restoration, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
  • Rasmussen PA; Cerebrovascular Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
  • Nagel S; Center for Neurological Restoration, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
  • Machado A; Center for Neurological Restoration, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Neuromodulation ; 24(2): 331-336, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-917754
Semantic information from SemMedBD (by NLM)
1. Deep Brain Stimulation TREATS Parkinson Disease
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Parkinson Disease
2. Deep Brain Stimulation TREATS Movement Disorders
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Movement Disorders
3. Deep Brain Stimulation TREATS advanced disease
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
advanced disease
4. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
5. advanced disease PROCESS_OF Patients
Subject
advanced disease
Predicate
PROCESS_OF
Object
Patients
6. Deep Brain Stimulation TREATS Patients
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Patients
7. BARRIER TREATS COVID-19
Subject
BARRIER
Predicate
TREATS
Object
COVID-19
8. pulse generators USES Implants
Subject
pulse generators
Predicate
USES
Object
Implants
9. Parkinson Disease PROCESS_OF Patients
Subject
Parkinson Disease
Predicate
PROCESS_OF
Object
Patients
10. Deep Brain Stimulation TREATS Parkinson Disease
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Parkinson Disease
11. Deep Brain Stimulation TREATS Movement Disorders
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Movement Disorders
12. Deep Brain Stimulation TREATS advanced disease
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
advanced disease
13. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
14. advanced disease PROCESS_OF Patients
Subject
advanced disease
Predicate
PROCESS_OF
Object
Patients
15. Deep Brain Stimulation TREATS Patients
Subject
Deep Brain Stimulation
Predicate
TREATS
Object
Patients
16. BARRIER TREATS COVID-19
Subject
BARRIER
Predicate
TREATS
Object
COVID-19
17. pulse generators USES Implants
Subject
pulse generators
Predicate
USES
Object
Implants
18. Parkinson Disease PROCESS_OF Patients
Subject
Parkinson Disease
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

OBJECTIVES:

Deep brain stimulation (DBS) is a well-established therapy for the management of patients with advanced Parkinson's disease and other movement disorders. Patients implanted with DBS require life-long management of the medical device as well as medications. Patients are often challenged to frequently visit the specialized DBS centers and such challenges are aggravated depending on geography, socioeconomic factors, and support systems. We discuss the need for digital health solutions to overcome these barriers to better and safely take care of patients, especially in the current COVID-19 pandemic. MATERIALS AND

METHODS:

A review of the literature was conducted for technology and logistics necessary in forming a digital health program.

RESULTS:

Digital health encounters can take place in both a synchronous and asynchronous manner. Factors involving patients include cognitive capacity, physical safety, physical capacity, connectivity, and technological security. Physician factors include examining the patient, system diagnostics, and adjusting stimulation or medications. Technology is focused on bridging the gap between patient and physician through integrating the DBS lead, implantable pulse generator (IPG), programmer, novel devices/applications to grade motor function, and teleconference modalities.

CONCLUSIONS:

For patients with Parkinson's disease, digital health has the potential to drastically change the landscape after DBS surgery. Furthermore, technology is fundamental in connectivity, diagnostic evaluation, and security in order to create stable and useful patient-focused care.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Parkinson Disease / Telemedicine / Deep Brain Stimulation / Pandemics / COVID-19 Type of study: Experimental Studies Limits: Humans Language: English Journal: Neuromodulation Year: 2021 Document Type: Article Affiliation country: Ner.13307

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Parkinson Disease / Telemedicine / Deep Brain Stimulation / Pandemics / COVID-19 Type of study: Experimental Studies Limits: Humans Language: English Journal: Neuromodulation Year: 2021 Document Type: Article Affiliation country: Ner.13307