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

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

Thenaisie, Yohann
•
Lee, Kyuhwa
•
Moerman, Charlotte  
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September 7, 2022
Science Translational Medicine

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.

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Type
research article
DOI
10.1126/scitranslmed.abo1800
Web of Science ID

WOS:000909171700004

Author(s)
Thenaisie, Yohann
Lee, Kyuhwa
Moerman, Charlotte  
Scafa, Stefano
Galvez, Andrea  
Pirondini, Elvira
Burri, Morgane  
Ravier, Jimmy  
Puiatti, Alessandro
Accolla, Ettore
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Date Issued

2022-09-07

Publisher

AMER ASSOC ADVANCEMENT SCIENCE

Published in
Science Translational Medicine
Volume

14

Issue

661

Article Number

eabo1800

Subjects

Cell Biology

•

Medicine, Research & Experimental

•

Cell Biology

•

Research & Experimental Medicine

•

deep brain-stimulation

•

oscillatory activity

•

basal ganglia

•

motor control

•

circuits

•

modulation

•

neurons

•

roles

•

activation

•

selection

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

Available on Infoscience
January 30, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/194489
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