Another Step Forward for Freezing of Gait in Parkinson's Disease

J Parkinsons Dis. 2024;14(2):353-355. doi: 10.3233/JPD-230412.

Abstract

The study "A spinal cord neuroprosthesis for locomotor deficits due to Parkinson's disease" by Milekovic et al. introduces a novel neuroprosthesis for treating locomotor deficits in late-stage Parkinson's disease (PD). This approach employs an epidural spinal array targeting dorsal roots and electromyography to create a spatiotemporal map of muscle activation, aiming to restore natural gait patterns. Significant improvements in gait freezing and balance were observed in both non-human primate models and a human patient, resulting in improved mobility and quality of life. This innovative method, integrating real-time feedback and non-invasive motor intention decoding, marks a significant advancement in PD treatment.

Keywords: Spinal cord stimulation; deep brain stimulation; freezing of gait.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Gait / physiology
  • Gait Disorders, Neurologic* / etiology
  • Gait Disorders, Neurologic* / therapy
  • Humans
  • Parkinson Disease* / complications
  • Parkinson Disease* / therapy
  • Quality of Life
  • Spinal Cord