Abstract
Visuomotor adaptation to a kinematic distortion was investigated in Parkinson's disease (PD) patients and age-matched controls. Participants performed pointing movements in which the visual feedback of hand movement, displayed as a screen cursor, was normal (pre-exposure condition) or rotated by 90° counterclockwise (exposure condition). Aftereffects were assessed in a post-exposure condition in which the visual feedback of hand movement was set back to normal. In pre- and early-exposure trials, both groups showed similar initial directional error (IDE) and movement straightness (RMSE, root mean square error), but the PD group showed reduced movement smoothness (normalized jerk, NJ) and primary submovement to total movement distance ratios (PTR). During late-exposure the PD subjects, compared with controls, showed larger IDE, RMSE, NJ, and smaller PTR scores. Moreover, PD patients showed smaller aftereffects than the controls during the post-exposure condition. Overall, the PD group showed both slower and reduced adaptation compared with the control group. These results are discussed in terms of reduced signal-to-noise ratio in feedback signals related to increased movement variability and/or disordered kinesthesia, deficits in movement initiation, impaired selection of initial movement direction, and deficits in internal model formation in PD patients. We conclude that Parkinson's disease impairs visuomotor adaptation.
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Notes
Generally speaking, "internal models are neural representations of how, for instance, the arm would respond to a neural command, given its current position and velocity" and thus, in the context of this study, they "are expected to represent the altered relationship between the cursor movement and the mouse [or hand] movement (forward and/or inverse kinematics model)" (p 194 of Imamizu et al. 2000). In the context of the present experiment, other researchers have used the term to describe "neural principles which represent positions in such a way that they are accessible by both the sensory and motor system" (Abeele and Bock 2001)
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Acknowledgements
This research has been supported in part by the US National Institute on Aging, NIA AG019148-01. The authors would like to thank the reviewers for valuable comments on earlier versions of this manuscript.
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Contreras-Vidal, J.L., Buch, E.R. Effects of Parkinson's disease on visuomotor adaptation. Exp Brain Res 150, 25–32 (2003). https://doi.org/10.1007/s00221-003-1403-y
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DOI: https://doi.org/10.1007/s00221-003-1403-y