RESUMO
The objective of this study was to investigate whether eye-hand coupling was preserved or not in PD. We studied predictive saccade performance during hand pointing in six Parkinson's disease (PD) patients with asymmetrical motor signs compared to nine age-matched healthy subjects. The motor responses (saccades and hand pointing) were elicited under open loop conditions (without vision of the hand), by a visual target stepping at a predictable location (10 degrees right and left from the centre) and time. The subjects had to simultaneously move the eyes and point with the finger to the visual target alternating at one of three fixed frequencies (0.25, 0.5 and 1 Hz), for 30 cycles. This task was performed in two sessions balanced over the subjects: one session of ocular saccades only and another session of combined ocular saccades and manual pointing. In the PD group, motor performance was perturbed particularly in terms of increased latencies of hand movements. Interestingly, during pointing, associated predictive saccade disorders were tightly related to the defects of the pointing hand. Indeed, with respect to the latency of predictive saccades alone, the predictive saccade latency during hand pointing significantly decreased in the control group and in the PD group when using the non-affected hand. In contrast, for the PD group when using the affected hand, the saccade latency was increased from the latency values of predictive saccades induced without pointing. Moreover, in the control and in the PD groups, the correlation between eye and hand latencies was highly significant, suggesting an intact eye-hand coupling. No saccadic amplitude disorders were found in either condition. These results demonstrate that eye-hand coupling is preserved in PD, as revealed by the possible beneficial or adverse effects on the ocular saccades, respectively, of the less- or more-affected hand motor responses. This eye-hand coupling mechanism likely involves regions other than the nigro-striatal pathways affected in PD.
Assuntos
Destreza Motora , Doença de Parkinson/fisiopatologia , Movimentos Sacádicos/fisiologia , Idoso , Estudos de Casos e Controles , Feminino , Lateralidade Funcional , Mãos , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação , Análise e Desempenho de Tarefas , Percepção VisualRESUMO
This research tests the hypothesis that sequence learning performance in non-human primates will be modulated both by the structure of the sequences to be learned and by the schedule of reward applied during learning. Sequence learning in humans has been extensively explored with serial reaction time (SRT) protocols where learning is revealed by reduced reaction times for stimuli presented in repeating sequences vs. stimuli presented in random series. The SRT protocol has been used to demonstrate that different types of sequential structure may be learned under different awareness conditions. Here, we consider surface and abstract structure of sensorimotor sequences such that sequences ABCBAC and DEFEDF (where A to F correspond to spatial locations on a touch sensitive screen) have different serial order or surface structure, but share the same abstract structure 123213, and are thus considered isomorphic. In four experiments, we manipulated the type of sequential structure to be learned, and the schedule of reward in spatial sequence learning tasks. Both of the two monkeys tested demonstrated significant SRT learning for serial order or surface structure, while they failed to learn and transfer abstract structure. Their learning performance was also modulated by the schedule of reward. These results are in support of our hypothesis and are discussed in the context of existing models of sensorimotor sequence learning.