Movement Disorders (revue)

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Performance of a motor task learned ON levodopa deteriorates when subsequently practiced OFF

Identifieur interne : 000847 ( Main/Exploration ); précédent : 000846; suivant : 000848

Performance of a motor task learned ON levodopa deteriorates when subsequently practiced OFF

Auteurs : E. D. Anderson ; F. B. Horak ; M. R. Lasarev ; J. G. Nutt

Source :

RBID : PMC:3943672

English descriptors

Abstract

Background

Studies in animals and in people with Parkinson's Disease (PD) demonstrate complex effects of dopamine on learning motor tasks; its effect on retention of motor learning has received little attention. Recent animal studies demonstrate that practicing a task in the OFF state, when initially learned in the ON state, leads to progressive deterioration in performance.

Methods

We measured the acquisition and retention of 3 different motor tasks in the presence and absence of levodopa. Twenty individuals with Hoehn and Yahr Stage 1.5-3 PD practiced the tasks for two, 4-day weeks, half practicing ON levodopa the first week and OFF the second week. The other half practiced OFF levodopa both weeks. The tasks were: 1. alternate tapping of two keys, 2. moving the body toward two targets on a posturography device and 3. mirror drawing of a star.

Results

For the finger tapping and body movement tests, those who practiced ON the first week had a progressive decline in performance with practice during Week 2, while subjects OFF during Week 1 maintained or improved. In contrast, for the mirror task, subjects ON levodopa initially had much more difficulty completing the task compared to subjects who practiced OFF. Both groups improved with practice during the first week and had flat performance the second week.

Conclusions

These data suggest that performance of speed-accuracy tasks learned in the ON state may progressively worsen if practiced in the OFF state. In addition, performance, but not learning, of some tasks may be impeded by levodopa.


Url:
DOI: 10.1002/mds.25702
PubMed: 24132873
PubMed Central: 3943672


Affiliations:


Links toward previous steps (curation, corpus...)


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<p id="P2">We measured the acquisition and retention of 3 different motor tasks in the presence and absence of levodopa. Twenty individuals with Hoehn and Yahr Stage 1.5-3 PD practiced the tasks for two, 4-day weeks, half practicing ON levodopa the first week and OFF the second week. The other half practiced OFF levodopa both weeks. The tasks were: 1. alternate tapping of two keys, 2. moving the body toward two targets on a posturography device and 3. mirror drawing of a star.</p>
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<p id="P3">For the finger tapping and body movement tests, those who practiced ON the first week had a progressive decline in performance with practice during Week 2, while subjects OFF during Week 1 maintained or improved. In contrast, for the mirror task, subjects ON levodopa initially had much more difficulty completing the task compared to subjects who practiced OFF. Both groups improved with practice during the first week and had flat performance the second week.</p>
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<title>Conclusions</title>
<p id="P4">These data suggest that performance of speed-accuracy tasks learned in the ON state may progressively worsen if practiced in the OFF state. In addition, performance, but not learning, of some tasks may be impeded by levodopa.</p>
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