La maladie de Parkinson en France (serveur d'exploration)

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On-line motor control in patients with Parkinson's disease

Identifieur interne : 000D70 ( PascalFrancis/Corpus ); précédent : 000D69; suivant : 000D71

On-line motor control in patients with Parkinson's disease

Auteurs : M. Desmurget ; V. Gaveau ; P. Vindras ; R. S. Turner ; E. Broussolle ; S. Thobois

Source :

RBID : Pascal:04-0481650

Descripteurs français

English descriptors

Abstract

Recent models based, in part on a study of Huntington's disease, suggest that the basal ganglia are involved in on-line movement guidance. Two experiments were conducted to investigate this idea. First, we studied advanced Parkinson's disease patients performing a reaching task known to depend on on-line guidance. The task was to 'look and point' in the dark at visual targets displayed in the peripheral visual field. In some trials, the target location was slightly modified during saccadic gaze displacement (when vision is suppressed). In both patient and control groups, the target jump induced a gradual modification of the movement which diverged smoothly from its original path to reach the new target location. No deficit was found in the patients, except for an increased latency to respond to the target jump (Parkinson's disease: 243 ms; controls: 166 ms). A computational simulation indicated that this response slowing was likely to be a by-product of bradykinesia. The unexpected inconsistency between this result and previous reports was investigated in a second experiment. We hypothesized that the relevant factor was the characteristics of the corrections to be performed. To test this prediction, we investigated a task requiring corrections of the same type as investigated in Huntington's disease, namely large, consciously detected errors induced by large target jumps at hand movement onset. In contrast with the smooth adjustments observed in the first experiment, the subjects responded to the target jump by generating a discrete corrective sub-movement. While this iterative response was relatively rapid in the control subjects (220 ms), Parkinson's disease patients exhibited either dramatically late (>730 ms) or totally absent on-line corrections. When on-line corrections were absent, the initial motor response was completed before a second corrective response was initiated (the latency of the corrective response was the same as the latency of the initial response). Considered together, these results suggest that basal ganglia dependent circuits are not critical for feedback loops involving a smooth modulation of the ongoing command. These circuits may rather contribute to the generation of discrete corrective sub-movements. This deficit is in line with the general impairment of sequential and simultaneous actions in patients with basal ganglia disorders.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO : PASCAL 04-0481650 INIST
ET : On-line motor control in patients with Parkinson's disease
AU : DESMURGET (M.); GAVEAU (V.); VINDRAS (P.); TURNER (R. S.); BROUSSOLLE (E.); THOBOIS (S.)
AF : Space and Action/Bron/France (1 aut., 2 aut.); Department of Neurology, Neurological Hospital Pierre Wertheimer/Lyon/France (3 aut.); FPSE, University of Geneva/Geneva/Suisse (4 aut.); Department of Neurosurgery, University of California, San Francisco/San Francisco, California/Etats-Unis (5 aut., 6 aut.)
DT : Publication en série; Niveau analytique
SO : Brain; ISSN 0006-8950; Royaume-Uni; Da. 2004; Vol. 127; No. p.8; Pp. 1755-1773; Bibl. 1 p.3/4
LA : Anglais
EA : Recent models based, in part on a study of Huntington's disease, suggest that the basal ganglia are involved in on-line movement guidance. Two experiments were conducted to investigate this idea. First, we studied advanced Parkinson's disease patients performing a reaching task known to depend on on-line guidance. The task was to 'look and point' in the dark at visual targets displayed in the peripheral visual field. In some trials, the target location was slightly modified during saccadic gaze displacement (when vision is suppressed). In both patient and control groups, the target jump induced a gradual modification of the movement which diverged smoothly from its original path to reach the new target location. No deficit was found in the patients, except for an increased latency to respond to the target jump (Parkinson's disease: 243 ms; controls: 166 ms). A computational simulation indicated that this response slowing was likely to be a by-product of bradykinesia. The unexpected inconsistency between this result and previous reports was investigated in a second experiment. We hypothesized that the relevant factor was the characteristics of the corrections to be performed. To test this prediction, we investigated a task requiring corrections of the same type as investigated in Huntington's disease, namely large, consciously detected errors induced by large target jumps at hand movement onset. In contrast with the smooth adjustments observed in the first experiment, the subjects responded to the target jump by generating a discrete corrective sub-movement. While this iterative response was relatively rapid in the control subjects (220 ms), Parkinson's disease patients exhibited either dramatically late (>730 ms) or totally absent on-line corrections. When on-line corrections were absent, the initial motor response was completed before a second corrective response was initiated (the latency of the corrective response was the same as the latency of the initial response). Considered together, these results suggest that basal ganglia dependent circuits are not critical for feedback loops involving a smooth modulation of the ongoing command. These circuits may rather contribute to the generation of discrete corrective sub-movements. This deficit is in line with the general impairment of sequential and simultaneous actions in patients with basal ganglia disorders.
CC : 002B17
FD : Parkinson maladie; Contrôle moteur; Homme; Chorée Huntington; Noyau gris central; Guidage; Système nerveux pathologie; Stade avancé; Champ visuel; Regard; Vision; Simulation; Correction; Latence réponse; Boucle réaction
FG : Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Maladie héréditaire; Système nerveux central
ED : Parkinson disease; Motor control; Human; Huntington disease; Basal ganglion; Guidance; Nervous system diseases; Advanced stage; Visual field; Gaze; Vision; Simulation; Corrections; Response latency; Feedback
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Genetic disease; Central nervous system
SD : Parkinson enfermedad; Control motor; Hombre; Corea Huntington; Núcleo basal; Guiado; Sistema nervioso patología; Estadio avanzado; Campo visual; Mirada; Visión; Simulación; Corrección; Latencia respuesta; Retroalimentación
LO : INIST-998.354000116304080090
ID : 04-0481650

Links to Exploration step

Pascal:04-0481650

Le document en format XML

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<NO>PASCAL 04-0481650 INIST</NO>
<ET>On-line motor control in patients with Parkinson's disease</ET>
<AU>DESMURGET (M.); GAVEAU (V.); VINDRAS (P.); TURNER (R. S.); BROUSSOLLE (E.); THOBOIS (S.)</AU>
<AF>Space and Action/Bron/France (1 aut., 2 aut.); Department of Neurology, Neurological Hospital Pierre Wertheimer/Lyon/France (3 aut.); FPSE, University of Geneva/Geneva/Suisse (4 aut.); Department of Neurosurgery, University of California, San Francisco/San Francisco, California/Etats-Unis (5 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Brain; ISSN 0006-8950; Royaume-Uni; Da. 2004; Vol. 127; No. p.8; Pp. 1755-1773; Bibl. 1 p.3/4</SO>
<LA>Anglais</LA>
<EA>Recent models based, in part on a study of Huntington's disease, suggest that the basal ganglia are involved in on-line movement guidance. Two experiments were conducted to investigate this idea. First, we studied advanced Parkinson's disease patients performing a reaching task known to depend on on-line guidance. The task was to 'look and point' in the dark at visual targets displayed in the peripheral visual field. In some trials, the target location was slightly modified during saccadic gaze displacement (when vision is suppressed). In both patient and control groups, the target jump induced a gradual modification of the movement which diverged smoothly from its original path to reach the new target location. No deficit was found in the patients, except for an increased latency to respond to the target jump (Parkinson's disease: 243 ms; controls: 166 ms). A computational simulation indicated that this response slowing was likely to be a by-product of bradykinesia. The unexpected inconsistency between this result and previous reports was investigated in a second experiment. We hypothesized that the relevant factor was the characteristics of the corrections to be performed. To test this prediction, we investigated a task requiring corrections of the same type as investigated in Huntington's disease, namely large, consciously detected errors induced by large target jumps at hand movement onset. In contrast with the smooth adjustments observed in the first experiment, the subjects responded to the target jump by generating a discrete corrective sub-movement. While this iterative response was relatively rapid in the control subjects (220 ms), Parkinson's disease patients exhibited either dramatically late (>730 ms) or totally absent on-line corrections. When on-line corrections were absent, the initial motor response was completed before a second corrective response was initiated (the latency of the corrective response was the same as the latency of the initial response). Considered together, these results suggest that basal ganglia dependent circuits are not critical for feedback loops involving a smooth modulation of the ongoing command. These circuits may rather contribute to the generation of discrete corrective sub-movements. This deficit is in line with the general impairment of sequential and simultaneous actions in patients with basal ganglia disorders.</EA>
<CC>002B17</CC>
<FD>Parkinson maladie; Contrôle moteur; Homme; Chorée Huntington; Noyau gris central; Guidage; Système nerveux pathologie; Stade avancé; Champ visuel; Regard; Vision; Simulation; Correction; Latence réponse; Boucle réaction</FD>
<FG>Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Maladie héréditaire; Système nerveux central</FG>
<ED>Parkinson disease; Motor control; Human; Huntington disease; Basal ganglion; Guidance; Nervous system diseases; Advanced stage; Visual field; Gaze; Vision; Simulation; Corrections; Response latency; Feedback</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Genetic disease; Central nervous system</EG>
<SD>Parkinson enfermedad; Control motor; Hombre; Corea Huntington; Núcleo basal; Guiado; Sistema nervioso patología; Estadio avanzado; Campo visual; Mirada; Visión; Simulación; Corrección; Latencia respuesta; Retroalimentación</SD>
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