Abstract
To assess the contribution of visuoperceptual function to complex visuomotor responding in Parkinson's disease, 14 patients with idiopathic PD and 12 normal controls matched for age, education and general intellectual function were administered a visual tracing task. No difference was found between the groups on two visuoperceptual tests, the Benton Line Orientation test and a test of trajectory judgement. However, patients were significantly impaired in tracing a sawtooth design when two consecutive angles of the sawtooth were occluded. This impairment occurred in reproducing the basic form of the stimulus and not with accuracy of fine detail. These results suggest higher-order perceptual motor dysfunction independent of any breakdown in basic visuoperceptual processing or loss of fine motor control. It is concluded that Parkinsonian patients are unable to use sensory information accurately to plan and execute complex or new movements.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bloxham C. A., Mindel T. A., Frith C. D. Initiation and execution of predictable and unpredictable movements in Parkinson's disease. Brain. 1984 Jun;107(Pt 2):371–384. doi: 10.1093/brain/107.2.371. [DOI] [PubMed] [Google Scholar]
- Boller F., Passafiume D., Keefe N. C., Rogers K., Morrow L., Kim Y. Visuospatial impairment in Parkinson's disease. Role of perceptual and motor factors. Arch Neurol. 1984 May;41(5):485–490. doi: 10.1001/archneur.1984.04050170031011. [DOI] [PubMed] [Google Scholar]
- Connor N. P., Abbs J. H. Task-dependent variations in parkinsonian motor impairments. Brain. 1991 Feb;114(Pt 1A):321–332. [PubMed] [Google Scholar]
- Cools A. R., van den Bercken J. H., Horstink M. W., van Spaendonck K. P., Berger H. J. Cognitive and motor shifting aptitude disorder in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1984 May;47(5):443–453. doi: 10.1136/jnnp.47.5.443. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cooper J. A., Sagar H. J., Jordan N., Harvey N. S., Sullivan E. V. Cognitive impairment in early, untreated Parkinson's disease and its relationship to motor disability. Brain. 1991 Oct;114(Pt 5):2095–2122. doi: 10.1093/brain/114.5.2095. [DOI] [PubMed] [Google Scholar]
- Danta G., Hilton R. C. Judgment of the visual vertical and horizontal in patients with Parkinsonism. Neurology. 1975 Jan;25(1):43–47. doi: 10.1212/wnl.25.1.43. [DOI] [PubMed] [Google Scholar]
- Day B. L., Dick J. P., Marsden C. D. Patients with Parkinson's disease can employ a predictive motor strategy. J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1299–1306. doi: 10.1136/jnnp.47.12.1299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Della Sala S., Di Lorenzo G., Giordano A., Spinnler H. Is there a specific visuo-spatial impairment in Parkinsonians? J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1258–1265. doi: 10.1136/jnnp.49.11.1258. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Downes J. J., Roberts A. C., Sahakian B. J., Evenden J. L., Morris R. G., Robbins T. W. Impaired extra-dimensional shift performance in medicated and unmedicated Parkinson's disease: evidence for a specific attentional dysfunction. Neuropsychologia. 1989;27(11-12):1329–1343. doi: 10.1016/0028-3932(89)90128-0. [DOI] [PubMed] [Google Scholar]
- Dubois B., Pillon B., Sternic N., Lhermitte F., Agid Y. Age-induced cognitive disturbances in Parkinson's disease. Neurology. 1990 Jan;40(1):38–41. doi: 10.1212/wnl.40.1.38. [DOI] [PubMed] [Google Scholar]
- Flowers K. Lack of prediction in the motor behaviour of Parkinsonism. Brain. 1978 Mar;101(1):35–52. doi: 10.1093/brain/101.1.35. [DOI] [PubMed] [Google Scholar]
- Folstein M. F., Folstein S. E., McHugh P. R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189–198. doi: 10.1016/0022-3956(75)90026-6. [DOI] [PubMed] [Google Scholar]
- Frith C. D., Bloxham C. A., Carpenter K. N. Impairments in the learning and performance of a new manual skill in patients with Parkinson's disease. J Neurol Neurosurg Psychiatry. 1986 Jun;49(6):661–668. doi: 10.1136/jnnp.49.6.661. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Girotti F., Carella F., Grassi M. P., Soliveri P., Marano R., Caraceni T. Motor and cognitive performances of parkinsonian patients in the on and off phases of the disease. J Neurol Neurosurg Psychiatry. 1986 Jun;49(6):657–660. doi: 10.1136/jnnp.49.6.657. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goldenberg G., Wimmer A., Auff E., Schnaberth G. Impairment of motor planning in patients with Parkinson's disease: evidence from ideomotor apraxia testing. J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1266–1272. doi: 10.1136/jnnp.49.11.1266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harrington D. L., Haaland K. Y. Sequencing in Parkinson's disease. Abnormalities in programming and controlling movement. Brain. 1991 Feb;114(Pt 1A):99–115. [PubMed] [Google Scholar]
- Harrington D. L., Haaland K. Y., Yeo R. A., Marder E. Procedural memory in Parkinson's disease: impaired motor but not visuoperceptual learning. J Clin Exp Neuropsychol. 1990 Mar;12(2):323–339. doi: 10.1080/01688639008400978. [DOI] [PubMed] [Google Scholar]
- Heindel W. C., Salmon D. P., Shults C. W., Walicke P. A., Butters N. Neuropsychological evidence for multiple implicit memory systems: a comparison of Alzheimer's, Huntington's, and Parkinson's disease patients. J Neurosci. 1989 Feb;9(2):582–587. doi: 10.1523/JNEUROSCI.09-02-00582.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hoehn M. M., Yahr M. D. Parkinsonism: onset, progression and mortality. Neurology. 1967 May;17(5):427–442. doi: 10.1212/wnl.17.5.427. [DOI] [PubMed] [Google Scholar]
- Hovestadt A., de Jong G. J., Meerwaldt J. D. Spatial disorientation as an early symptom of Parkinson's disease. Neurology. 1987 Mar;37(3):485–487. doi: 10.1212/wnl.37.3.485. [DOI] [PubMed] [Google Scholar]
- Lees A. J., Robertson M., Trimble M. R., Murray N. M. A clinical study of Gilles de la Tourette syndrome in the United Kingdom. J Neurol Neurosurg Psychiatry. 1984 Jan;47(1):1–8. doi: 10.1136/jnnp.47.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levin B. E., Llabre M. M., Weiner W. J. Cognitive impairments associated with early Parkinson's disease. Neurology. 1989 Apr;39(4):557–561. doi: 10.1212/wnl.39.4.557. [DOI] [PubMed] [Google Scholar]
- Marsden C. D. The mysterious motor function of the basal ganglia: the Robert Wartenberg Lecture. Neurology. 1982 May;32(5):514–539. doi: 10.1212/wnl.32.5.514. [DOI] [PubMed] [Google Scholar]
- Mayeux R., Chen J., Mirabello E., Marder K., Bell K., Dooneief G., Cote L., Stern Y. An estimate of the incidence of dementia in idiopathic Parkinson's disease. Neurology. 1990 Oct;40(10):1513–1517. doi: 10.1212/wnl.40.10.1513. [DOI] [PubMed] [Google Scholar]
- Mayeux R., Stern Y., Rosen J., Leventhal J. Depression, intellectual impairment, and Parkinson disease. Neurology. 1981 Jun;31(6):645–650. doi: 10.1212/wnl.31.6.645. [DOI] [PubMed] [Google Scholar]
- Pirozzolo F. J., Hansch E. C., Mortimer J. A., Webster D. D., Kuskowski M. A. Dementia in Parkinson disease: a neuropsychological analysis. Brain Cogn. 1982 Jan;1(1):71–83. doi: 10.1016/0278-2626(82)90007-0. [DOI] [PubMed] [Google Scholar]
- Raskin S. A., Borod J. C., Wasserstein J., Bodis-Wollner I., Coscia L., Yahr M. D. Visuospatial orientation in Parkinson's disease. Int J Neurosci. 1990 Mar;51(1-2):9–18. doi: 10.3109/00207459009000503. [DOI] [PubMed] [Google Scholar]
- Sahakian B. J., Morris R. G., Evenden J. L., Heald A., Levy R., Philpot M., Robbins T. W. A comparative study of visuospatial memory and learning in Alzheimer-type dementia and Parkinson's disease. Brain. 1988 Jun;111(Pt 3):695–718. doi: 10.1093/brain/111.3.695. [DOI] [PubMed] [Google Scholar]
- Schroth G., Gawehn J., Thron A., Vallbracht A., Voigt K. Early diagnosis of herpes simplex encephalitis by MRI. Neurology. 1987 Feb;37(2):179–183. doi: 10.1212/wnl.37.2.179. [DOI] [PubMed] [Google Scholar]
- Sharpe M. H., Cermak S. A., Sax D. S. Motor planning in Parkinson patients. Neuropsychologia. 1983;21(5):455–462. doi: 10.1016/0028-3932(83)90002-7. [DOI] [PubMed] [Google Scholar]
- Stern Y., Mayeux R., Rosen J. Contribution of perceptual motor dysfunction to construction and tracing disturbances in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1984 Sep;47(9):983–989. doi: 10.1136/jnnp.47.9.983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stern Y., Mayeux R., Rosen J., Ilson J. Perceptual motor dysfunction in Parkinson's disease: a deficit in sequential and predictive voluntary movement. J Neurol Neurosurg Psychiatry. 1983 Feb;46(2):145–151. doi: 10.1136/jnnp.46.2.145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stern Y. Patients with Parkinson's disease can employ a predictive motor strategy. J Neurol Neurosurg Psychiatry. 1986 Jan;49(1):107–108. doi: 10.1136/jnnp.49.1.107-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sullivan E. V., Sagar H. J., Gabrieli J. D., Corkin S., Growdon J. H. Different cognitive profiles on standard behavioral tests in Parkinson's disease and Alzheimer's disease. J Clin Exp Neuropsychol. 1989 Dec;11(6):799–820. doi: 10.1080/01688638908400937. [DOI] [PubMed] [Google Scholar]
- Taylor A. E., Saint-Cyr J. A., Lang A. E. Frontal lobe dysfunction in Parkinson's disease. The cortical focus of neostriatal outflow. Brain. 1986 Oct;109(Pt 5):845–883. doi: 10.1093/brain/109.5.845. [DOI] [PubMed] [Google Scholar]
- Villardita C., Smirni P., le Pira F., Zappala G., Nicoletti F. Mental deterioration, visuoperceptive disabilities and constructional apraxia in Parkinson's disease. Acta Neurol Scand. 1982 Jul;66(1):112–120. doi: 10.1111/j.1600-0404.1982.tb03135.x. [DOI] [PubMed] [Google Scholar]