Smiley-Oyen Ann L, Worringham Charles J, Cross Carol L
Department of Health and Human Performance, Iowa State University, Ames, Iowa, USA.
Mov Disord. 2002 Nov;17(6):1196-204. doi: 10.1002/mds.10278.
One hypothesized role of the basal ganglia, based largely on findings in Parkinson's disease (PD) patients, is the control of movement sequences. We examined changes in performance with practice of a movement sequence in PD patients and age-matched controls (n = 8 per group). Subjects practiced a complex three-dimensional sequential aiming task over 2 days, completing 180 trials, with the goal to minimize response time within specified accuracy limits. The results indicated that both groups became faster in planning the movement, and both groups moved more quickly through the sequence with practice. The PD group's decrease in movement time occurred primarily within the first 45 trials, whereas the control group continued to improve through the first 150 trials. Flight time (time between targets) to a small target decreased with practice in both groups, but flight time to a large target decreased only in the control group. This finding indicates that error corrective processes are more amenable to practice than ballistic processes in people with PD. There was little evidence that either group improved their performance by planning shorter (lower) trajectories, but rather increased mean velocity. Contact time (time on target) decreased with practice in both groups, and there were no group differences. These data indicate that practice can improve performance, both in planning and in specific execution processes.
基于帕金森病(PD)患者的研究结果,基底神经节的一个假设作用是控制运动序列。我们研究了PD患者和年龄匹配的对照组(每组n = 8)在运动序列练习过程中的表现变化。受试者在2天内练习一项复杂的三维顺序瞄准任务,完成180次试验,目标是在指定的精度范围内尽量缩短反应时间。结果表明,两组在运动计划方面都变得更快,并且随着练习,两组在序列执行过程中移动得更快。PD组运动时间的减少主要发生在前45次试验中,而对照组在前150次试验中持续改善。两组中,向小目标的飞行时间(目标之间的时间)随着练习而减少,但向大目标的飞行时间仅在对照组中减少。这一发现表明,在PD患者中,错误纠正过程比弹道过程更易于通过练习得到改善。几乎没有证据表明两组通过规划更短(更低)的轨迹来提高其表现,而是提高了平均速度。两组的接触时间(在目标上的时间)随着练习而减少,且两组之间没有差异。这些数据表明,练习可以在运动计划和特定执行过程中提高表现。