Smiley-Oyen A L, Worringham C J, Cross C L
Motor Learning and Control Laboratory, 244 Forker Building, Department of Health and Human Performance, Iowa State University, Ames, IA 50011, USA.
Exp Brain Res. 2003 Oct;152(4):453-65. doi: 10.1007/s00221-003-1570-x. Epub 2003 Jul 31.
Nine Parkinson's disease (PD), seven olivopontocerebellar atrophy (OPCA) patients and two age-matched control groups learned a linear arm movement-scaling task over 2 days, requiring movements proportional in length to visually presented target-bars. Scaling was acquired through knowledge of results (KR concerning the direction and magnitude of errors) following every second acquisition trial. Initial acquisition of both groups was significantly worse than their respective controls (poorer movement scaling), but rapidly improved to nearly identical levels. Retention for the PD group's movement scaling was as good as controls initially, but markedly poorer after 24 h. The OPCA group did not show this deficit. Both patient groups extrapolated accurately to longer, previously unpracticed target distances (no KR provided), suggesting an unimpaired capacity to generate and use an internal representation of the movement scaling. They also rapidly learned a new scaling relationship when the gain was changed. Overall, the learning of this movement-scaling task was not adversely affected in OPCA, and the impairment was restricted primarily to longer-term retention in PD. The study suggests that: (1) the ability to acquire movement scaling in a task that requires conscious use of error feedback and no new coordination may depend little on the cerebellum, and (2) the basal ganglia may participate in longer-term storage of scaling information.
九名帕金森病(PD)患者、七名橄榄体脑桥小脑萎缩(OPCA)患者以及两个年龄匹配的对照组在两天内学习了一项线性手臂运动缩放任务,该任务要求运动长度与视觉呈现的目标条成比例。每隔一次获取试验后,通过结果知识(KR,关于误差的方向和大小)来获取缩放。两组的初始获取均明显比各自的对照组差(运动缩放较差),但迅速提高到几乎相同的水平。PD组运动缩放的保持最初与对照组一样好,但24小时后明显变差。OPCA组未表现出这种缺陷。两个患者组都能准确地外推到更长的、以前未练习过的目标距离(未提供KR),这表明生成和使用运动缩放内部表征的能力未受损。当增益改变时,他们也能迅速学习新的缩放关系。总体而言,OPCA患者对该运动缩放任务的学习没有受到不利影响,而损伤主要局限于PD患者的长期保持。该研究表明:(1)在一项需要有意识地使用误差反馈且无需新协调的任务中获取运动缩放的能力可能很少依赖于小脑,(2)基底神经节可能参与缩放信息的长期存储。