Fiorio Mirta, Stanzani Clementina, Rothwell John C, Bhatia Kailash P, Moretto Giuseppe, Fiaschi Antonio, Tinazzi Michele
Dipartimento di Scienze Neurologiche e della Visione, Sezione di Neurologia Riabilitativa, Università di Verona, and Unità Operativa Neurologia Ospedale Civile Borgo Trento, Verona, Italy.
Neurosci Lett. 2007 May 7;417(3):312-5. doi: 10.1016/j.neulet.2007.02.050. Epub 2007 Feb 23.
Perception of limb position and motion is abnormal in Parkinson's disease (PD). Despite the fact that the processing of proprioceptive inputs is inherently temporal, most studies have assessed spatial aspects of proprioception in PD patients. Here, we use a recently described method to test whether deficits also exist in temporal discrimination of proprioceptive inputs. We induced index finger abduction or wrist flexion through percutaneous electrical stimulation of the motor point of the first dorsal interosseous muscle (FDI) or the flexor carpii radialis (FCR), respectively. Twelve patients with unilateral bradykinetic-rigid PD and 12 healthy subjects were asked to report whether pairs of stimuli separated by different time intervals produced single or double index finger abduction movement or wrist flexion. The shortest interval at which subjects reported two separated movements was considered as temporal movement discrimination threshold. Results showed that thresholds were significantly higher in PD patients than in control subjects for both FCR and FDI muscle, thus demonstrating for the first time that temporal proprioceptive processing is altered in PD.
帕金森病(PD)患者对肢体位置和运动的感知存在异常。尽管本体感觉输入的处理本质上具有时间性,但大多数研究评估的是PD患者本体感觉的空间方面。在此,我们使用一种最近描述的方法来测试在本体感觉输入的时间辨别方面是否也存在缺陷。我们分别通过经皮电刺激第一背侧骨间肌(FDI)或桡侧腕屈肌(FCR)的运动点来诱发食指外展或腕部屈曲。12名单侧运动迟缓-僵硬型PD患者和12名健康受试者被要求报告由不同时间间隔分开的成对刺激是否产生单次或双次食指外展运动或腕部屈曲。受试者报告两个分开运动的最短间隔被视为时间运动辨别阈值。结果显示,对于FCR和FDI肌肉,PD患者的阈值显著高于对照组,从而首次证明PD患者的时间本体感觉处理存在改变。