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帕金森病中非运动程序性学习的完整获取与短期保持

Intact Acquisition and Short-Term Retention of Non-Motor Procedural Learning in Parkinson's Disease.

作者信息

Panouillères Muriel T N, Tofaris George K, Brown Peter, Jenkinson Ned

机构信息

Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.

School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.

出版信息

PLoS One. 2016 Feb 23;11(2):e0149224. doi: 10.1371/journal.pone.0149224. eCollection 2016.

Abstract

Procedural learning is a form of memory where people implicitly acquire a skill through repeated practice. People with Parkinson's disease (PD) have been found to acquire motor adaptation, a form of motor procedural learning, similarly to healthy older adults but they have deficits in long-term retention. A similar pattern of normal learning on initial exposure with a deficit in retention seen on subsequent days has also been seen in mirror-reading, a form of non-motor procedural learning. It is a well-studied fact that disrupting sleep will impair the consolidation of procedural memories. Given the prevalence of sleep disturbances in PD, the lack of retention on following days seen in these studies could simply be a side effect of this well-known symptom of PD. Because of this, we wondered whether people with PD would present with deficits in the short-term retention of a non-motor procedural learning task, when the test of retention was done the same day as the initial exposure. The aim of the present study was then to investigate acquisition and retention in the immediate short term of cognitive procedural learning using the mirror-reading task in people with PD. This task involved two conditions: one where triads of mirror-inverted words were always new that allowed assessing the learning of mirror-reading skill and another one where some of the triads were presented repeatedly during the experiment that allowed assessing the word-specific learning. People with PD both ON and OFF their normal medication were compared to healthy older adults and young adults. Participants were re-tested 50 minutes break after initial exposure to probe for short-term retention. The results of this study show that all groups of participants acquired and retained the two skills (mirror-reading and word-specific) similarly. These results suggest that neither healthy ageing nor the degeneration within the basal ganglia that occurs in PD does affect the mechanisms that underpin the acquisition of these new non-motor procedural learning skills and their short-term memories.

摘要

程序性学习是一种记忆形式,人们通过反复练习隐性地获得一项技能。已发现帕金森病(PD)患者获得运动适应性(一种运动程序性学习形式)的方式与健康的老年人相似,但他们在长期保持方面存在缺陷。在镜像阅读(一种非运动程序性学习形式)中也观察到类似的模式,即初次接触时学习正常,但在随后几天保持存在缺陷。一个经过充分研究的事实是,干扰睡眠会损害程序性记忆的巩固。鉴于PD中睡眠障碍的普遍性,这些研究中观察到的后续几天缺乏保持情况可能仅仅是PD这一众所周知症状的副作用。因此,我们想知道,当在初次接触的同一天进行保持测试时,PD患者在非运动程序性学习任务的短期保持方面是否会出现缺陷。本研究的目的是使用镜像阅读任务调查PD患者在认知程序性学习的即时短期中的获得和保持情况。该任务涉及两种情况:一种是镜像颠倒的单词三元组总是新的,这可以评估镜像阅读技能的学习;另一种是在实验过程中一些三元组会重复出现,这可以评估单词特异性学习。将服用和未服用常规药物的PD患者与健康老年人和年轻人进行比较。参与者在初次接触后休息50分钟再进行测试,以探究短期保持情况。这项研究的结果表明,所有参与者组在获得和保持这两种技能(镜像阅读和单词特异性)方面相似。这些结果表明,健康衰老和PD中发生的基底神经节退变均不会影响支持这些新的非运动程序性学习技能及其短期记忆获得的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d72/4764369/465ac96925f1/pone.0149224.g001.jpg

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