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帕金森病中动作与动觉感知的稳定性

Stability of Action and Kinesthetic Perception in Parkinson's Disease.

作者信息

Ricotta Joseph, Latash Mark L

机构信息

The Pennsylvania State University, University Park, PA, USA.

出版信息

J Hum Kinet. 2021 Jan 29;76:145-159. doi: 10.2478/hukin-2021-0006. eCollection 2021 Jan.

Abstract

We present a review of action and perception stability within the theoretical framework based on the idea of control with spatial referent coordinates for the effectors at a number of hierarchical levels. Stability of salient variables is ensured by synergies, neurophysiological structures that act in multi-dimensional spaces of elemental variables and limit variance to the uncontrolled manifold during action and iso-perceptual manifold during perception. Patients with Parkinson's disease show impaired synergic control reflected in poor stability (low synergy indices) and poor agility (low indices of anticipatory synergy adjustments prior to planned quick actions). They also show impaired perception across modalities, including kinesthetic perception. We suggest that poor stability at the level of referent coordinates can be the dominant factor leading to poor stability of percepts.

摘要

我们基于效应器在多个层次水平上的空间参照坐标控制理念,在理论框架内对动作和感知稳定性进行了综述。显著变量的稳定性由协同作用来确保,协同作用是在基本变量的多维空间中起作用的神经生理结构,在动作过程中将方差限制在非受控流形内,在感知过程中将方差限制在等感知流形内。帕金森病患者表现出协同控制受损,这反映在稳定性差(协同指数低)和灵活性差(计划快速动作前预期协同调整指数低)。他们还表现出跨模态感知受损,包括动觉感知。我们认为,参照坐标水平的稳定性差可能是导致感知稳定性差的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a24/7877286/c59af9e6add0/hukin-76-145-g001.jpg

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