帕金森病中视觉-触觉和视觉-运动身体相关整合的不同模式。

Distinct patterns of visuo-tactile and visuo-motor body-related integration in Parkinson's disease.

作者信息

Genovese Francesca, Romeo Marcella, Terrenzio Francesco Paolo, Esposito Nadia, Destefanis Cristina, Gindri Patrizia, Garbarini Francesca, Rossi Sebastiano Alice

机构信息

MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, Turin, 10124, Italy.

ISAS, International School of Advanced Studies, University of Camerino, Camerino, Italy.

出版信息

Sci Rep. 2025 Jul 31;15(1):27923. doi: 10.1038/s41598-025-08965-5.

Abstract

Multisensory integration (MSI) deficits in patients with Parkinson's Disease (PD) have recently attracted growing interest in both clinical and research realms, MSI being crucial in maintaining well-coordinated responses to external stimuli. In this framework, we exploited the Rubber Hand Illusion (RHI), an experimental procedure that induces healthy individuals to embody a fake hand by integrating multisensory body-related cues, to address potential alterations of the embodiment phenomenon in PD. Specifically, we leveraged a visuo-tactile (VT; Experiment 1) and a visuo-motor (VM; Experiment 2) RHI version and applied it to 32 PD patients and age-matched controls. Classical RHI measures (i.e., ownership and agency questionnaires, proprioceptive drift) were collected. Questionnaires revealed typical VT- and VM-RHI patterns in patients, although diminished as compared to controls. Crucially, proprioceptive drift showed an abolishment of VM- (but not VT-) RHI effect in patients, advocating for a channel-specific embodiment abnormality that emerged only when the motor system, involved in the pathology, was challenged by the RHI. Interestingly, such a deficit emerged specifically when proprioceptive drift, engaging a motor response, was considered as a measure. We speculatively interpret this finding in light of the neural degeneration of basal ganglia in PD, being these structures engaged in visuo-motor integration.

摘要

帕金森病(PD)患者的多感官整合(MSI)缺陷最近在临床和研究领域都引起了越来越多的关注,多感官整合对于维持对外界刺激的协调反应至关重要。在此框架下,我们利用了橡皮手错觉(RHI),这是一种实验程序,通过整合多感官身体相关线索,诱导健康个体将假手视为自己身体的一部分,以研究帕金森病中这种身体体现现象的潜在改变。具体而言,我们采用了视觉-触觉(VT;实验1)和视觉-运动(VM;实验2)版本的橡皮手错觉,并将其应用于32名帕金森病患者和年龄匹配的对照组。收集了经典的橡皮手错觉测量指标(即所有权和能动性问卷、本体感觉漂移)。问卷显示患者中存在典型的视觉-触觉和视觉-运动橡皮手错觉模式,尽管与对照组相比有所减弱。至关重要的是,本体感觉漂移显示患者中视觉-运动(而非视觉-触觉)橡皮手错觉效应消失,这表明存在一种特定通道的身体体现异常,这种异常仅在参与该病理过程的运动系统受到橡皮手错觉挑战时才会出现。有趣的是,当将涉及运动反应的本体感觉漂移作为一项测量指标时,这种缺陷才会特别显现。我们根据帕金森病中基底神经节的神经退行性变推测性地解释这一发现,因为这些结构参与视觉-运动整合。

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