Re-orientation of attention in Parkinson's disease: an extension to the vibrotactile modality.

Parkinson's disease (PD), a disorder of the dopaminergic nigro-striatal pathway, is associated with both motor and cognitive impairments, including perhaps the ability to focus attention. Disturbances of attentional processes were further examined in a series of vibrotactile choice reaction time (cRT) experiments involving biased probabilities of event occurrence, or valid/invalid precueing. Results of three experiments suggest that PD subjects, compared to controls, are less adept at maintaining attention in space. The performance of the PD subjects improved, however, when they were permitted to direct their gaze to one hand or the other, and when valid external precues were provided before each trial. Observed similarities between the cognitive and motor deficits of PD subjects support the notion that there is a close coupling between the mechanisms coordinating attention and movement.