Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale
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In healthy subjects, sensorimotor after-effects of prism adaptation are known to be symmetric (they appear after using leftward and rightward optical deviations), whereas cognitive after-effects are asymmetric (they appear after using a leftward optical deviation) and rightward oriented. Sensorimotor and cognitive after-effects have been classically studied using different specific tasks. The purpose of the current study was to investigate whether both after-effects may be involved in a same visuo-spatial task. ⋯ This means that cognitive after-effects may add to sensorimotor after-effects following adaptation to a leftward optical deviation. This asymmetry challenges the classical distinction between sensorimotor and cognitive after-effects of prism adaptation. Implications for the functional mechanisms and the neuroanatomical substrate of prism adaptation are discussed.
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The aim of this study was to quantify the dynamic response of locomotion to the first oral levodopa administration of the day in patients with fluctuating Parkinson's disease (PD). Stride length, walking speed, cadence and gait variability were measured with an ambulatory gait monitor in 13 PD patients (8 males) with a clinical history of motor fluctuations. The Unified Parkinson's Disease Rating Scale (UPDRS) gait score (part 29) was also determined by a movement disorders specialist from video recordings. ⋯ UPDRS gait score also reflected improving gait in the majority of subjects (8), providing clinical confirmation of the objective measures of the locomotor response to levodopa. Increasing abruptness (H) of the 'off-on' transition with disease duration is consistent with results from finger-tapping studies, and may reflect reduced buffering capacity of pre-synaptic nigrostriatal dopaminergic neurons. Ambulatory monitoring of gait objectively measures the dynamic locomotor response to levodopa, and this information could be used to improve daily management of motor fluctuations.