Brain, Vol 121, Issue 4 725-742, Copyright © 1998 by Oxford University Press
JL Alberts, JR Tresilian and GE Stelmach
Parkinson's disease patients and control subjects performed a simultaneous
bilateral reach-to-grasp task to two different sized objects and then
pulled the two objects apart. The first phase of the task
(reaching-to-grasp) allowed us to examine the issue that impairments in
simultaneous movements for Parkinson's disease patients are seen in some
tasks but not in others. It is suggested that the reason for this selective
impairment is that Parkinson's disease compromises the ability to control
multiple task-level degrees of freedom independently and concurrently
(task-level degrees of freedom are defined as the number of independent
parameters that require specification to perform the task). The first phase
was used to test the hypothesis that Parkinson's disease results in a
reduction of degrees of freedom that are independently controlled. It was
predicted that Parkinson's disease patients would produce similar
(homologous) movements of the two limbs (a symmetrical pattern) if the
target objects have different accuracy requirements when they reach
bilaterally to the two objects. For bilateral reaches for two different-
size objects, only the control group showed reliably different patterns in
the two limbs (asymmetrical pattern), while the Parkinson's disease group
displayed a symmetrical pattern. These results provide support for the
hypothesis that Parkinson's disease patients have a reduced capability to
control multiple task-level degrees of freedom. The second phase of the
task, which involved a transition from position control (reaching-to-grasp)
to force control (stabilizing and pulling) was used to examine the ability
of Parkinson's disease patients to make transitions between movement tasks
and force control. In contrast to control subjects, Parkinson's disease
patients produced staircase patterns for grip and load forces. Furthermore,
a breakdown in the parallel co-ordination between grip and load force was
observed for Parkinson's disease patients. These data suggest that
Parkinson's disease disrupts the normal feedforward operations responsible
for the co-ordination between grip and load forces.
ARTICLES
The co-ordination and phasing of a bilateral prehension task. The influence of Parkinson's disease
Motor Control Laboratory, Arizona State University, Tempe 85283-0404, USA.
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