Motor Disorders Howard Poizner Institute for Neural Computation - - PowerPoint PPT Presentation

motor disorders
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Motor Disorders Howard Poizner Institute for Neural Computation - - PowerPoint PPT Presentation

Motor Disorders Howard Poizner Institute for Neural Computation & Cognitive Science Department UCSD Sensory versus Motor Systems Reason we have a brain Breakdown of motor control following failure of sensory or motor systems


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Motor Disorders

Howard Poizner Institute for Neural Computation & Cognitive Science Department UCSD

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  • Sensory versus Motor Systems
  • Reason we have a brain
  • Breakdown of motor control

following failure of sensory or motor systems

  • Deafferentation
  • Parkinson’s disease
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Cortical Motor Areas Basal Ganglia Thalamus

Brain Stem

Cerebellum Spinal Cord

Sensory Receptors Muscle Contraction & Movement

Final Common Path

I II III

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Parkinson’s Disease

  • Reliance on external cues
  • Basal Ganglia are important for the internal

guidance of movement

  • Point to remembered 3D locations without vision

Sensorimotor Mapping Problem

  • How to control joint angles of arm given knowledge
  • f coordinates of target in external space
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SUBJECTS

  • 11 PD Patients (mild to moderate)
  • Studied OFF medication
  • 8 Age-Matched Controls
  • Right handed, right hand used
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Conclusions for Experiment 1

  • With vision only of the initial hand position and target,

mild to moderate PD patients have normal 3D pointing accuracy

  • Thus, PD patients are able to construct spatial maps of

the target and of their moving limb and coordinate the two

  • Certain dimensions of performance are impaired
  • Challenging integration of vision and proprioception may

induce large spatial errors

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Modes of Target Presentation

  • 1. No-Vision
  • 2. Finger-Vision
  • 3. Target-Vision
  • No required integration across sensory modalities:

Finger-Vision

  • Required processing of proprioception & integration with vision:

No-Vision Target-Vision

Hypothesis: Deficits in Conditions 1 & 3, but not in 2.

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SUBJECTS

  • 9 PD Patients (mild to moderate)
  • Studied OFF Medication
  • 9 Age-Matched Controls
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Conclusions

  • PD patients show large 3D reaching errors

when forced to extract critical information from proprioception to map onto a spatial target

  • This deficit may in part underlie PD

patients’ reliance on external cues

  • Turn

to learning new sensorimotor mappings

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* Biaxial Distortion Z

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SUBJECTS

  • 8 PD Patients (mild to moderate)
  • Studied OFF Medication
  • Minimal or No Tremor or Dyskinesias
  • 10 Age-Matched Controls
  • 10 Young Adult Controls
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  • 30
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  • 15
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5 10 15 20 10 20 30 40 50 60

IL RL

Parkinson Elderly Young

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5 10 15 20 10 20 30 40 50 60

IL RL

* * * * * *

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IL RL

Parkinson Elderly Young

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CONCLUSIONS

  • PD subjects show an endpoint elevation depression

at baseline

  • The ability to adapt to a sudden biaxial visuomotor

distortion applied in 3D space declines in normal aging and Parkinson disease

  • The Basal ganglia contribute to visuomotor learning,

particularly when the task requires a rapid reconfiguration of newly learned visuomotor coordinations

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Deafferented Subjects

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