Alhassan M, Hovis JK, Almeida QJ. Visual processing speed in freezing and non-freezing Parkinson's disease patients.
Clin Park Relat Disord 2020;
3:100060. [PMID:
34316642 PMCID:
PMC8298779 DOI:
10.1016/j.prdoa.2020.100060]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Revised: 04/26/2020] [Accepted: 05/24/2020] [Indexed: 11/24/2022] Open
Abstract
Introduction
Parkinson's disease patients are usually characterized by body motor dysfunction due to dopaminergic reduction in the central nervous system. Freezing of gait is a motor disorder that affects certain Parkinson's disease patients. However, it is hypothesized that non-motor functions mediated by the cholinergic system are also involved in developing freezing of gait. Visual information processing speed, or inspection time is independent of the motor response, and can be used a reliable measure of the cholinergic system integrity.
Objective
Inspection time can be used to investigate whether Parkinson's disease patients with freezing of gait symptoms have a larger impairment in cholinergic mediated functions than those patients who have no freezing of gait symptoms and healthy controls.
Methods
The inspection time was determined by a simple length discrimination task. Twenty-two Parkinson's disease patients with freezing of gait, 25 Parkinson's disease patients without freezing of gait, and 25 aged matched healthy controls participated in the study.
Results
Based on the log values of IT score, Parkinson's disease patients with freezing of gait symptoms had statistically significant slower inspection times (mean of 1.793 ms) than Parkinson's disease patients without freezing of gait (mean of 1.655 ms) and healthy controls (mean of 1.523 ms). Inspection times for the Parkinson's disease patients without FOG symptoms were also significantly slower than healthy controls.
Conclusion
The results of this study support the hypothesis that the cholinergic system integrity is affected more in Parkinson's disease patients with freezing of gait symptoms.
Non-motor symptoms are associated with Parkinson’s disease patients.
Inspection time can be used as a reliable tool to evaluate the integrity of the cholinergic system.
Patients with Parkinson’s disease especially those who showed freezing of gait symptoms had longer inspection time score which suggest they have deficit in the cholinergic system.
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