1. Increased Cognitive Control During Execution of Finger Tap Movement in People with Parkinson's Disease
- Author
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Lin Shi, Winnie C.W. Chu, Vincent Mok, Defeng Wang, Margaret K.Y. Mak, Vinci Cheung, Zhong L. Lu, Mark Hallett, Wutao Lou, and Shuang-Ye Ma
- Subjects
0301 basic medicine ,Male ,medicine.medical_specialty ,Cerebellum ,Movement disorders ,Brain activity and meditation ,Audiology ,Motor Activity ,Fingers ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Executive Function ,0302 clinical medicine ,medicine ,Middle frontal gyrus ,Humans ,Aged ,Cerebral Cortex ,business.industry ,Postcentral gyrus ,Precentral gyrus ,Inferior parietal lobule ,Parkinson Disease ,Middle Aged ,Magnetic Resonance Imaging ,030104 developmental biology ,medicine.anatomical_structure ,Finger tapping ,Female ,Neurology (clinical) ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Background Previous studies employed demanding and complex hand tasks to study the brain activation in people with Parkinson's Disease (PD). There is inconsistent finding about the cerebellar activity during movement execution of this patient population. Objectives This study aimed to examine the brain activation patterns of PD individuals in the on-state and healthy control subjects in a simple finger tapping task. Methods Twenty-seven patients with PD and 22 age-matched healthy subjects were recruited for the study. Subjects were instructed to perform simple finger tapping tasks under self- and cue-initiated conditions in separate runs while their brain activations were captured using fMRI. Results Healthy subjects had higher brain activity in contralateral precentral gyrus during the self-initiated task, and higher brain activity in the ipsilateral middle occipital gyrus during the cue-initiated task. PD patients had higher brain activity in the cerebellum Crus I (bilateral) and lobules VI (ipsilateral) during the self-initiated task and higher brain activity in the contralateral middle frontal gyrus during the cue-initiated task. When compared with healthy controls, PD patients had lower brain activity in the contralateral inferior parietal lobule during the self-initiated task, and lower brain activity in the ipsilateral cerebellum lobule VIII, lobule VIIB and vermis VIII, and thalamus during the cue-initiated task. Conjunction analysis indicated that both groups had activation in bilateral cerebellum and SMA and ipsilateral precentral gyrus and postcentral gyrus during both self- and cue-initiated movement. Individuals with PD exhibited higher brain activity in the executive zone (cerebellum Crus I and II) during self-initiated movement, and lower brain activity in the sensorimotor zone (i.e. lobule VIIb and VIII of the cerebellum) during cue-initiated movement. Discussions The findings suggest that individuals with PD may use more executive control when performing simple movements.
- Published
- 2016