An investigation of motor memory deficits in Parkinson’s disease

Voets, Sarah H. E. M. (2020). An investigation of motor memory deficits in Parkinson’s disease. University of Birmingham. Ph.D.

Preview

Voets2020PhD.pdf
Text - Accepted Version
Available under License All rights reserved.
Download (12MB) | Preview

Abstract

People with Parkinson’s disease (PD) display motor memory deficits when tested on motor adaptation tasks involving visuomotor rotations, while the process of adaptation itself seems largely unaffected. Other forms of adaptation are unexplored and the mechanisms underlying their motor memory deficits unknown. Previous research has suggested reinforcement mechanisms to be affected in PD, but whether defective reinforcement is underlying motor memory impairments has never been directly investigated. Firstly, we investigated if the motor memory deficits shown by earlier studies also hold for force-field adaptation, where the participant learns to compensate for a perturbation caused by an external force acting on the limb. We then explored if adaptation to such force-fields was possible when adaptation was dependent on contextual cues, i.e. if people with PD were able to make context-motor associations, and in addition we investigated whether augmentation of reward and punishment improved reinforcement in PD. To increase our understanding of the effect of reward and punishment feedback on context-dependent motor learning their separate effects were investigated in a group of young adults. Results showed intact recall of the learned adapted state in people with PD, suggesting intact consolidation, but motor memory as tested with interference, where memory of the initial adaptation impairs learning of an opposite adaptation, to be strongly reduced in PD. We found evidence that people with PD were less able to learn context-motor associations in comparison to older Controls and these deficits became more pronounced when success-based feedback was strengthened suggesting reduced sensitivity to augmentation of reward and/or punishment. In young adults, reward and punishment feedback did not influence context-dependent motor adaptation itself, but it had some effect on movement velocity. We conclude that PD pathology leads to weaker context-motor associations and defective reinforcement processes, which may be underlying impaired recall of certain motor states.

Type of Work:

Thesis (Doctorates > Ph.D.)

Award Type:

Doctorates > Ph.D.

Supervisor(s):