Analysis of the Movement Initiation Problem in Parkinson's Disease :Practice As An Intervention
Analysis of the Movement Initiation Problem in Parkinson's Disease :Practice As An Intervention
Behrman, Andrea Louise
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Separating the components of a speeded-movement response into the premotor and motor times of the RT while also exploring MT allows the problem to be localized. Premotor time is considered to represent the central processing time relative to response programming. Motor time reflects peripheral aspects of movement preparation such as tension development in the muscle. Movement time is indicative of the peripheral components relative to movement execution. To date, this analytical strategy has no...t been apphed to a comparison of the effects of practice on sp)eeded-movement responses of varying complexity and their components in healthy, older adults and persons with PD. Such an analytical approach may provide a means to discern the relative contributions of each component of speeded-movement responses to the problem of movement initiation in persons with PD and to the efficacy of practice as an intervention for performance of simple and complex movements. Note that fractionation of RT in persons with PD has revealed a delay in premotor time, consistent with deficits in central processing (Evarts et al., 1981; Sheridan et al., 1987; Stehnach et al., 1992).
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