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Interaction of levodopa and cues on voluntary reaching in Parkinson's disease. Mov Disord 2002 Jan;17(1):38-44

Date

02/09/2002

Pubmed ID

11835437

DOI

10.1002/mds.10000

Scopus ID

2-s2.0-0036460910   29 Citations

Abstract

The bradykinesia associated with Parkinson's disease (PD) can be improved by both levodopa and the use of external cues. We examined the combined effect of levodopa and external cueing on the voluntary reaching movements of individuals with PD. Nine subjects with PD and nine matched controls were studied reaching to a ball target. Subjects with PD were studied after being off levodopa overnight and again on their morning dose. Kinematic data were collected as all subjects made both accurate and fast reaches under two different cue conditions: noncued (self-initiated) and cued (triggered by a light). Subjects with PD reached more slowly than controls under all conditions. PD subjects increased their reach velocity and decreased movement time after taking levodopa and also when moving to a cue. However, the effects of levodopa and cueing were not additive. Instead, levodopa improved reach velocity to a greater extent in the noncued vs. cued condition. We also found that levodopa improved accurate (self-paced) reaches more than fast reaches. These data suggest that levodopa may preferentially improve voluntary reaches that are more internally generated.

Author List

Kelly VE, Hyngstrom AS, Rundle MM, Bastian AJ

Author

Allison Hyngstrom PhD Associate Professor in the Physical Therapy department at Marquette University




MESH terms used to index this publication - Major topics in bold

Antiparkinson Agents
Cues
Female
Humans
Hypokinesia
Levodopa
Male
Middle Aged
Parkinson Disease
Severity of Illness Index