Abstract:Evidence shows altered somatosensory temporal discrimination threshold (STDT) in Parkinson’s disease in comparison to normal subjects. In healthy subjects, movement execution modulates STDT values through mechanisms of sensory gating. We investigated whether STDT modulation during movement execution in patients with Parkinson’s disease differs from that in healthy subjects. In 24 patients with Parkinson’s disease and 20 healthy subjects, we tested STDT at baseline and during index finger abductions (at movemen… Show more
“…However, the direction of the changes in PD is opposite to the direction we observed in dystonia. In PD there is reduced modulation of STDT associated with slowing of movement execution during sensorimotor integration, whereas in our study we observed that movement velocity in patients with CD and FHD did not vary during the sensorimotor integration task.…”
Section: Discussioncontrasting
confidence: 90%
“…Abnormal modulation of the STDT during voluntary movement is also present in patients with Parkinson's disease (PD) . However, the direction of the changes in PD is opposite to the direction we observed in dystonia.…”
Section: Discussionmentioning
confidence: 75%
“…After a verbal "go" signal given by the examiner, the participants abducted the index finger. 7,[27][28][29] Marker displacement was reconstructed via dedicated software running the automatic algorithm to compute range of motion (ROM), which represents the displacement of the index finger around its metacarpophalangeal joint expressed as a degree of the angle and mean velocity (degree/sec; BTS Engineering).…”
“…However, the direction of the changes in PD is opposite to the direction we observed in dystonia. In PD there is reduced modulation of STDT associated with slowing of movement execution during sensorimotor integration, whereas in our study we observed that movement velocity in patients with CD and FHD did not vary during the sensorimotor integration task.…”
Section: Discussioncontrasting
confidence: 90%
“…Abnormal modulation of the STDT during voluntary movement is also present in patients with Parkinson's disease (PD) . However, the direction of the changes in PD is opposite to the direction we observed in dystonia.…”
Section: Discussionmentioning
confidence: 75%
“…After a verbal "go" signal given by the examiner, the participants abducted the index finger. 7,[27][28][29] Marker displacement was reconstructed via dedicated software running the automatic algorithm to compute range of motion (ROM), which represents the displacement of the index finger around its metacarpophalangeal joint expressed as a degree of the angle and mean velocity (degree/sec; BTS Engineering).…”
“…For this reason, it is considered that an abnormal TDT is a marker of defective inhibition within the superior colliculus or arising from substantia nigra pars compacta ( 34 ). Further strengthening the idea that these subcortical structures integrate temporal information comes from the altered TDT values reported in patients with various basal ganglia disorders ( 1 , 35 – 39 ).…”
Section: The Neuroanatomy Of Temporal Discriminationmentioning
Temporal discrimination is the ability to determine that two sequential sensory stimuli are separated in time. For any individual, the temporal discrimination threshold (TDT) is the minimum interval at which paired sequential stimuli are perceived as being asynchronous; this can be assessed, with high test–retest and inter-rater reliability, using a simple psychophysical test. Temporal discrimination is disordered in a number of basal ganglia diseases including adult-onset dystonia, of which the two most common phenotypes are cervical dystonia and blepharospasm. The causes of adult-onset focal dystonia are unknown; genetic, epigenetic, and environmental factors are relevant. Abnormal TDTs in adult-onset dystonia are associated with structural and neurophysiological changes considered to reflect defective inhibitory interneuronal processing within a network which includes the superior colliculus, basal ganglia, and primary somatosensory cortex. It is hypothesized that abnormal temporal discrimination is a mediational endophenotype and, when present in unaffected relatives of patients with adult-onset dystonia, indicates non-manifesting gene carriage. Using the mediational endophenotype concept, etiological factors in adult-onset dystonia may be examined including (i) the role of environmental exposures in disease penetrance and expression; (ii) sexual dimorphism in sex ratios at age of onset; (iii) the pathogenesis of non-motor symptoms of adult-onset dystonia; and (iv) subcortical mechanisms in disease pathogenesis.
“…The STDT was investigated according to the experimental procedures used in previous studies [15,[37][38][39][40][41]. Paired tactile stimuli for STDT testing consisted of square-wave electrical pulses delivered by means of a constant current stimulator (Digitimer DS7AH) through surface electrodes over the distal phalanx of the right index finger.…”
Background:The temporal processing of sensory information can be evaluated by testing the somatosensory temporal discrimination threshold (STDT), which is defined as the shortest interstimulus interval needed to recognize two sequential sensory stimuli as separate in time. The STDT requires the functional integrity of the basal ganglia and of the somatosensory cortex (S1). Although there is evidence that time processing is impaired in patients with Alzheimer's disease (AD), no study has yet investigated STDT in patients with various degree of cognitive impairment. Objective: The aim of our study was to understand how cognition and attention deficits affect STDT values in patients with cognitive abnormalities. Methods: We enrolled 63 patients: 28 had mild-moderate AD, 16 had mild cognitive impairment (MCI), and the remaining 19 had subjective cognitive deficit (SCD). A group of 45 age-matched healthy subjects acted as controls. Paired tactile stimuli for STDT testing consisted of square-wave electrical pulses delivered with a constant current stimulator through surface electrodes over the distal phalanx of the index finger. Results: STDT values were higher in AD and MCI patients than in SCD subjects or healthy controls. Changes in the STDT in AD and MCI were similar in both conditions and did not correlate with disease severity. Conclusions: STDT alterations in AD and MCI may reflect a dysfunction of the dopaminergic system, which signals salient events and includes the striatum and the mesocortical and mesolimbic circuits.
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