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首页> 外文期刊>Journal of the International Neuropsychological Society: JINS >Alternate but Do Not Swim: A Test for Executive Motor Dysfunction in Parkinson Disease
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Alternate but Do Not Swim: A Test for Executive Motor Dysfunction in Parkinson Disease

机译：交替但不游泳：帕金森氏病执行性运动功能障碍的测试

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摘要

The objective of this study is to learn if participants with Parkinson disease (PD), when compared to normal controls, are impaired in making simultaneous but independent right and left hand movements. Participants were tested with Luria's Alternating Hand Postures (AHP) test and modified AHP tests. Twelve PD participants without dementia and twelve matched controls were assessed for their ability to perform the parallel AHP test (both hands remaining in the same coronal plane) and with modifications of this test into swimming (alternative arm extension with finger extension and arm flexion with finger flexion) and reverse swimming (alternative arm extension-finger flexion and arm flexion-finger extension) movements. The participants with PD were significantly impaired when performing the parallel and the reverse swimming movements AHP tests, but not impaired on the swimming movements AHP test. Swimming movements may be phylogenefically and ontogenetically more primitive and not as heavily dependent on frontal-basal ganglia networks; thus performance of swimming movements during the parallel AHP test may decrease this test's sensitivity.
机译：这项研究的目的是了解与正常对照组相比，帕金森病（PD）的参与者在同时但独立地进行左右手运动时是否受到障碍。用Luria的交替手姿势（AHP）测试和改良的AHP测试对参与者进行测试。评估了12名无痴呆的PD参与者和12名相匹配的对照组进行平行AHP测试的能力（两只手都保持在同一冠状平面内），并且对该测试进行了修改以使其适应游泳（交替用手指伸展手臂伸展和用手指弯曲手臂）屈曲）和反向游泳（另一种方法是手臂伸展-手指屈曲和手臂屈曲-手指伸展）。进行平行和反向游泳动作AHP测试时，PD参与者明显受损，而游泳动作AHP测试则没有受损。游泳运动在系统发育和个体发育上可能更为原始，而不是严重依赖于额叶-基底神经节网络。因此，在并行AHP测试中进行游泳动作可能会降低该测试的灵敏度。

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