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Published on: February 27, 2018
Huntington's disease affects movement termination
Martin Lemay1, Sylvain Chouinard, François Richer
1Centre de Réadaptation Marie-Enfant, Hôpital Ste-Justine, Montréal, QC, Canada. lemay.martin@uqam.ca
Insights
Huntington's disease (HD) impairs voluntary movement, especially during aiming. Reducing movement termination demands improved performance in HD patients, suggesting frontostriatal systems are key for movement control.
Area of Science:
- Neuroscience
- Movement Disorders
- Neurology
Background:
- Huntington's disease (HD) is a neurodegenerative disorder impacting the striatum, leading to motor deficits.
- Early-stage HD affects voluntary movements, particularly the final phase of aiming.
- Deficits in aiming movements may relate to attention or terminal control demands.
Purpose of the Study:
- To investigate the role of terminal control requirements in movement deficits in early Huntington's disease.
- To examine how movement termination and target flankers influence aiming movements in HD patients.
Main Methods:
- Sixteen early-stage Huntington's disease patients and 16 age-matched controls performed aiming movements.
- Four experimental conditions manipulated movement termination (discrete vs. cyclical) and target flankers.
- Movement performance was analyzed across different conditions.
Main Results:
- Reducing movement termination requirements significantly lessened final-phase movement deficits in HD patients.
- Target flankers affected initial movement phases but did not differentially impact HD patients and controls.
- These findings highlight the impact of terminal control on voluntary movements in HD.
Conclusions:
- Terminal control requirements significantly affect voluntary movements in individuals with early Huntington's disease.
- The results suggest that frontostriatal systems play a crucial role in movement termination.
- Understanding these mechanisms can inform therapeutic strategies for movement disorders in HD.
Abstract:
Huntington's disease (HD) is a neurodegenerative disease affecting the striatum and associated with deficits in voluntary movement in early stages. The final portion of aiming movements is particularly affected in HD and one hypothesis is that this deficit is linked to attention or terminal control requirements. Sixteen patients with early HD and 16 age-matched controls were examined in aiming movements. Four conditions manipulated movement termination requirements (discrete movements with a complete stop vs. cyclical back-and-forth movements) and the presence of flankers around the target. Reducing movement termination requirements significantly attenuated deficits in the final movement phase in patients. The presence of flankers around the target affected the initial portion of movements but did not affect the two groups differentially. These results indicate that terminal control requirements affect voluntary movements in HD. This suggests that frontostriatal systems are involved in movement termination.
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