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Updated: May 3, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Facial expressions and Parkinson's disease
P Madeley1, A W Ellis2, R H Mindham3
1The Queen Elizabeth Psychiatric Hospital, Birmingham, UK.
Patients with Parkinson's disease (PD) show reduced facial expressiveness but maintain their ability to understand facial emotions. Their comprehension of facial expressions remains intact despite motor symptoms affecting their own emotional display.
Area of Science:
- Neuroscience
- Psychology
- Clinical Neurology
Background:
- Parkinson's disease (PD) is a neurodegenerative disorder affecting motor control.
- Facial expressiveness is often impaired in individuals with PD.
- Understanding the impact of PD on facial emotion recognition and experience is crucial.
Purpose of the Study:
- To investigate facial expression posing and recognition abilities in patients with Parkinson's disease.
- To compare the facial expressiveness and emotion recognition of PD patients with healthy controls.
- To assess the subjective experience of emotion in individuals with PD.
Main Methods:
- Photographic documentation of facial expressions posed by PD patients and matched controls.
- Expression identification tasks performed by PD patients and controls.
- Quality ratings of posed expressions and general face processing tests.
Main Results:
- Expressions posed by healthy controls were more easily identified than those posed by PD patients.
- No significant differences were found in the ability to recognize facial expressions between the two groups.
- PD patients reported higher levels of anxiety but showed no deficits in emotion comprehension or experience.
Conclusions:
- Patients with Parkinson's disease exhibit reduced facial expressiveness.
- Comprehension of facial expressions and the subjective experience of emotion are preserved in individuals with PD.
- Motor symptoms of PD impact outward emotional display but not emotional understanding.
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