Neurorehabil Neural Repair
September 2008
Objective: To test the predictions of the Challenge Point Framework (CPF) for motor learning in individuals with Parkinson's disease (PD) by manipulating nominal task difficulty and conditions of practice.
Methods: Twenty adults with PD and 20 nondisabled controls practiced 3 variations of a laboratory-based goal-directed arm movement over 2 days. A between-group (PD, nondisabled) 2-factor design compared 2 levels of nominal task difficulty (low, high) and 2 levels of practice condition (low, high demand).
The medial temporal (MT) lobes and basal ganglia have both been implicated as brain substrates of associative learning. Here, we show a dissociation between medial temporal and basal ganglia damage using a latent learning task, in which prior exposure to cues, uncorrelated with each other, slows subsequent learning of an association between them. Consistent with prior work, we found a robust exposure effect in healthy controls, with exposed controls learning more slowly than non-exposed controls.
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