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Abnormal sensorimotor integration is related to disease severity in Parkinson's disease: a TMS study.
Authors:Stefano Tamburin  Antonio Fiaschi  Domenico Idone  Piergiorgio Lochner  Paolo Manganotti  Giampietro Zanette
Affiliation:Department of Neurological Sciences and Vision, Section of Neurological Rehabilitation, University of Verona, Verona, Italy. stefano.tamburin@mail.univr.it
Abstract:
Hyperexcitability of the motor system has been reported in Parkinson's disease (PD). We evaluate how cutaneous afferents modulate motor excitability in PD patients and whether abnormal modulation is correlated to parkinsonian symptoms. Digital stimulation causes abnormal enhancement of motor responses in patients. This effect may be one of the features of motor hyperexcitability in PD. Cutaneomotor hyperexcitability correlates with clinical scores, suggesting that abnormal processing of cutaneous inputs might contribute to the pathogenesis of parkinsonian symptoms.
Keywords:Parkinson's disease  bradykinesia  sensorimotor integration  motor evoked potentials  digital nerve stimulation  transcranial magnetic stimulation
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