The Sequence Effect in Parkinson’s Disease

Background and Purpose The sequence effect (SE) in Parkinson’s disease (PD) denotes progressive slowness in speed or progressive decrease in amplitude of repetitive movements. It is a well-known feature of bradykinesia and is considered unique in PD. Until now, it was well-documented in advanced PD,...

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Main Authors: Suk Yun Kang, Toshiaki Wasaka, Ejaz A. Shamim, Sungyoung Auh, Yoshino Ueki, Nguyet Dang, Mark Hallett
Format: Article
Language:English
Published: Korean Movement Disorder Society 2011-05-01
Series:Journal of Movement Disorders
Subjects:
Online Access:http://e-jmd.org/upload/jmd-4-1-38-6.pdf
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author Suk Yun Kang
Toshiaki Wasaka
Ejaz A. Shamim
Sungyoung Auh
Yoshino Ueki
Nguyet Dang
Mark Hallett
author_facet Suk Yun Kang
Toshiaki Wasaka
Ejaz A. Shamim
Sungyoung Auh
Yoshino Ueki
Nguyet Dang
Mark Hallett
author_sort Suk Yun Kang
collection DOAJ
description Background and Purpose The sequence effect (SE) in Parkinson’s disease (PD) denotes progressive slowness in speed or progressive decrease in amplitude of repetitive movements. It is a well-known feature of bradykinesia and is considered unique in PD. Until now, it was well-documented in advanced PD, but not in drug-naïve PD. The aim of this study is to know whether the SE can also be measured in drug-naïve PD. Methods We measured the SE with a computer-based, modified Purdue pegboard in 4 drug-naïve PD patients, which matched our previous study with advanced PD patients. Results We observed progressive slowness during movement, that is, SE. Statistical analysis showed a strong statistical trend toward the SE with the right hand, but no significance with the left hand. There was no statistical significance of SE with either the more or less affected hands. Conclusions These results indicate that the SE can be identified in drug-naïve PD, as well as in advanced PD, with objective measurements and support the idea that the SE is a feature in PD observed during the early stage of the disease without medication.
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spelling doaj.art-5cd63892ec2a4030b676805e35c81d482023-09-03T06:36:43ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392011-05-0141384010.14802/jmd.1100633The Sequence Effect in Parkinson’s DiseaseSuk Yun KangToshiaki WasakaEjaz A. ShamimSungyoung AuhYoshino UekiNguyet DangMark HallettBackground and Purpose The sequence effect (SE) in Parkinson’s disease (PD) denotes progressive slowness in speed or progressive decrease in amplitude of repetitive movements. It is a well-known feature of bradykinesia and is considered unique in PD. Until now, it was well-documented in advanced PD, but not in drug-naïve PD. The aim of this study is to know whether the SE can also be measured in drug-naïve PD. Methods We measured the SE with a computer-based, modified Purdue pegboard in 4 drug-naïve PD patients, which matched our previous study with advanced PD patients. Results We observed progressive slowness during movement, that is, SE. Statistical analysis showed a strong statistical trend toward the SE with the right hand, but no significance with the left hand. There was no statistical significance of SE with either the more or less affected hands. Conclusions These results indicate that the SE can be identified in drug-naïve PD, as well as in advanced PD, with objective measurements and support the idea that the SE is a feature in PD observed during the early stage of the disease without medication.http://e-jmd.org/upload/jmd-4-1-38-6.pdfParkinson’s diseaseBradykinesiaSequence effectProgressive slownessPegboard test
spellingShingle Suk Yun Kang
Toshiaki Wasaka
Ejaz A. Shamim
Sungyoung Auh
Yoshino Ueki
Nguyet Dang
Mark Hallett
The Sequence Effect in Parkinson’s Disease
Journal of Movement Disorders
Parkinson’s disease
Bradykinesia
Sequence effect
Progressive slowness
Pegboard test
title The Sequence Effect in Parkinson’s Disease
title_full The Sequence Effect in Parkinson’s Disease
title_fullStr The Sequence Effect in Parkinson’s Disease
title_full_unstemmed The Sequence Effect in Parkinson’s Disease
title_short The Sequence Effect in Parkinson’s Disease
title_sort sequence effect in parkinson s disease
topic Parkinson’s disease
Bradykinesia
Sequence effect
Progressive slowness
Pegboard test
url http://e-jmd.org/upload/jmd-4-1-38-6.pdf
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