Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement

Apathy is a common non-motor symptom of Parkinson's disease (PD) that is difficult to quantify and poorly understood. Some studies have used incentivized motor tasks to assess apathy, as the condition is often associated with a reduction in motivated behavior. Normally event-related desynchroni...

Full description

Bibliographic Details
Main Authors: Maria Zhu, Azadeh HajiHosseini, Tobias R. Baumeister, Saurabh Garg, Silke Appel-Cresswell, Martin J. McKeown
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:NeuroImage: Clinical
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158219302724
_version_ 1819148549376442368
author Maria Zhu
Azadeh HajiHosseini
Tobias R. Baumeister
Saurabh Garg
Silke Appel-Cresswell
Martin J. McKeown
author_facet Maria Zhu
Azadeh HajiHosseini
Tobias R. Baumeister
Saurabh Garg
Silke Appel-Cresswell
Martin J. McKeown
author_sort Maria Zhu
collection DOAJ
description Apathy is a common non-motor symptom of Parkinson's disease (PD) that is difficult to quantify and poorly understood. Some studies have used incentivized motor tasks to assess apathy, as the condition is often associated with a reduction in motivated behavior. Normally event-related desynchronization, a reduction of power in specific frequency bands, is observed in the motor cortex during the peri-movement period. Also, alpha (8–12 Hz) and theta (4–7 Hz) oscillations are sensitive to rewards that are closely related to motivational states however these oscillations have not been widely investigated in relation to apathy in PD. Using EEG recordings, we investigated the neural oscillatory characteristics of apathy in PD during an incentivized motor task with interleaved rest periods. Apathetic and non-apathetic PD subjects on dopaminergic medication and healthy control subjects were instructed to squeeze a hand grip device for a monetary reward proportional to the subject's grip force and the monetary value attributed to that trial. Apathetic PD subjects exhibited higher alpha and theta powers in the pre-trial baseline rest period compared to non-apathetic PD subjects and healthy subjects. Further, we found that both resting power and relative power in alpha and theta bands during incentivized movement predicted PD subjects' apathy scores. Our results suggest that apathetic PD patients may need to overcome greater baseline alpha and theta oscillatory activity in order to facilitate incentivized movement. Clinically, resting alpha and theta power as well as alpha and theta event-related desynchronization during movement may serve as potential neural markers for apathy severity in PD. Keywords: Apathy, Parkinson's disease, Motivation, EEG, Oscillations, Alpha, Theta
first_indexed 2024-12-22T13:47:29Z
format Article
id doaj.art-84817c21340041f39c0358f18fd8a725
institution Directory Open Access Journal
issn 2213-1582
language English
last_indexed 2024-12-22T13:47:29Z
publishDate 2019-01-01
publisher Elsevier
record_format Article
series NeuroImage: Clinical
spelling doaj.art-84817c21340041f39c0358f18fd8a7252022-12-21T18:23:45ZengElsevierNeuroImage: Clinical2213-15822019-01-0123Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movementMaria Zhu0Azadeh HajiHosseini1Tobias R. Baumeister2Saurabh Garg3Silke Appel-Cresswell4Martin J. McKeown5Pacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, CanadaDepartment of Psychology, University of Toronto, Toronto, ON, CanadaPacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada; School of Biomedical Engineering, Faculty of Applied Science, University of British Columbia, Vancouver, BC, CanadaPacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, CanadaPacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, CanadaPacific Parkinson's Research Centre, University of British Columbia, Vancouver, BC, Canada; Corresponding author at: M33, Purdy Pavilion, University Hospital, UBC Site, 2221 Wesbrook Mall, Vancouver, British Columbia V6T 2B5, Canada.Apathy is a common non-motor symptom of Parkinson's disease (PD) that is difficult to quantify and poorly understood. Some studies have used incentivized motor tasks to assess apathy, as the condition is often associated with a reduction in motivated behavior. Normally event-related desynchronization, a reduction of power in specific frequency bands, is observed in the motor cortex during the peri-movement period. Also, alpha (8–12 Hz) and theta (4–7 Hz) oscillations are sensitive to rewards that are closely related to motivational states however these oscillations have not been widely investigated in relation to apathy in PD. Using EEG recordings, we investigated the neural oscillatory characteristics of apathy in PD during an incentivized motor task with interleaved rest periods. Apathetic and non-apathetic PD subjects on dopaminergic medication and healthy control subjects were instructed to squeeze a hand grip device for a monetary reward proportional to the subject's grip force and the monetary value attributed to that trial. Apathetic PD subjects exhibited higher alpha and theta powers in the pre-trial baseline rest period compared to non-apathetic PD subjects and healthy subjects. Further, we found that both resting power and relative power in alpha and theta bands during incentivized movement predicted PD subjects' apathy scores. Our results suggest that apathetic PD patients may need to overcome greater baseline alpha and theta oscillatory activity in order to facilitate incentivized movement. Clinically, resting alpha and theta power as well as alpha and theta event-related desynchronization during movement may serve as potential neural markers for apathy severity in PD. Keywords: Apathy, Parkinson's disease, Motivation, EEG, Oscillations, Alpha, Thetahttp://www.sciencedirect.com/science/article/pii/S2213158219302724
spellingShingle Maria Zhu
Azadeh HajiHosseini
Tobias R. Baumeister
Saurabh Garg
Silke Appel-Cresswell
Martin J. McKeown
Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
NeuroImage: Clinical
title Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
title_full Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
title_fullStr Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
title_full_unstemmed Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
title_short Altered EEG alpha and theta oscillations characterize apathy in Parkinson's disease during incentivized movement
title_sort altered eeg alpha and theta oscillations characterize apathy in parkinson s disease during incentivized movement
url http://www.sciencedirect.com/science/article/pii/S2213158219302724
work_keys_str_mv AT mariazhu alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement
AT azadehhajihosseini alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement
AT tobiasrbaumeister alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement
AT saurabhgarg alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement
AT silkeappelcresswell alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement
AT martinjmckeown alteredeegalphaandthetaoscillationscharacterizeapathyinparkinsonsdiseaseduringincentivizedmovement