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Honma M, Terao Y. Modulation of time in Parkinson's disease: a review and perspective on cognitive rehabilitation. Front Psychiatry 2024; 15:1379496. [PMID: 38686125 PMCID: PMC11056500 DOI: 10.3389/fpsyt.2024.1379496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 04/03/2024] [Indexed: 05/02/2024] Open
Abstract
Time cognition is an essential function of human life, and the impairment affects a variety of behavioral patterns. Neuropsychological approaches have been widely demonstrated that Parkinson's disease (PD) impairs time cognitive processing. Many researchers believe that time cognitive deficits are due to the basal ganglia, including the striatum or subthalamic nucleus, which is the pathomechanism of PD, and are considered to produce only transient recovery due to medication effects. In this perspective, we focus on a compensatory property of brain function based on the improved time cognition independent of basal ganglia recovery and an overlapping structure on the neural network based on an improved inhibitory system by time cognitive training, in patients with PD. This perspective may lead to restoring multiple functions through single function training.
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Affiliation(s)
- Motoyasu Honma
- Department of Physiology, Showa University School of Medicine, Tokyo, Japan
| | - Yasuo Terao
- Department of Medical Physiology, Kyorin University of School of Medicine, Tokyo, Japan
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Honma M, Sasaki F, Kamo H, Nuermaimaiti M, Kujirai H, Atsumi T, Umemura A, Iwamuro H, Shimo Y, Oyama G, Hattori N, Terao Y. Role of the subthalamic nucleus in perceiving and estimating the passage of time. Front Aging Neurosci 2023; 15:1090052. [PMID: 36936495 PMCID: PMC10017994 DOI: 10.3389/fnagi.2023.1090052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 01/25/2023] [Indexed: 03/06/2023] Open
Abstract
Sense of time (temporal sense) is believed to be processed by various brain regions in a complex manner, among which the basal ganglia, including the striatum and subthalamic nucleus (STN), play central roles. However, the precise mechanism for processing sense of time has not been clarified. To examine the role of the STN in temporal processing of the sense of time by directly manipulating STN function by switching a deep brain stimulation (DBS) device On/Off in 28 patients with Parkinson's disease undergoing STN-DBS therapy. The test session was performed approximately 20 min after switching the DBS device from On to Off or from Off to On. Temporal sense processing was assessed in three different tasks (time reproduction, time production, and bisection). In the three temporal cognitive tasks, switching STN-DBS to Off caused shorter durations to be produced compared with the switching to the On condition in the time production task. In contrast, no effect of STN-DBS was observed in the time bisection or time reproduction tasks. These findings suggest that the STN is involved in the representation process of time duration and that the role of the STN in the sense of time may be limited to the exteriorization of memories formed by experience.
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Affiliation(s)
- Motoyasu Honma
- Department of Medical Physiology, Kyorin University of School of Medicine, Tokyo, Japan
- *Correspondence: Motoyasu Honma,
| | - Fuyuko Sasaki
- Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
| | - Hikaru Kamo
- Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
| | | | - Hitoshi Kujirai
- Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
| | - Takeshi Atsumi
- Department of Medical Physiology, Kyorin University of School of Medicine, Tokyo, Japan
| | - Atsushi Umemura
- Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Hirokazu Iwamuro
- Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Yasushi Shimo
- Department of Neurology, Juntendo University Nerima Hospital, Tokyo, Japan
| | - Genko Oyama
- Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
| | - Nobutaka Hattori
- Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
| | - Yasuo Terao
- Department of Medical Physiology, Kyorin University of School of Medicine, Tokyo, Japan
- Yasuo Terao,
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Fournet M, Chiuvé SC, Laganaro M. Attentional Demand of Motor Speech Encoding: Evidence From Parkinson's Disease. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:3758-3775. [PMID: 36201164 DOI: 10.1044/2022_jslhr-22-00096] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
PURPOSE While the involvement of attention in utterance planning is well established at the conceptual and lexical levels, the attentional demands of postlexical processes are still debated. This study investigates the involvement of attentional resources on motor speech encoding during utterance production in the context of Parkinson's disease (PD), a population allowing to assess if the attentional demands observed in a dual-task paradigm (the dual-task costs [DTCs]) are explained by postlexical difficulties and not solely by executive impairment. METHOD Speech production was analyzed in a dual-task paradigm with 30 participants presenting with motor speech disorders due to hypokinetic dysarthria in the context of PD. The dual-task comprised an automatic speech task in which participants recited the days of the week and two nonverbal tasks evaluating processing speed and inhibition. The severity of dysarthria and performance in several executive tests (inhibition, verbal fluency, and cognitive shifting) were used as potential predictors of the DTCs. RESULTS Individuals with PD exhibited a DTC on the nonverbal tasks and on the speech task when the secondary task was inhibition (the most difficult one). Additionally, the severity of dysarthria and a poorer performance in cognitive shifting predicted a more severe DTC on speech rate. Finally, modulation of the magnitude of the DTCs was observed, depending on the difficulty of the nonverbal secondary task. CONCLUSION The results suggest that, in PD, postlexical processes require attentional resources and cognitive shifting is related to dual-task performance in speech. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.21265893.
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Affiliation(s)
- Maryll Fournet
- Faculty of Psychology and Educational Sciences, University of Geneva, Switzerland
- Department of Neurorehabilitation, Geneva University Hospitals, Switzerland
| | | | - Marina Laganaro
- Faculty of Psychology and Educational Sciences, University of Geneva, Switzerland
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Miyawaki EK. Review: Subjective Time Perception, Dopamine Signaling, and Parkinsonian Slowness. Front Neurol 2022; 13:927160. [PMID: 35899266 PMCID: PMC9311331 DOI: 10.3389/fneur.2022.927160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 06/16/2022] [Indexed: 11/25/2022] Open
Abstract
The association between idiopathic Parkinson's disease, a paradigmatic dopamine-deficiency syndrome, and problems in the estimation of time has been studied experimentally for decades. I review that literature, which raises a question about whether and if dopamine deficiency relates not only to the motor slowness that is an objective and cardinal parkinsonian sign, but also to a compromised neural substrate for time perception. Why does a clinically (motorically) significant deficiency in dopamine play a role in the subjective perception of time's passage? After a discussion of a classical conception of basal ganglionic control of movement under the influence of dopamine, I describe recent work in healthy mice using optogenetics; the methodology visualizes dopaminergic neuronal firing in very short time intervals, then allows for correlation with motor behaviors in trained tasks. Moment-to-moment neuronal activity is both highly dynamic and variable, as assessed by photometry of genetically defined dopaminergic neurons. I use those animal data as context to review a large experimental experience in humans, spanning decades, that has examined subjective time perception mainly in Parkinson's disease, but also in other movement disorders. Although the human data are mixed in their findings, I argue that loss of dynamic variability in dopaminergic neuronal activity over very short intervals may be a fundamental sensory aspect in the pathophysiology of parkinsonism. An important implication is that therapeutic response in Parkinson's disease needs to be understood in terms of short-term alterations in dynamic neuronal firing, as has already been examined in novel ways—for example, in the study of real-time changes in neuronal network oscillations across very short time intervals. A finer analysis of a treatment's network effects might aid in any effort to augment clinical response to either medications or functional neurosurgical interventions in Parkinson's disease.
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Affiliation(s)
- Edison K. Miyawaki
- Department of Neurology, Mass General Brigham, Boston, MA, United States
- Harvard Medical School, Boston, MA, United States
- *Correspondence: Edison K. Miyawaki
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Terao Y, Honma M, Asahara Y, Tokushige SI, Furubayashi T, Miyazaki T, Inomata-Terada S, Uchibori A, Miyagawa S, Ichikawa Y, Chiba A, Ugawa Y, Suzuki M. Time Distortion in Parkinsonism. Front Neurosci 2021; 15:648814. [PMID: 33815049 PMCID: PMC8017233 DOI: 10.3389/fnins.2021.648814] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Accepted: 02/24/2021] [Indexed: 11/13/2022] Open
Abstract
Although animal studies and studies on Parkinson’s disease (PD) suggest that dopamine deficiency slows the pace of the internal clock, which is corrected by dopaminergic medication, timing deficits in parkinsonism remain to be characterized with diverse findings. Here we studied patients with PD and progressive supranuclear palsy (PSP), 3–4 h after drug intake, and normal age-matched subjects. We contrasted perceptual (temporal bisection, duration comparison) and motor timing tasks (time production/reproduction) in supra- and sub-second time domains, and automatic versus cognitive/short-term memory–related tasks. Subjects were allowed to count during supra-second production and reproduction tasks. In the time production task, linearly correlating the produced time with the instructed time showed that the “subjective sense” of 1 s is slightly longer in PD and shorter in PSP than in normals. This was superposed on a prominent trend of underestimation of longer (supra-second) durations, common to all groups, suggesting that the pace of the internal clock changed from fast to slow as time went by. In the time reproduction task, PD and, more prominently, PSP patients over-reproduced shorter durations and under-reproduced longer durations at extremes of the time range studied, with intermediate durations reproduced veridically, with a shallower slope of linear correlation between the presented and produced time. In the duration comparison task, PD patients overestimated the second presented duration relative to the first with shorter but not longer standard durations. In the bisection task, PD and PSP patients estimated the bisection point (BP50) between the two supra-second but not sub-second standards to be longer than normal subjects. Thus, perceptual timing tasks showed changes in opposite directions to motor timing tasks: underestimating shorter durations and overestimating longer durations. In PD, correlation of the mini-mental state examination score with supra-second BP50 and the slope of linear correlation in the reproduction task suggested involvement of short-term memory in these tasks. Dopamine deficiency didn’t correlate significantly with timing performances, suggesting that the slowed clock hypothesis cannot explain the entire results. Timing performance in PD may be determined by complex interactions among time scales on the motor and sensory sides, and by their distortion in memory.
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Affiliation(s)
- Yasuo Terao
- Department of Medical Physiology, School of Medicine, Kyorin University, Tokyo, Japan
| | - Motoyasu Honma
- Department of Physiology, School of Medicine, Showa University, Tokyo, Japan
| | - Yuki Asahara
- Department of Neurology, The Jikei University Katsushika Medical Center, Tokyo, Japan
| | | | - Toshiaki Furubayashi
- Graduate School of Health and Environment Science, Tohoku Bunka Gakuen University, Sendai, Japan
| | - Tai Miyazaki
- Department of Neurology, Kyorin University Hospital, Tokyo, Japan
| | - Satomi Inomata-Terada
- Department of Medical Physiology, School of Medicine, Kyorin University, Tokyo, Japan
| | - Ayumi Uchibori
- Department of Neurology, Kyorin University Hospital, Tokyo, Japan
| | - Shinji Miyagawa
- Department of Neurology, The Jikei University Katsushika Medical Center, Tokyo, Japan
| | - Yaeko Ichikawa
- Department of Neurology, Kyorin University Hospital, Tokyo, Japan
| | - Atsuro Chiba
- Department of Neurology, Kyorin University Hospital, Tokyo, Japan
| | - Yoshikazu Ugawa
- Department of Human Neurophysiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Masahiko Suzuki
- Department of Neurology, The Jikei University Katsushika Medical Center, Tokyo, Japan
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