Relation of Parkinson\u27s Disease Subtypes to Visual Activities of Daily Living

Visual perceptual problems are common in Parkinson\u27s disease (PD) and often affect activities of daily living (ADLs). PD patients with non-tremor symptoms at disease onset (i.e., rigidity, bradykinesia, gait disturbance or postural instability) have more diffuse neurobiological abnormalities and report worse non-motor symptoms and functional changes than patients whose initial symptom is tremor, but the relation of motor symptom subtype to perceptual deficits remains unstudied. We assessed visual ADLs with the Visual Activities Questionnaire in 25 non-demented patients with PD, 13 with tremor as the initial symptom and 12 with an initial symptom other than tremor, as well as in 23 healthy control participants (NC). As expected, the non-tremor patients, but not the tremor patients, reported more impairment in visual ADLs than the NC group, including in light/dark adaptation, acuity/spatial vision, depth perception, peripheral vision and visual processing speed. Non-tremor patients were significantly worse than tremor patients overall and on light/dark adaptation and depth perception. Environmental enhancements especially targeted to patients with the non-tremor PD subtype may help to ameliorate their functional disability

Reliability of the Balance Error Scoring System test is maintained during remote administration

Aim: This study investigates if scores on the Balance Error Scoring System (BESS) are affected when administered remotely. Materials & methods: Participants included 26 undergraduate students, aged 19-32 (mean: 21.85 ± 2.95). Each participant received the BESS test remotely and in person, and scores on each were compared. To minimize potential practice effects, participants were randomly assigned to two equal sized groups to take the BESS remotely first or in person first. Results: The mean difference between scores for the remote and in-person assessments was 0.711 (95% CI: 0.708–2.131). There was no significant difference between scores (p = 0.312) indicating the BESS maintains reliability when administered remotely. Conclusion: Administration of the BESS remotely was possible without any significant challenges

Lifetime Multiple Mild Traumatic Brain Injuries Are Associated with Cognitive and Mood Symptoms in Young Healthy College Students

Background/Objectives: Repetitive mild traumatic brain injury (mTBI; also known as concussion) has been associated with a range of long-term mood and cognitive deficits, including executive dysfunction. Previous research in athletes suggests that cognitive and mood problems are associated with a history of repetitive mTBI. However, to date no studies have examined the impact of a lifetime accumulation of repetitive mTBIs on cognition, particularly executive functioning, and mood in a sample of young adults who were not athletes. Therefore, the present study looked at potential effects of repetitive mTBIs on self-reported cognitive complaints, executive functioning and mood in young adults.Methods: Eighty-four total students responded, and twenty-six of those were excluded from analyses due to reporting only 1 mTBI. The final sample consisted of 58 healthy young adults (mean age = 22.84, STD = 4.88) who completed the Cognitive Complaint Index (CCI) the Behavior Rating Inventory of Executive Function, adult version (BRIEF-A) and the Beck Depression Inventory, second edition (BDI-II). Twenty-nine participants denied having an mTBI history and 29 reported two or more lifetime mTBIs (range 2-7). Twenty-six participants reported a lifetime history of one mTBI and therefore were excluded from analysis given this study was focused on potential effects of repetitive injuries on cognition and mood. Results: Young otherwise healthy adults with a lifetime history of repetitive mTBI compared to those that reported no history of mTBI reported more change in cognitive functioning over the past five years, worse executive functioning and more symptoms of depression. As the number of lifetime mTBIs increased scores on the CCI, BRIEF-A, and BDI-II also increased, indicating worse functioning. Conclusion: These findings suggest that a lifetime accumulation of two or more mTBIs as compared to a history of no reported mTBIs may result in worse cognitive functioning and symptoms of depression in young adults.Key words: mild traumatic brain injury, neuropsychology, executive function, cognition Word Count: 2,40

Investigation of the changes in oscillatory power during task switching after mild traumatic brain injury

Mild traumatic brain injury (mTBI) can cause persistent cognitive changes. These cognitive changes may be due to changes in neural communication. Task‐switching is a cognitive control operation that may be susceptible to mTBI and is associated with oscillations in theta (4–7 Hz), alpha (8–13 Hz), and beta (14–30 Hz) ranges. This study aimed to investigate oscillatory power in response to cues indicating a task‐switch after mTBI. Electroencephalogram and behavioral data were collected from 21 participants with a history of two or more concussions (mTBI) and 21 age‐ and gender‐matched controls as they performed a task‐switching paradigm. Participants differentiated whether visual stimuli were red or green, or circles or squares, depending on a cue. The cue changed every few trials with the first trial after a rule change being termed a switch trial. The mTBI group showed significantly less overall accuracy during the task. Over a posterior parietal region, the mTBI group showed more theta desynchronization than the control group from ~300 to ~600 ms post‐cue during switch trials and from ~300 to 400 ms during maintain trials, along with less alpha and beta desynchronization than the control group from ~2,000 to ~2,200 ms post‐cue. In a right parietal region, the mTBI group showed less alpha and beta desynchronization from ~525 to ~775 ms post‐cue. However, there was no condition × group interaction in the behavior or oscillatory results. These oscillatory differences suggest a change in neural communication is present after mTBI that may relate to global changes in task performance

Side and Type of Initial Motor Symptom Influences Visuospatial Functioning in Parkinson’s Disease

Background/Objectives: Visuospatial problems are common in Parkinson\u27s disease (PD) and likely stem from dysfunction in dopaminergic pathways and consequent disruption of cortical functioning. Characterizing the motor symptoms at disease onset provides a method of observing how dysfunction in these pathways influences visuospatial cognition. We examined two types of motor characteristics: Body side (left or right) and type of initial symptom (tremor or symptom other than tremor). Methods: 31 non-demented patients with PD, 16 with left-side onset (LPD) and 15 with right-side onset (RPD), as well as 17 healthy control participants (HC). The PD group was also divided by type of initial motor symptom, 15 having tremor as the initial symptom and 16 having an initial symptom other than tremor. Visuospatial function was assessed with the Clock Drawing Test. Results: Of the four Clock Drawing scoring methods used, the Rouleau method showed sensitivity to subgroup differences. As predicted, the LPD and non-tremor subgroups, but not the other subgroups, performed more poorly than the HC group. Conclusion: The findings provide further evidence for differences in cognition between these subtypes of PD and highlight the importance of considering disease subtypes when examining cognition

Luminance Affects Age-related Deficits in Object Detection: Implications for Computerized Psychological Assessments

As psychological instruments are converted for administration on computers, differences in luminance and contrast of these displays may affect performance. Specifically, high-luminance assessments may mask age-group differences that are apparent under lower luminance conditions. We examined the effects of luminance and contrast on object detection using computerized and naturalistic assessments. Younger and older adults displayed more differences in performance across differing contrast levels in conditions that were matched for luminance, despite the conditions appearing perceptually different. These findings indicate that computerized assessments should be created with luminance levels that are similar to those of the tasks they purport to simulate in order to enhance their validity

Multiple Mild Traumatic Brain Injuries Are Associated with Increased Rates of Health Symptoms and Gulf War Illness in a Cohort of 1990–1991 Gulf War Veterans

Recent research demonstrated a relation between traumatic brain injury (TBI), health symptoms and diagnosis of Gulf War Illness (GWI) in Gulf War Veterans, but no study has examined the impact of multiple mild TBIs (mTBIs). A total of 229 male Gulf War Veterans from the Ft Devens Cohort were categorized by a number of mTBIs reported. One-way ANOVA and chi-square test of independence were used to test for differences in total reported health symptoms and diagnosis of chronic multisymptom illness (CMI) or Kansas GWI criteria, two of the most common case definitions of GWI. A total of 72 veterans reported no mTBIs (31.4%), 26 reported one mTBI (11.4%), 25 reported two mTBIs (10.9%), and 106 veterans reported sustaining three or more mTBIs (46.3%). Veterans reporting two or more mTBIs (p < 0.01) or three or more mTBIs (p < 0.001) endorsed significantly higher rates of health symptoms than Veterans reporting no mTBIs. Significantly higher rates of CMI (p = 0.035) and Kansas GWI criteria (p < 0.001) were seen in the three or more mTBI group. Results suggest two mTBIs increase risk of health symptoms, but three mTBIs may be the threshold needed to sustain chronic symptom reporting needed for a formal diagnosis. These findings highlight the importance of implementing policies and procedures monitoring head injuries in military personnel