Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease

Abstract We tested Parkinson’s disease (PD)-related impairments in the relationship between gaze shifts, body sway and mental workload while performing visual tasks in the standing position. Nineteen on-drug PD patients (Hoehn and Yahr I-II; MDS-UPDRS score part III: 23.37 ± 2.79) and twenty age-mat...

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Main Authors: Yann-Romain Kechabia, Luc Defebvre, Arnaud Delval, Cédrick T. Bonnet
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-12878-8
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author Yann-Romain Kechabia
Luc Defebvre
Arnaud Delval
Cédrick T. Bonnet
author_facet Yann-Romain Kechabia
Luc Defebvre
Arnaud Delval
Cédrick T. Bonnet
author_sort Yann-Romain Kechabia
collection DOAJ
description Abstract We tested Parkinson’s disease (PD)-related impairments in the relationship between gaze shifts, body sway and mental workload while performing visual tasks in the standing position. Nineteen on-drug PD patients (Hoehn and Yahr I-II; MDS-UPDRS score part III: 23.37 ± 2.79) and twenty age-matched controls explored large images (visual angle: 100°) and performed a search task (location of targets within images) as well as a free-viewing (control) task. To collect kinematic data, all participants wore body markers (lower back, upper back and head) and an eye tracker. PD patients showed a higher amplitude in gaze shifts and body sway than age-matched controls. The adaptation of gaze shift and body sway velocity from free-viewing to searching was smaller in PD patients. The mental workload (NASA-TLX score) was a significant covariate in all participants. Furthermore, the MDS-UPDRS score was a significant covariate in the shared variance between body (lower back, upper back and head) and eye movement, thus showing a relation between this clinical variable and impairment at the behavioral level. Our results indicate impaired behavioral synergic, i.e. complementary, control between vision, posture and mental workload in PD patients. With a view to restoring synergic functional control, rehabilitation programs should train the three systems together simultaneously.
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spelling doaj-art-dcd6ce2529cc4953aeca93a5d38b46a12025-08-24T11:23:11ZengNature PortfolioScientific Reports2045-23222025-08-0115111210.1038/s41598-025-12878-8Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s diseaseYann-Romain Kechabia0Luc Defebvre1Arnaud Delval2Cédrick T. Bonnet3Univ. Lille, CNRS, UMR 9193 - SCALab-Sciences Cognitives et Sciences AffectivesFaculté de médecine, Unité INSERM 1172, Université de LilleFaculté de médecine, Unité INSERM 1172, Université de LilleUniv. Lille, CNRS, UMR 9193 - SCALab-Sciences Cognitives et Sciences AffectivesAbstract We tested Parkinson’s disease (PD)-related impairments in the relationship between gaze shifts, body sway and mental workload while performing visual tasks in the standing position. Nineteen on-drug PD patients (Hoehn and Yahr I-II; MDS-UPDRS score part III: 23.37 ± 2.79) and twenty age-matched controls explored large images (visual angle: 100°) and performed a search task (location of targets within images) as well as a free-viewing (control) task. To collect kinematic data, all participants wore body markers (lower back, upper back and head) and an eye tracker. PD patients showed a higher amplitude in gaze shifts and body sway than age-matched controls. The adaptation of gaze shift and body sway velocity from free-viewing to searching was smaller in PD patients. The mental workload (NASA-TLX score) was a significant covariate in all participants. Furthermore, the MDS-UPDRS score was a significant covariate in the shared variance between body (lower back, upper back and head) and eye movement, thus showing a relation between this clinical variable and impairment at the behavioral level. Our results indicate impaired behavioral synergic, i.e. complementary, control between vision, posture and mental workload in PD patients. With a view to restoring synergic functional control, rehabilitation programs should train the three systems together simultaneously.https://doi.org/10.1038/s41598-025-12878-8
spellingShingle Yann-Romain Kechabia
Luc Defebvre
Arnaud Delval
Cédrick T. Bonnet
Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
Scientific Reports
title Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
title_full Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
title_fullStr Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
title_full_unstemmed Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
title_short Impairment in the behavioral control of body sway, gaze shift, and mental workload in Parkinson’s disease
title_sort impairment in the behavioral control of body sway gaze shift and mental workload in parkinson s disease
url https://doi.org/10.1038/s41598-025-12878-8
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