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Hello Tom, et al.....

Is there any data on PWPs who have lost their vision? Or, who were
blind from birth? I have always wondered about this....

Margaret

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-----Original Message-----
From: Parkinson's Information Exchange
[mailto:[log in to unmask]]On Behalf Of Tom Riess
Sent: Friday, August 13, 1999 12:29 AM
To: [log in to unmask]
Subject: towards and understanding of akinesia - dyskinesia


Normally optical flow is perceived and processed through peripheral
vision
which sees motion exclusively.  Such peripheral processing of motion
is
impaired in PD but it is possible to perceive and process  optical
flow in
the central field of vision under the proper conditions.  When this is
done
one can overcome both akinesia and dyskinesia.

I have suggested that akinesia and dyskinesia are different
manifestations
of the same underlying pathology and that a major component  of that
pathology occurs in the visual system.  More specifically, this
pathology
involves the perception and processing of optical flow.  Augmenting
the
perceptability or the velocity of optical flow overcomes both akinesia
and
dyskinesia.  The following are examples of activities which accelerate
or
augment optical flow  and these are activities that will suppress
dyskinesia.  Skiing, roller skating, riding a motor cycle or bicycle
(but
not  in a car),  walking on a moving sidewalk,  walking on stilts,
looking
through a telephoto lens which is zooming in,  walking towards a wall
that
is illuminated by a strobe light, running, regularly spaced cues on
the
floor, walking behind  a rolling ball at the same speed as the ball
and
watching it roll, elevated (platforms) on the shoes and  countless
others.
Those activities which can be performed while ambulating will overcome
akinesia as well.

In addition it  is  possible to induce dyskinetic gait in a normal
(non-
PD) person by purely visual means.  This can be done by displaying
real
motion on the periphery which is interpreted as being virtual and
having
that motion mimic the apparent motion one would see if one were
dyskinetic.

All of the above lend credence to the theory of  a visual component to
akinesia and dyskinesia.

Regards,

Tom Riess