A meta-analysis and meta-regression of serial reaction time task performance in Parkinson's disease

Neuropsychology. 2014 Nov;28(6):945-58. doi: 10.1037/neu0000121. Epub 2014 Jul 7.

Abstract

Objective: This article reports findings of a meta-analysis and meta-regression summarizing research on implicit sequence learning in individuals with Parkinson's disease (PD), as measured by the Serial Reaction Time (SRT) task.

Method: Following a systematic search of the literature, we analyzed a total of 27 studies, representing data from 505 participants with PD and 460 neurologically intact control participants.

Results: Overall, the meta-analysis indicated significantly (p < .001) worse sequence learning by the PD group than the control group. The average weighted effect size was found to be .531 (95% CI [.332, .470]), which is a medium effect size. However, moderate to high levels of heterogeneity (differences) were found between study effect sizes (I(2) = 58%). Meta-regression analysis suggested that presentation of the SRT task under dual task conditions coupled with PD severity or characteristics of the sequence might affect study effect sizes.

Conclusions: The meta-analysis provides clear support that learning in procedural memory (procedural learning), which underlies implicit sequence learning in the SRT task, is impaired in PD.

Publication types

  • Meta-Analysis

MeSH terms

  • Humans
  • Learning
  • Learning Disabilities / etiology
  • Memory Disorders / etiology
  • Memory Disorders / physiopathology*
  • Memory Disorders / psychology*
  • Memory*
  • Neuropsychological Tests
  • Parkinson Disease / complications
  • Parkinson Disease / physiopathology*
  • Parkinson Disease / psychology*
  • Reaction Time*
  • Regression Analysis
  • Severity of Illness Index
  • Task Performance and Analysis*