The effect of placing parallel lines on the walking surface on parkinsonian gait was evaluated. To identify the kind of visual cues (static or dynamic) required for the control of locomotion, we tested two visual conditions: normal lighting and stroboscopic illumination (three flashes/s), the latter acting to suppress dynamic visual cues completely. Sixteen subjects with idiopathic Parkinson's disease (nine males, seven females; mean age 68.8 years) and the same number of age-matched controls (seven males; nine females, mean age 67.5 years) were studied. During the baseline phase, Parkinson's disease patients walked with a short-stepped, slow velocity pattern. The double limb support duration was increased and the step cadence was reduced relative to normal. Under normal lighting, visual cues from the lines on the walking surface induced a significant improvement in gait velocity and stride length in Parkinson's disease patients. With stroboscopic illumination and without lines, both groups reduced their stride length and velocity but the changes were significant only in the Parkinson's disease group, indicating greater dependence on dynamic visual information. When stroboscopic light was used with stripes on the floor, the improvement in gait due to the stripes was suppressed in parkinsonian patients. These results demonstrate that the perceived motion of stripes, induced by the patient's walking, is essential to improve the gait parameters and thus favour the hypothesis of a specific visual-motor pathway which is particularly responsive to rapidly moving targets. Previous studies have proposed a cerebellar circuit, allowing the visual stimuli to by-pass the damaged basal ganglia.

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The present paper addresses the question of the possible links between perceptive visual field dependence-independence and the visual contribution to postural control. In our differential approach, visual field dependent (FD) and independent (FI) subjects were selected on the basis of their score in the Rod and Frame Test (subjective vertical). The hypothesis that we have tested is that the FD subjects use mainly visual cues for estimating not only their subjective vertical but also their body orientation and stability. Moreover, we have postulated that these subjects use mainly dynamic visual cues to control their postural stability. In the postural test, the selected subjects were instructed to stand in the sharpened Romberg position in darkness and under normal or stroboscopic illumination, in front of either a vertical or a tilted frame. Lateral head and body orientation and stability were measured. We found that: (1) all subjects leaned slightly towards the tilted frame (postural frame effect), and this was obtained on the basis of the static visual cues alone; (2) FD subjects were less stable than FI subjects, and their stability required the use of dynamic visual cues, mainly extracted from the vertical frame. In FI subjects, static visual cues may act as a complementary regulation, enhancing stability even with a strobe tilted frame. We thus demonstrate that visual field dependence interacts with the visual contribution to postural control.

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