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Novel psychophysical line bisection task using brief stimulus presentation reveals no horizontal bias in left-onset parkinson’s disease
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  • Published: 09 January 2026

Novel psychophysical line bisection task using brief stimulus presentation reveals no horizontal bias in left-onset parkinson’s disease

  • Daniel J. Norton1,2,
  • Catherine E. Munro3,
  • Abigail Williams2,
  • Xavier Gallart-Palau4 &
  • …
  • Alice Cronin-Golomb3 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Human behaviour
  • Parkinson's disease
  • Visual system

Abstract

Some studies have shown that individuals with Parkinson’s disease (PD) with motor-symptom onset on the left side of the body (LPD) show mild neglect-like performance on some tasks, but others have not. Individuals with PD onset on the right side of the body (RPD) have not shown these effects. To clarify whether a bias in the perception of length exists in LPD, we administered a novel line bisection experiment, using psychophysical methods and no motor demands beyond a verbal response to isolate perceptual biases. Experiment 1 used a psychophysical procedure to test 21 LPD, 29 RPD and 28 age-matched healthy control adults (HC) on horizontal line bisection. A vertical line bisection condition was included as a control. Experiment 2 repeated the horizontal condition in a subset of participants, using eye-tracking and a fixation cross to preclude gaze bias. In both experiments, LPD did not demonstrate performance bias that was consistent with hemineglect. In Experiment 1, a bias specific to LPD was demonstrated in the vertical condition. The present results suggest that any neglect-like perceptual shifts occurring in LPD do not occur when psychophysically isolating perceptual decisions from higher-order processes that may be at play in other tasks.

Data availability

Data and code for experiments 1 and 2 are posted on OSF, found here: https://osf.io/hbz9v.

Code availability

Stimulus code available here: https://osf.io/hbz9v.

References

  1. Armstrong, R. A. Visual dysfunction in parkinson’s disease. Int. Rev. Neurobiol. 134, 921–946 (2017).

    Google Scholar 

  2. Cronin-Golomb, A. Parkinson’s disease as a Disconnection syndrome. Neuropsychol. Rev. 20 (2), 191–208 (2010).

    Google Scholar 

  3. Klepac, N., Trkulja, V., Relja, M. & Babić, T. Is quality of life in non-demented parkinson’s disease patients related to cognitive performance? A clinic-based cross-sectional study. Eur. J. Neurol. 15 (2), 128–133 (2008).

    Google Scholar 

  4. Nieto-Escamez, F., Obrero-Gaitán, E. & Cortés-Pérez, I. Visual dysfunction in parkinson’s disease. Brain Sci. 13 (8), 1173 (2023).

    Google Scholar 

  5. Putcha, D., Jaywant, A. & Cronin-Golomb, A. Cognitive and Perceptual Impairments in Parkinson’s Disease Arising from Dysfunction of the Cortex and Basal Ganglia. In: The Basal Ganglia: Novel Perspectives on Motor and Cognitive Functions [Internet]. (Ed. Soghomonian, J. J.) [cited 2025 Dec 8]. pp. 189–216. Available from: https://doi.org/10.1007/978-3-319-42743-0_9 (Cham: Springer International Publishing, 2016).

  6. Savitt, J. & Aouchiche, R. Management of visual dysfunction in patients with parkinson’s disease. J. Park Dis. 10 (s1), S49–56 (2020).

    Google Scholar 

  7. Visser, M. et al. A comprehensive model of health-related quality of life in parkinson’s disease. J. Neurol. 255 (10), 1580–1587 (2008).

    Google Scholar 

  8. Albert, L., Bernasconi, F., Potheegadoo, J. & Blanke, O. Home-based online line bisection test detects visuo-spatial neglect and Pseudoneglect in parkinson’s disease. Parkinsonism Relat. Disord. 130, 107195 (2025).

    Google Scholar 

  9. DeGutis, J. et al. Side of motor symptom onset predicts sustained attention deficits and motor improvements after attention training in parkinson’s disease. Neuropsychologia 190, 108698 (2023).

    Google Scholar 

  10. Seichepine, D. R., Neargarder, S., Davidsdottir, S., Reynolds, G. O. & Cronin-Golomb, A. Side and type of initial motor symptom influences visuospatial functioning in parkinson’s disease. J. Park Dis. 5 (1), 75–83 (2015).

    Google Scholar 

  11. Villardita, C., Smirni, P. & Zappalà, G. Visual neglect in parkinson’s disease. Arch. Neurol. 40 (12), 737–739 (1983).

    Google Scholar 

  12. Sheremata, S. L., Bettencourt, K. C. & Somers, D. C. Hemispheric asymmetry in visuotopic posterior parietal cortex emerges with visual short-term memory load. J. Neurosci. Off J. Soc. Neurosci. 30 (38), 12581–12588 (2010).

    Google Scholar 

  13. Thiebaut de Schotten, M. et al. Direct evidence for a parietal-frontal pathway subserving Spatial awareness in humans. Science 309 (5744), 2226–2228 (2005).

    Google Scholar 

  14. Kempster, P. A., Gibb, W. R., Stern, G. M. & Lees, A. J. Asymmetry of substantia Nigra neuronal loss in parkinson’s disease and its relevance to the mechanism of Levodopa related motor fluctuations. J. Neurol. Neurosurg. Psychiatry. 52 (1), 72–76 (1989).

    Google Scholar 

  15. Davidsdottir, S., Wagenaar, R., Young, D. & Cronin-Golomb, A. Impact of optic flow perception and egocentric coordinates on veering in parkinson’s disease. Brain J. Neurol. 131 (Pt 11), 2882–2893 (2008).

    Google Scholar 

  16. Lee, A. C., Harris, J. P., Atkinson, E. A. & Fowler, M. S. Evidence from a line bisection task for visuospatial neglect in left hemiparkinson’s disease. Vis. Res. 41 (20), 2677–2686 (2001).

    Google Scholar 

  17. Laudate, T. M., Neargarder, S. & Cronin-Golomb, A. Line bisection in parkinson’s disease: investigation of contributions of visual field, retinal vision, and scanning patterns to visuospatial function. Behav. Neurosci. 127 (2), 151–163 (2013).

    Google Scholar 

  18. Ebersbach, G. et al. Directional bias of initial visual exploration. A symptom of neglect in parkinson’s disease. Brain J. Neurol. 119 (Pt 1), 79–87 (1996).

    Google Scholar 

  19. Harris, J. P., Atkinson, E. A., Lee, A. C., Nithi, K. & Fowler, M. S. Hemispace differences in the visual perception of size in left hemiparkinson’s disease. Neuropsychologia 41 (7), 795–807 (2003).

    Google Scholar 

  20. Young, D. E. et al. Visuospatial perception and navigation in parkinson’s disease. Vis. Res. 50 (23), 2495–2504 (2010).

    Google Scholar 

  21. Norton, D. J., Jaywant, A., Gallart-Palau, X. & Cronin-Golomb, A. Normal discrimination of Spatial frequency and contrast across visual Hemifields in left-onset parkinson’s disease: evidence against perceptual Hemifield biases. Vis. Res. 107, 94–100 (2015).

    Google Scholar 

  22. Norton, D. J. et al. Visuospatial attention to single and multiple objects is independently impaired in parkinson’s disease. PloS One. 11 (3), e0150013 (2016).

    Google Scholar 

  23. Salazar, R. D., Moon, K. L. M., Neargarder, S. & Cronin-Golomb, A. Spatial judgment in parkinson’s disease: contributions of attentional and executive dysfunction. Behav. Neurosci. 133 (4), 350–360 (2019).

    Google Scholar 

  24. Folstein, M. F., Folstein, S. E. & McHugh, P. R. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr Res. 12 (3), 189–198 (1975).

    Google Scholar 

  25. McPeek, R. M., Skavenski, A. A. & Nakayama, K. Concurrent processing of saccades in visual search. Vis. Res. 40 (18), 2499–2516 (2000).

    Google Scholar 

  26. Brainard, D. H. The psychophysics toolbox. Spat. Vis. 10 (4), 433–436 (1997).

    Google Scholar 

  27. Norton, D., McBain, R., Holt, D. J., Ongur, D. & Chen, Y. Association of impaired facial affect recognition with basic facial and visual processing deficits in schizophrenia. Biol. Psychiatry. 65 (12), 1094–1098 (2009).

    Google Scholar 

  28. Matsumoto, H. et al. Small saccades restrict visual scanning area in parkinson’s disease. Mov. Disord Off J. Mov. Disord Soc. 26 (9), 1619–1626 (2011).

    Google Scholar 

  29. Pereira, J. B. et al. Neuroanatomical substrate of visuospatial and visuoperceptual impairment in parkinson’s disease. Mov. Disord Off J. Mov. Disord Soc. 24 (8), 1193–1199 (2009).

    Google Scholar 

  30. Tinaz, S., Courtney, M. G. & Stern, C. E. Focal cortical and subcortical atrophy in early parkinson’s disease. Mov. Disord Off J. Mov. Disord Soc. 26 (3), 436–441 (2011).

    Google Scholar 

  31. Filippi, M. et al. Tracking cortical changes throughout cognitive decline in parkinson’s disease. Mov. Disord Off J. Mov. Disord Soc. 35 (11), 1987–1998 (2020).

    Google Scholar 

  32. Wilson, H., Niccolini, F., Pellicano, C. & Politis, M. Cortical thinning across parkinson’s disease stages and clinical correlates. J. Neurol. Sci. 398, 31–38 (2019).

    Google Scholar 

  33. Garcia-Garcia, D. et al. Posterior parietooccipital hypometabolism May differentiate mild cognitive impairment from dementia in parkinson’s disease. Eur. J. Nucl. Med. Mol. Imaging. 39 (11), 1767–1777 (2012).

    Google Scholar 

  34. Pappatà, S. et al. Mild cognitive impairment in drug-naive patients with PD is associated with cerebral hypometabolism. Neurology 77 (14), 1357–1362 (2011).

    Google Scholar 

  35. Beffara, B. et al. Dynamic causal interactions between occipital and parietal cortex explain how endogenous Spatial attention and stimulus-driven salience jointly shape the distribution of processing priorities in 2D visual space. NeuroImage 255, 119206 (2022).

    Google Scholar 

  36. Somers, D. C. & Sheremata, S. L. Attention maps in the brain. Wiley Interdiscip Rev. Cogn. Sci. 4 (4), 327–340 (2013).

    Google Scholar 

  37. Wutz, A., Zazio, A. & Weisz, N. Oscillatory bursts in parietal cortex reflect dynamic attention between multiple objects and ensembles. J. Neurosci. Off J. Soc. Neurosci. 40 (36), 6927–6937 (2020).

    Google Scholar 

  38. Diederich, N. J., Stebbins, G., Schiltz, C. & Goetz, C. G. Are patients with parkinson’s disease blind to blindsight? Brain J. Neurol. 137 (Pt 6), 1838–1849 (2014).

    Google Scholar 

  39. Hafed, Z. M. & Krauzlis, R. J. Goal representations dominate superior colliculus activity during extrafoveal tracking. J. Neurosci. Off J. Soc. Neurosci. 28 (38), 9426–9439 (2008).

    Google Scholar 

  40. Hikosaka, O. & Wurtz, R. H. Visual and oculomotor functions of monkey substantia Nigra Pars reticulata. IV. Relation of substantia Nigra to superior colliculus. J. Neurophysiol. 49 (5), 1285–1301 (1983).

    Google Scholar 

  41. Terao, Y. et al. Initiation and inhibitory control of saccades with the progression of parkinson’s disease - changes in three major drives converging on the superior colliculus. Neuropsychologia 49 (7), 1794–1806 (2011).

    Google Scholar 

  42. Chen, Y. et al. Structural and functional differences of the thalamus between drug-naïve parkinson’s disease motor subtypes. Front. Neurol. 14, 1102927 (2023).

    Google Scholar 

  43. Moustafa, A. A., McMullan, R. D., Rostron, B., Hewedi, D. H. & Haladjian, H. H. The thalamus as a relay station and gatekeeper: relevance to brain disorders. Rev. Neurosci. 28 (2), 203–218 (2017).

    Google Scholar 

  44. Owens-Walton, C. et al. Increased functional connectivity of thalamic subdivisions in patients with parkinson’s disease. PloS One. 14 (9), e0222002 (2019).

    Google Scholar 

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Acknowledgements

Our recruitment efforts were supported, with our gratitude, by Marie Saint-Hilaire, M.D., and Cathi Thomas, R.N., M.S.N. of Boston Medical Center Neurology Associates, and by Boston area Parkinson’s disease support groups, as well as the Michael J. Fox Trial Finder. We thank Yue Chen, Ph.D., David Somers, Ph.D., Sandy Neargarder, Ph.D., Victoria Nguyen, Chelsea Toner, Laura Pistorino, and Karla Sordia for their assistance on this project.

Funding

This research was funded by the National Institute of Neurological Disorders and Stroke (F31 NS07682 to DJN; RO1NS067128 to ACG), a grant from the Supporting Structures: Innovative Partnerships to Enhance Bench Science at CCCU Member Institutions program, run by Scholarship and Christianity in Oxford, the UK subsidiary of the Council for Christian Colleges and Universities, with funding by the John Templeton Foundation and the MJ Murdock Charitable Trust. D.J.N. & A.C.G. designed the study. D.J.N wrote the main manuscript, analyzed the data and prepared the figures. X.G.P, A.W., C.E.M. & A.C.G reviewed the manuscript and offered substantive edits and helped with interpreting data in the context of existing literature.

Author information

Authors and Affiliations

  1. Department of Psychological and Brain Sciences, Boston University, MA, Boston, USA

    Daniel J. Norton

  2. School of Psychology and Social Welfare, Gordon College, Wenham, MA, USA

    Daniel J. Norton & Abigail Williams

  3. Department of Neurology, Brigham and Women’s Hospital, MA, Boston, USA

    Catherine E. Munro & Alice Cronin-Golomb

  4. Institut de Reserca Biomedica, Lleida, Spain

    Xavier Gallart-Palau

Authors
  1. Daniel J. Norton
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  2. Catherine E. Munro
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Contributions

D.J.N. & A.C.G. designed the study. D.J.N wrote the main manuscript, analyzed the data and prepared the figures. X.G.P, A.W., C.E.M. & A.C.G reviewed the manuscript and offered substantive edits and helped with interpreting data in the context of existing literature.

Corresponding author

Correspondence to Daniel J. Norton.

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Competing interests

The authors declare no competing interests.

Ethics approval

This study was performed in line with the principles of the declaration of Helsinki, and approval as granted by the Internal Review Board of Boston University (#2530E).

Consent to participate

All participants in this study provided written informed consent.

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Norton, D.J., Munro, C.E., Williams, A. et al. Novel psychophysical line bisection task using brief stimulus presentation reveals no horizontal bias in left-onset parkinson’s disease. Sci Rep (2026). https://doi.org/10.1038/s41598-025-34798-3

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  • Received: 11 June 2025

  • Accepted: 31 December 2025

  • Published: 09 January 2026

  • DOI: https://doi.org/10.1038/s41598-025-34798-3

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