-* indicates joint senior authors - Parkinson’s disease impairs motor function and cognition, which together affect language and
communication. Co-speech gestures are a form of language-related actions that provide imagistic
depictions of the speech content they accompany. Gestures rely on visual and motor imagery, but
it is unknown whether gesture representations require the involvement of intact neural sensory
and motor systems. We tested this hypothesis with a fine-grained analysis of co-speech action
gestures in Parkinson’s disease. 37 people with Parkinson’s disease and 33 controls described
two scenes featuring actions which varied in their inherent degree of bodily motion. In addition
to the perspective of action gestures (gestural viewpoint/first- vs. third-person perspective), we
analysed how Parkinson’s patients represent manner (how something/someone moves) and path
information (where something/someone moves to) in gesture, depending on the degree of bodily
motion involved in the action depicted. We replicated an earlier finding that people with
Parkinson’s disease are less likely to gesture about actions from a first-person perspective – preferring instead to depict actions gesturally from a third-person perspective – and show that
this effect is modulated by the degree of bodily motion in the actions being depicted. When
describing high motion actions, the Parkinson’s group were specifically impaired in depicting
manner information in gesture and their use of third-person path-only gestures was significantly
increased. Gestures about low motion actions were relatively spared. These results inform our
understanding of the neural and cognitive basis of gesture production by providing
neuropsychological evidence that action gesture production relies on intact motor network
function.