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The Cerebellum and Implicit Sequencing: Evidence from Cerebellar Ataxia.

  • Morgan, Owen P1
  • Slapik, Mitchell B1
  • Iannuzzelli, Katherine G1
  • LaConte, Stephen M2
  • Lisinski, Jonathan M2
  • Nopoulos, Peg C3
  • Cochran, Ashley M3
  • Kronemer, Sharif I4
  • Rosenthal, Liana S1
  • Marvel, Cherie L5, 6
  • 1 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • 2 Fralin Biomedical Research Institute at VTC, Virginia Tech, Roanoke, VA, USA.
  • 3 Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
  • 4 Interdepartmental Neuroscience Program and the Department of Neurology, Yale University, New Haven, CT, USA.
  • 5 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. [email protected]
  • 6 , Baltimore, MD, 21205, USA. [email protected]
Published Article
Cerebellum (London, England)
Publication Date
Apr 01, 2021
DOI: 10.1007/s12311-020-01206-7
PMID: 33123963


The cerebellum recognizes sequences from prior experiences and uses this information to generate internal models that predict future outcomes in a feedforward manner [Front Hum Neurosci 8: 475, 2014; Cortex 47: 137-44, 2011; Cerebellum 7: 611-5, 2008; J Neurosci 26: 9107-16, 2006]. This process has been well documented in the motor domain, but the cerebellum's role in cognitive sequencing, within the context of implicit versus explicit processes, is not well characterized. In this study, we tested individuals with cerebellar ataxia and healthy controls to clarify the role of the cerebellum sequencing using variations on implicit versus explicit and motor versus cognitive demands across five experiments. Converging results across these studies suggest that cerebellar feedforward mechanisms may be necessary for sequencing in the implicit domain only. In the ataxia group, rhythmic tapping, rate of motor learning, and implicit sequence learning were impaired. However, for cognitive sequencing that could be accomplished using explicit strategies, the cerebellar group performed normally, as though they shifted to extra-cerebellar mechanisms to compensate. For example, when cognitive and motor functions relied on cerebellar function simultaneously, the ataxia group's motor function was unaffected, in contrast to that of controls whose motor performance declined as a function of cognitive load. These findings indicated that the cerebellum is not critical for all forms of sequencing per se. Instead, it plays a fundamental role for sequencing within the implicit domain, whether functions are motor or cognitive. Moreover, individuals with cerebellar ataxia are generally able to compensate for cognitive sequencing when explicit strategies are available in order to preserve resources for motor function.

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