Pbio 0050316
Pbio 0050316
Pbio 0050316
The cerebellum has been proposed to be a crucial component in the state estimation process that combines
information from motor efferent and sensory afferent signals to produce a representation of the current state of the
motor system. Such a state estimate of the moving human arm would be expected to be used when the arm is rapidly
and skillfully reaching to a target. We now report the effects of transcranial magnetic stimulation (TMS) over the
ipsilateral cerebellum as healthy humans were made to interrupt a slow voluntary movement to rapidly reach towards
a visually defined target. Errors in the initial direction and in the final finger position of this reach-to-target movement
were significantly higher for cerebellar stimulation than they were in control conditions. The average directional errors
in the cerebellar TMS condition were consistent with the reaching movements being planned and initiated from an
estimated hand position that was 138 ms out of date. We suggest that these results demonstrate that the cerebellum is
responsible for estimating the hand position over this time interval and that TMS disrupts this state estimate.
Citation: Miall RC, Christensen LOD, Cain O, Stanley J (2007) Disruption of state estimation in the human lateral cerebellum. PLoS Biol 5(11): e316. doi:10.1371/journal.pbio.
0050316
Author Summary stimulate neck muscles, the brachial plexus, muscles in the
neck or shoulder, and is sufficiently loud that it can provide a
Motor control depends on the brain’s awareness of the current state startling stimulus affecting speed of movement onset. We
of the body. Knowing the current position and movement of the have used a series of control conditions to separate non-
arm, for example, allows one to reach rapidly and accurately towards specific effects from a specific change in initial movement
a target. However, sensory information reaches the brain only after a direction and in terminal error, which were seen only with
short delay, and the arm may already be in motion. Therefore, it has cerebellar TMS.
been proposed that the brain must calculate a ‘‘state estimate’’—by
combining sensory information about the last known position of the
arm with predictions of its responses to recent movement Results
commands—which it uses to accurately plan and control a reaching
movement. To test this idea, we used transcranial magnetic Participants viewed a virtual image of a static target in
stimulation to briefly disrupt several separate areas in the brain as three-dimensional (3-D) space ahead of them, and started
participants reached to a target. We show that stimulation over the each trial by lifting their right index finger from a start key
cerebellum caused reaching errors consistent with movements and moving steadily towards their right (Figure 1A). Liquid
planned on the arm’s position about 140 ms previously, whereas crystal device (LCD) goggles blocked the view of their hand
stimulation of other brain areas did not disrupt reaching direction. and of the target as soon at the start key was released. An
These results add weight to the hypothesis that the cerebellum auditory go cue, 500-1500 ms after trial onset, instructed
predicts the state of the motor system. This hypothesis can explain them to make a rapid upwards- and leftwards- pointing
the loss of movement control experienced by cerebellar patients
movement to the virtual target. Their index finger had
and supports computational theories that the cerebellum is a
predictive model of the motor system. typically moved laterally 10–40 cm from its original position
when the go cue was delivered (Figure 1B). Final positional
errors on control trials were small (Figure 1B) and averaged
4.2 cm across all conditions. Thus, participants were normally
A loss of state estimation would lead to inaccuracies in able to compensate for their initial lateral arm motion and
motor control, because control signals would be based on reach the target despite the lack of visual feedback. Vision
out-of-date information. Thus a rapid reaching action made was allowed after the reach-to-target motion was complete,
without state estimation of the moving hand would tend to avoiding any slow drifting of accuracy across trials. However,
overshoot its target, because information that the desired on a random 50% of trials in each block, TMS was delivered
target had been reached would only arrive at the CNS after within their reaction time after the auditory go cue, in order
the hand had passed beyond. This would result in movement to disrupt the planning and initiation of the reach-to-target
errors analogous to the hypometria of cerebellar patients movement. Reaction times for control trials without TMS
[12]. State estimation is also important for the synchronous averaged 265 ms (discussed later), but were reduced to 170 ms
and coordinated activation of different motor effectors. If the during TMS trials; the three TMS pulses were delivered at 50,
future state of one effector can be predicted, then control 100, and 150 ms during this interval.
signals to the other can be issued to produce simultaneous
actions, which are a key feature of coordinated action. Cerebellar TMS Increases Final Error
Without these predictions, the two effectors could only be The short train of three TMS pulses delivered over the
controlled reactively [23,24], after measurement of the lateral cerebellum caused a significant within-subject increase
outcome of each command. The loss of coordination and in mean error for TMS trials compared with non-TMS trials.
asynchrony of joint actions that would be expected from a In our initial experiments, we tested eight participants with
failure of state estimation are again similar to the poorly TMS over the right ipsilateral cerebellum, the contralateral
coordinated and ataxic movements of cerebellar subjects (left) motor cortex, and the ipsilateral neck, using separate
[12,26,27]. Thus, there is theoretical and experimental recording sessions separated by at least one day. The mean
evidence to suggest that the cerebellum is involved in state increase in end-point errors with the cerebellar stimulation
estimation. To date, we are aware of no studies that have site was 36% (2.26 cm 6 0.37 standard error of the mean
directly tested this hypothesis by experimental disruption of [SEM], n ¼ 8, t(7) ¼ 5.72, p , 0.0001), and was significantly
the cerebellum. higher than the other two conditions (repeated measures
So, to further test the hypothesis that the human analysis of variance [ANOVA], F(2,14) ¼ 4.468, p ¼ 0.032).
cerebellum is involved in the generation of a state estimate, However, this reduction in pointing accuracy could have
we have used transcranial magnetic stimulation (TMS) over been a nonspecific effect of the TMS stimulation, which can
the ipsilateral cerebellum during voluntary arm actions to be uncomfortable and even startling. To include other
briefly disturb its function. We used a task in which humans control conditions, we then expanded our cerebellar test
were required to make a slow, lateral, but untargeted group to a total of 32 participants, testing each participant in
movement with their arm before being suddenly cued to this main condition of interest as well as in one or more other
make a rapid pointing movement towards a static target. conditions. Because the extra participants were not tested in
Accurate reaching in these circumstances requires up-to-date all other stimulation conditions, the following analyses are
knowledge of the arm’s moving position at the moment of the reported as between-group comparisons.
go cue. Any failure to estimate the arm’s initial state caused With this expanded dataset (Figure 2A), the increase in
by the cerebellar TMS should be evident as inaccurate mean terminal errors in cerebellar TMS trials compared to
movement. However, because of its location, the human non-TMS trials was reduced from 36% to 23.7% (or 1.71 cm
cerebellum is difficult to stimulate with transcranial coils, and 6 0.144 SEM, n ¼ 32, t(31) ¼ 3.80, p , 0.001). However, this
TMS targeted at the lateral cerebellum can also directly TMS-induced error was still significantly higher when
compared with stimulation lower on the neck (1.12 cm, n ¼ the other four conditions were all significant, p , 0.025). The
11), or over the hotspot in the primary motor cortex for difference from stimulation over the hand area of the
inducing visible twitches in the first dorsal interosseous contralateral motor cortex was smallest (p ¼ 0.025); the other
muscle in the hand (1.23 cm, n ¼ 21), and higher than when four control conditions were not significantly separable from
startling auditory clicks were presented either using the TMS each other (p . 0.27)]. Thus, whereas each of these sites
coil over the ear or using ear phones without TMS (1.18 cm, n induced some increase in end-point error, presumably due to
¼ 4 and 7, respectively). It was also higher than with the nonspecific effects of the stimulation, the effects caused
stimulation over the contralateral posterior parietal cortex by stimulation over the ipsilateral cerebellum were most
(1.07 cm, n ¼ 12), which was targeted using the coordinates of pronounced and statistically reliable
the P3 electrode in the 10–20 electroencephalogram (EEG) The increase in error was partly due to a 14% increase in
electrode positioning scheme [28]. A one-way ANOVA with end-point variability across trials. However, the RMS end-
five conditions (cerebellum, neck, startle, parietal, and motor point standard deviation measured across all three dimen-
cortical stimulation) was significant (F(4,78) ¼ 3.79, p ¼ 0.007, sions was not significantly different for any of the five
and post-hoc comparisons of the cerebellar condition with conditions (p . 0.103). There was also a significant end-point
Figure 6. Group Speed Profiles for TMS Trials (Red) and Non-TMS Trials (Blue)
Each panel shows the group average speed profile (61SEM) for 800 ms after cue onset. The time of TMS stimulation is indicated by the three arrows.
(A–D) Startle effects: TMS over cerebellum during rightward movement (A: n ¼ 32); during leftward movement (B: n ¼ 13), or with a stationary start
position (C: note zero intial velocity; n ¼ 11) leads to a reduced reaction time and increased peak speed very similar to that induced by startle
stimulation (D: with TMS over the ear, n ¼ 4, or with sound stimuli, n ¼ 7). (E–G) Control stimulation sites with TMS over the ipsilateral neck (E: n ¼ 10),
contralateral hand area of motor cortex (F: n ¼ 20) or contralateral posterior parietal cortex (G: n ¼ 12); the startle effects are smaller with slighter
reduction of reaction time and increase of peak speed.
doi:10.1371/journal.pbio.0050316.g006
for startle trials, and 260.7 ms for nonstartle trials. Consid- Discussion
erably weaker effects were seen for TMS stimulation over the
neck (Figure 6E), the motor cortex (Figure 6F), or posterior We have shown that a brief train of TMS over the lateral
parietal cortex (Figure 6G). The reduced reaction time seen cerebellum, applied during the reaction time to initiate a
for motor cortical TMS has also seen in other TMS experi- rapid reaching movement towards a remembered target,
ments [30,31] and is attributed to an alerting but nonstartling resulted in a directional deviation of the reaching movement
effect of the TMS stimulus. and in increased positional error. We suggest that the TMS
Time to maximum velocity after the onset of the reach-to- temporarily blocked the contribution of the lateral cerebel-
target movement was similar (247 ms versus 258 ms for lum to state estimation. As a result, the reaching movements
cerebellar TMS versus non-TMS trials and 227 ms versus 250 were planned based on the residual, out-of-date knowledge of
ms for startle versus nonstartle trials). Overall movement the previous state of the arm. Thus, we propose that during
duration was nonsignificantly shorter in the TMS or startle rightwards arm movements the arm was estimated to be
trials. For the cerebellar group, mean duration was 723 ms for further leftwards than its true position, while during left-
TMS trials and 726 ms for non-TMS trials. For the startle wards movement it was estimated to be further rightwards.
group, mean duration was 693 ms versus 726 ms. Thus, there These errors lead to clockwise and counterclockwise direc-
was a subtle increase in the deceleration phase of the tional deviation of the initial movement towards the target.
movement. When the arm was stationary at movement onset and hence
the state estimate was unchanging, then the direction of the ent behavioural strategies. They found that functional
reaching movements was largely unaffected by the stimula- activation changes in the lateral cerebellum were better
tion. explained by state estimation than by timing [45], consistent
Our results therefore provide further evidence for a with the present results.
contribution by the cerebellum to state estimation and, by Our estimates of the angular deviations imply that the
inference, to forward modelling the sensory consequences of rapid reaching movements were planned on information that
action [12,22,32,33]. These forward model predictions, com- is about 138 ms out of date, an interval that is in the
bined with independent sensory information from the appropriate order of magnitude of sensory reafference
periphery, provide an optimal estimate of the current state [2,3,5]. From this result, we would predict that cerebellar
of the arm. However, there is considerable debate about the pathology would lead to movement control based on the
role of the cerebellum in motor control [14,20,34,35] and arm’s state about 138 ms less advanced than actual. This
other functions, such as timing, motor learning, predictive would result in direction- and speed-specific deviations in the
control, and inverse dynamic modelling, have all been initial segment of any rapid movement, especially those made
proposed. We believe the present data are best understood during ongoing action, as we have shown here. It would also
in the context of state estimation. First, predictive control lead to hypermetria, as the state estimate would be disturbed
[36,37] is very closely related to state estimation, because the throughout the reaching movement, rather than just at its
consequences of motor commands must be predicted in initiation. Thus, even the final stages of reaching to a target
order to update and control subsequent actions. Hence state would be affected more obviously than we have seen in our
estimation is a subset of predictive control [1]. Next, the experiments, where, we suspect, the TMS-induced disruption
cerebellum appears important in timing, especially during of state estimate was brief and may have largely recovered by
discrete motor tasks [38,39]. The timing component of our the end of the reaching action. The consequences of
task is minimal as movements were initiated after a random experimentally delaying visual feedback, which effectively
interval, eliminating a timing strategy and participants were makes the state estimate inaccurate with respect to actual
instructed to reach as fast as possible after the go cue. feedback, are similar to that of cerebellar inactivation [2,46].
Furthermore, the target was static, and so the directional Delayed state estimation would therefore explain loss of
differences in reaching behaviour in TMS versus non-TMS coordination and ataxia.
trials are difficult to justify by timing alone. The state estimation process is likely to be iterative [8], with
Another important postulated function is in inverse the current state being updated by an optimised weighting of
dynamic modelling, with a functional role for the cerebellum afferent proprioceptive and visual information and by
in generating motor commands rather than in predicting efferent motor commands. An iterative calculation is
their outcome [7,33,40]. Again, the pattern of results we have optimal, because previous state estimates, even if inaccurate,
shown is not easily fit by this hypothesis. In particular, the provide an additional source of information to be used in the
reach-to-target from a stationary position was not different new estimate. This is particularly true for physiological
from control conditions, whereas disruption of an inverse systems in which the state cannot change instantly; there
model would affect all movement for which the model was must be a strong correlation between previous state and new
used. These data also argue against an explanation that the states. We cannot tell from the present results to whether the
TMS impaired control of interjoint dynamics. Failure to 138 ms interval reflects ‘‘freezing’’ of the state estimate, until
compensate for interjoint dynamics, which has been pro- the cerebellum generates a new estimate, or whether it
posed as an explanation for cerebellar ataxia [27], might reflects the fall-back use of out-of-date proprioceptive and
contribute to our results, as limb dynamics would be different visual information. Possible methods to address this question
for the movements made from left and right. However, the would involve using longer trains of TMS, to stretch the time
initial movements were relatively slow (mean velocity 27.9 cm/ that it was perturbed, or to use repetitive TMS to induce a
s, Figure 6) and so these dynamic effects would be small in temporary ‘‘virtual lesion’’, coupled with adaptation to
comparison to their effects during the much faster reach-to- delayed visual feedback.
target action. Indeed, the reach-to-target made from the However another important issue is whether the state
static position was as rapid (peak velocities of about 100 cm/s, estimate is localized entirely within the cerebellum or is
Figure 6C) as in other conditions and, we assume, was fast distributed across this and other areas. One obvious
enough to expose weak interjoint coordination. Its trajectory candidate, given its well-documented role in spatial repre-
was not different from the control conditions. But whether sentations, is the posterior parietal cortex [47–49]. It has also
these effects contribute more subtly to our overall results will been proposed as a locus of the state estimate [16,17,50] and
require further work, perhaps using faster baseline move- has been recently implicated in the sense of agency and the
ments so that both the dynamic effects and the positional mental representation of [51,52]; agency is also dependent on
misestimation are larger. forward modelling [53]. Our data argue against the possibility
It is also thought that state estimation is required to that the state estimations are generated exclusively by the
minimize timing differences between effectors during coor- parietal cortex, because of the disruption caused by cer-
dinated actions [41,42]. Loss of coordination is one of the ebellar TMS, but it seems plausible that both areas are
cardinal symptoms of cerebellar dysfunction [43] and is involved. One possibility is that the parietal cortex maintains
evident as gross ataxia as well as in more subtle measures such a body representation or body schema [50,54] that is updated
as the failure to coordinate grip and lift forces during object during movements [16]. We would argue that this update is
manipulation [23,24,44]. Recently, Deidrichsen et al. tested calculated by the cerebellum.
coordination of a reach and a button press and were able to Anatomical connections to the cerebellum are consistent
separate experimentally time-dependent and state-depend- with this, as it receives powerful projections from posterior
parietal cortex [55], which may hold a representation of the cortex at a site at which we have previously caused disruption
current state estimate [16], as well as from cortical motor of visually guided action [70], and at which TMS is known to
areas, sending an efferent copy of descending commands [56]. affect cerebellar–cerebral projections leading to measurable
It also receives visual and proprioceptive afferents, although changes in motor cortical excitation in the contralateral hand
in our task, visual feedback was blocked during the action. area [69]. One important control condition was therefore to
The output of the cerebellar processing, which we propose test the same TMS protocol applied directly to the contrala-
constitutes an estimation of the change in the motor state teral motor cortex, to rule out indirect effects of the
caused by the efferent signals, may then return to posterior cerebellar stimulation at this remote site. Motor cortical
parietal cortex [57–60] to update its representation, or be TMS did raise terminal errors lead to some directional
directed to motor areas to contribute to the control of the deviation of the reaching movement, but both of these effects
actions [56]. In this framework, one might expect that TMS of were of a significantly smaller magnitude than those seen
posterior parietal cortex would also disrupt reach-to-target after cerebellar stimulation (Figures 2 and 3).
actions in this task. Targeting the superior parietal cortex At the same time, the cerebellar TMS stimulation caused a
using the P3 electroencephalogram electrode coordinates did noticeable change in movement kinematics, with a significant
not cause significant effects. However, this negative result reduction in movement onset latency and an increase in peak
should be taken with caution, because we may have missed a velocity. Similar but weaker effects were also generated by
critical locus within the posterior parietal cortex (PPC) stimulation over the neck, at a site 3 cm below the cerebellar
responsible for maintaining the state representation. stimulation site. We reproduced the cerebellar effect on
The PPC also contributes to the representation of target reaction times using a startling stimulus that did not involve
positions [61], and hence it is important to distinguish loss-of- functional TMS, either by using one wing of the double-cone
state estimation from errors in localizing the remembered coil placed over the participants’ right ear to induce the noise
target. This might be a result of TMS-perturbed input to the and possible auditory nerve stimulation caused by the TMS
PPC, or it may be possibly due to a cerebellar role in target stimulation over the cerebellum or neck, or by playing loud
localization. However, we saw no evidence for mislocalization white noise bursts through headphones without any active
of the target in any of our conditions. In particular, we found TMS. Thus TMS aimed at the lateral cerebellum can startle
direction-specific changes in initial movement direction with the participant and lead to changes in the velocity profile of
cerebellar TMS that were uncorrelated with changes in end the movement, regardless of its effect on the cerebellum.
position of the reach-to-target movement. Moreover, these However, even though these control conditions could induce
effects were significantly different from the errors caused by a similar magnitude shift in reaction time and increase in
cerebellar TMS when the hand was initially stationary, peak velocity, they induced neither the terminal errors nor
although one might expect any effect of target mislocaliza- the initial directional errors that were caused by cerebellar
tion to be common across all these three conditions. There is TMS. This confirms that the initial directional deviation and
limited published evidence of a role for the cerebellum in the final positional errors were not a result of the startle
localization of a visual target [62], and several opposing effect. Furthermore, we also tested cerebellar stimulation
results [63–65]. Thus, it seems unlikely that the changes in from a static starting position, a condition that minimizes the
direction were a sign of movements planned towards a need for a dynamic update of the state estimation. Again, we
perturbed position, saw change in movement onset and velocity attributable to
However, comparing the TMS data from the stationary startle, but we saw no directional deviation or terminal error.
start condition to the two active movement conditions does It is also possible that TMS applied over the lateral
raise another concern, because it is well known that the TMS cerebellum could cause movement errors due to direct
thresholds in motor cortex are lower during active movement stimulation of muscles in the neck, which might lead to
than during rest. We did not test thresholds for activation shoulder or upper arm deviation or cause arm movement by
over the cerebellum; however, we note that the arm was not at stimulation of the brachial plexus [69]. We discounted both
rest in this static position but was actively held in the air just possibilities by testing TMS stimulation over the neck at a site
above the start key; this is a motor task in which the more likely to activate the brachial plexus, and that
cerebellum is actively engaged [66–68]. Others have used stimulation generated visible twitches in the neck muscles
single-shock stimulation levels of 55% with the same double- but without inducing the directional or terminal errors. TMS
cone coil and have seen brief changes in excitability of the at the level used (45% of machine output) is unlikely to cause
contralateral motor cortex that are consistent with activation cortico-spinal stimulation [69,71]. Another control involved
of the cerebellar cortex [69]; we have seen the same effects on measuring the total deviation of the hand that was held static
muscle-evoked potential (MEP) amplitude (unpublished over the start position, without any active reaching task,
results) using triplets of 20-Hz pulses as used in the present during TMS of the cerebellum. This would expose any
experiments, even at stimulation levels of as low as 35% and involuntary hand motion induced either by the TMS,
with the arm genuinely at rest. So although it is possible that including activation of the cortico-spinal collaterals [71], or
our TMS protocol was less effective during the stationary by its startling effect. On TMS trials (three participants), the
condition, we do not think this likely to have influenced these index finger was briefly deviated laterally by less than 5 mm,
results. and within 200 ms had returned to within 1 mm of its initial
position, within the normal reaction time period (266 ms).
Control Experiments and Other Considerations Hence our results are unlikely to be due to TMS-induced
The TMS pulse train is expected to lead to a temporary peripheral effects.
disruption of the neural processing in underlying target A final methodological consideration is that the signifi-
tissue. We targeted the hand area of the ipsilateral cerebellar cantly reduced reaction times seen after cerebellar TMS
mean that the reach-to-target starts from a position near to positioned against the scalp, and another 60 trials collected, with
the mean hand position at which the angular difference active TMS on half the trials.
Nine participants were also tested in a condition is which the start
between TMS and non-TMS trials is equal (Figure 3A). In key was moved 20 cm laterally, to the average position at which the
other words, one could argue that the TMS has merely shifted reach to the target started (Figure 1B). Subjects were instructed to lift
the mean start position leftwards in accordance with the the index finger off the start key but to remain stationary until the go
cue signalled the rapid reach to the target. All other aspects of the
reduction in reaction time, and has not affected the internal task remained the same.
state estimate of the hand. However, the interval of 138 ms TMS. Repetitive stimulation was delivered as three biphasic pulses
estimated from comparing directional errors on TMS versus triggered at 20 Hz (50 ms) by the experimental control computer, at
45% of machine output, using a Magstim Rapid (Magstim Co.). For
non-TMS trials is significantly greater than the change in stimulation of the lateral cerebellum (n ¼ 32), a 90-mm radius double-
reaction time (93 ms). Furthermore, reduction in reaction cone coil was centred 3 cm lateral and 1 cm below the inion [69,70]. In
time alone should not necessarily cause a directional error. If this position, one wing of the coil normally overlaps the participant’s
right ear. Ear plugs were provided.
the reach-to-target movements on TMS trials were planned To test the effects of TMS noise and its possible stimulation of the
using an accurate state estimate, then their initial direction right ear, the orientation of the double cone coil was reversed in four
should be towards the target, despite their reduced latency. participants so that one coil surrounded the right ear while the other
was approximately normal to the scalp. Biphasic stimulation was set
This result was clearly seen for the startle trials (Figure 3B), in at 45% of the machine output. These data were combined with that
which the reaction times were advanced by 85 ms, but the of a group of seven participants in which the TMS trigger pulses were
initial direction was unchanged. Thus the startling stimulus used to trigger brief white noise bursts (100 dB, 20-ms duration),
played through binaural headphones. This white noise was suffi-
does not affect the movement direction, whereas cerebellar ciently loud to evoke observable reflexive blinks in all participants,
TMS does, and this dissociates the effects of reduction in while remaining within safety limits. Comparison of the data from the
reaction time from the loss of state estimation of the hand. two groups (ear TMS versus auditory stimulation) revealed no
In conclusion, we suggest that these results indicate that the significant differences, and the two datasets were combined.
For stimulation of the neck (n ¼ 11) a flat, 70-mm radius figure-of-
lateral cerebellum is responsible for estimating the true state eight coil was used, with the coil centre 3 cm below the site used for
of the peripheral motor system over a short time interval. We cerebellar stimulation (3 cm lateral and 4 cm below the inion).
assume this estimation is based on forward modelling of the Stimulator output was set at 45% of machine output.
For stimulation of the motor cortex (n ¼ 20) the flat, 70-mm radius
expected consequences of outgoing motor commands and figure-of-eight coil was positioned at a site where an observable
that the updated estimation is sent from the cerebellum to twitch of the right first dorsal interoseus muscle was seen. Stimulator
cerebral areas responsible for planning and controlling the output was set at the resting threshold. For posterior parietal cortex,
all participants (n ¼ 12) were also tested with M1 stimulation and the
reaching action. These experiments do not tell us how the same stimulator intensity was used. The P3 electrode position was
cerebellum generates these signals, whether the TMS protocol measured using standard landmarks.
has any influence on cerebellar learning, or whether state Data analysis. Index finger trajectories were analysed in Matlab
version R2007a. A Polhemus Fastrak receiver was taped above the
estimates are topographically organized in the cerebellar right index finger, and before the experiment began, each participant
cortex or nuclei. Experiments using methods with finer held the index finger stationary in the position of the virtual target,
spatial resolution than TMS will be needed to address these under full vision. The recorded marker position was then taken as the
target position in all subsequent analysis, accounting for the 1–1.5 cm
important questions. positional offset of the marker from the index finger pad. Finger
position was recorded in three axes at 120 Hz; angular rotations of
the hand that would invalidate this positional offset were minimal
Materials and Methods and estimated at less than 1 mm; the relative difference between TMS
Participants. Forty-five right-handed participants (age range 22–48 and non-TMS trials is less than 10% of this (0.1 mm).
y, 13 male) received TMS, after providing informed written consent, TMS artefacts. TMS magnetic pulses can generate a significant
and with approval from the Central Office for Research Ethics one-sample (8 ms) artefact in the Polhemus motion tracking data,
Committees. Two of these were authors of this article: RCM and which uses magnetic field technology. These artefacts were detected
LODC. Seven participants (age range 22–50, 6 male) were tested with in the first-differenced time series data and removed by interpolation
auditory stimulation, including the authors RCM and JS. across neighbouring data points.
Tasks. Participants sat at a table with their head supported by a To assess the impact of these artefacts, we recorded the apparent
marker position of a static marker placed at the average start position
chin rest and wearing Plato LCD goggles (Translucent Tech). A TMS
of the reach-to-target movement, with the TMS coil placed in
coil was held in position using a Magic-Arm (Adaptivation). The
approximate similar position as when testing a participant. Artefact
position of the right index finger was recorded using a Polhemus removal was successful and the apparent residual motion of the
Fastrak at 120 Hz. Trials were timed by a computer running under marker was under 0.1 cm or 1 cm/s. The duration of the artefact was
DOS. Each trial began with the index finger depressing a start key on also restricted mainly to within the typical reaction time, so any
the table top in front of the right shoulder. Cued by a set of three residual error did not affect analysis of the reach trajectory. Testing
rising tones at 500-ms intervals, the participant was required to with the marker attached to a participant’s finger held stationary
release the start key on the third tone, and to begin to move the right while TMS was applied to the cerebellum (three participants, 20 trials
hand towards the right side. The Plato goggles were switched to each) showed that stimulation of the cerebellum caused minor finger
opaque as soon as the start key was released. Early or late release of motion that was recovered within 200 ms of TMS termination.
the key led to the trial being aborted. At a uniform random time 500– The cleaned positional data were then low-pass filtered (8th order
1,500 ms after the key was released, the onset of a fourth continuous zero phase 7.5 Hz Butterworth filter). Low-pass filtered index finger
tone cued the participant to make a rapid forwards and upwards trajectories were differentiated to velocity, and the tangential speed
reach to place the index finger on the position of a virtual target was averaged across all TMS (n ¼ 30) and non-TMS trials (n ¼ 30) per
image, reflecting a 1-cm target in a mirror. The target was subject for each condition. The subject mean velocities were then
approximately 28 cm above and 15 cm in front of the start key. averaged across the subject group.
One second after this final go cue, the Plato goggles were switched to Mean speed and jerk (second derivative of speed) profiles were
transparent, allowing terminal vision of the static finger and virtual examined before and after the removal of the TMS-artefacts in the
target. The subject then returned to the start key at their own pace. Polhemus data to confirm that the artefact removal was effective. All
On each session, participants were given 60 practice trials, on a trials (TMS and non-TMS) were processed and filtered identically.
random 50% of which a series of three TMS clicks were heard, at 50, Detection of terminal and directional error. The following steps
100, and 150 ms after the onset of the go cue. During training, the coil were taken for analysis of each trial. First, the time-point of
was held about 1 m from the head; training data were only recorded maximum velocity was detected between the go cue and the end of
for 18 participants. Immediately after the practise, the TMS coil was recording (open circles, Figure 1B and 1C). Termination of the reach-
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