Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking

Abstract Auditory-motor coupling, the entrainment of movement to an auditory stimulus, involves processes of temporal prediction and feedforward control. The cerebellum is central to these mechanisms, with deficits contributing to ataxia, characterized by incoordination and increased movement variab...

Full description

Saved in:
Bibliographic Details
Main Authors: Lousin Moumdjian, Bart Moens, Mario Manto, Pierre Cabaraux, Bart Van Wijmeersch, Daphne Kos, Marc Leman, Peter Feys
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-12316-9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849344348095774720
author Lousin Moumdjian
Bart Moens
Mario Manto
Pierre Cabaraux
Bart Van Wijmeersch
Daphne Kos
Marc Leman
Peter Feys
author_facet Lousin Moumdjian
Bart Moens
Mario Manto
Pierre Cabaraux
Bart Van Wijmeersch
Daphne Kos
Marc Leman
Peter Feys
author_sort Lousin Moumdjian
collection DOAJ
description Abstract Auditory-motor coupling, the entrainment of movement to an auditory stimulus, involves processes of temporal prediction and feedforward control. The cerebellum is central to these mechanisms, with deficits contributing to ataxia, characterized by incoordination and increased movement variability. Previous research investigated these mechanisms through perceptual or paced finger-tapping tasks. However, little is known about how these processes interact in complex motor tasks, such as walking, which require feedforward control and voluntary adaptability. Thus, the dynamic interplay between temporal prediction and feedforward control in persons with cerebellar ataxia (PwCA) during walking was assessed in three auditory-motor coupling paradigms (spontaneous, instructed and adaptive), involving walking to music and metronomes at different frequencies. The adaptive paradigm additionally incorporated real-time alignment algorithms. Sixteen PwCA (scale for the assessment and rating of ataxia 3.59 ± 2.92) and fourteen healthy controls (HCs) participated. Overall, patients showed spared temporal predictions assessed by synchronization accuracy. Yet reduced synchronization consistency and gait modulation was observed in PwCA as compared to HCs, consistent with deficits of feedforward control. The adaptive alignment algorithm may have compensated for feedforward impairments, thereby promoting enhanced synchronization and gait dynamics. This approach warrants further investigation and holds potential for integration into rehabilitation strategies for persons with mild ataxia.
format Article
id doaj-art-731034d70b5242aeae5b1dfb9c7aceb4
institution Kabale University
issn 2045-2322
language English
publishDate 2025-08-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-731034d70b5242aeae5b1dfb9c7aceb42025-08-20T03:42:41ZengNature PortfolioScientific Reports2045-23222025-08-0115112110.1038/s41598-025-12316-9Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walkingLousin Moumdjian0Bart Moens1Mario Manto2Pierre Cabaraux3Bart Van Wijmeersch4Daphne Kos5Marc Leman6Peter Feys7REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt UniversityIPEM Institute for Systematic Musicology, Ghent UniversityService de Neurologie, CHU-CharleroiNeurologieal rehabilitation ward, Department of neurology, Hôpital universitaire de Bruxelles, Université libre de BruxellesREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt UniversityNational MS Center MelsbroekIPEM Institute for Systematic Musicology, Ghent UniversityREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt UniversityAbstract Auditory-motor coupling, the entrainment of movement to an auditory stimulus, involves processes of temporal prediction and feedforward control. The cerebellum is central to these mechanisms, with deficits contributing to ataxia, characterized by incoordination and increased movement variability. Previous research investigated these mechanisms through perceptual or paced finger-tapping tasks. However, little is known about how these processes interact in complex motor tasks, such as walking, which require feedforward control and voluntary adaptability. Thus, the dynamic interplay between temporal prediction and feedforward control in persons with cerebellar ataxia (PwCA) during walking was assessed in three auditory-motor coupling paradigms (spontaneous, instructed and adaptive), involving walking to music and metronomes at different frequencies. The adaptive paradigm additionally incorporated real-time alignment algorithms. Sixteen PwCA (scale for the assessment and rating of ataxia 3.59 ± 2.92) and fourteen healthy controls (HCs) participated. Overall, patients showed spared temporal predictions assessed by synchronization accuracy. Yet reduced synchronization consistency and gait modulation was observed in PwCA as compared to HCs, consistent with deficits of feedforward control. The adaptive alignment algorithm may have compensated for feedforward impairments, thereby promoting enhanced synchronization and gait dynamics. This approach warrants further investigation and holds potential for integration into rehabilitation strategies for persons with mild ataxia.https://doi.org/10.1038/s41598-025-12316-9WalkingAuditorySynchronizationMusicMetronomesRehabilitation
spellingShingle Lousin Moumdjian
Bart Moens
Mario Manto
Pierre Cabaraux
Bart Van Wijmeersch
Daphne Kos
Marc Leman
Peter Feys
Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
Scientific Reports
Walking
Auditory
Synchronization
Music
Metronomes
Rehabilitation
title Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
title_full Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
title_fullStr Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
title_full_unstemmed Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
title_short Temporal prediction and feedforward control in cerebellar ataxia during spontaneous, instructed, and adaptive auditory-motor coupling while walking
title_sort temporal prediction and feedforward control in cerebellar ataxia during spontaneous instructed and adaptive auditory motor coupling while walking
topic Walking
Auditory
Synchronization
Music
Metronomes
Rehabilitation
url https://doi.org/10.1038/s41598-025-12316-9
work_keys_str_mv AT lousinmoumdjian temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT bartmoens temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT mariomanto temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT pierrecabaraux temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT bartvanwijmeersch temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT daphnekos temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT marcleman temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking
AT peterfeys temporalpredictionandfeedforwardcontrolincerebellarataxiaduringspontaneousinstructedandadaptiveauditorymotorcouplingwhilewalking