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Updated: May 9, 2026

The "Motor" in Implicit Motor Sequence Learning: A Foot-stepping Serial Reaction Time Task
Published on: May 3, 2018
Verbal implicit sequence learning in persons who stutter and persons with Parkinson's disease
Sarah Smits-Bandstra1, Vincent Gracco
1Department of Communication Sciences and Disorders, St. Cloud State University, St. Cloud, Minnesota 56301, USA. smsmitsbandstra@stcloudstate.edu
Persons with Parkinson's disease (PPD) and persons who stutter (PWS) show delayed implicit learning. PPD also had lower accuracy, suggesting motor and speech disorders may impact learning systems.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Speech and Language Pathology
Background:
- Implicit learning systems are crucial for skill acquisition.
- Parkinson's disease (PD) and stuttering (PWS) are neurological conditions that may affect cognitive functions.
- The cortico-striato-thalamo-cortical loop is implicated in motor control and learning.
Purpose of the Study:
- To investigate the integrity of implicit learning in individuals with Parkinson's disease (PPD) and persons who stutter (PWS).
- To compare implicit learning abilities between PPD, PWS, and healthy controls.
- To explore potential links between stuttering and the functional integrity of the cortico-striato-thalamo-cortical loop.
Main Methods:
- A verbal serial reaction time task was administered to 14 PPD, 14 PWS, and 14 control participants over 120 minutes.
- Participants named syllables in response to visual stimuli, unaware of an underlying repeating sequence.
- Reaction times and accuracy were measured to assess implicit and explicit learning.
Main Results:
- Both PWS and PPD groups exhibited slower reaction times in early learning trials compared to controls, indicating learning delays.
- Persons with Parkinson's disease (PPD) showed reduced accuracy in general learning compared to controls.
- All groups displayed similar, limited explicit knowledge of the sequence.
- Both PWS and PPD groups demonstrated significantly impaired implicit sequence learning relative to controls.
Conclusions:
- Implicit learning systems appear compromised in both persons who stutter (PWS) and persons with Parkinson's disease (PPD).
- Stuttering may be associated with compromised functional integrity of the cortico-striato-thalamo-cortical loop.
- These findings highlight potential shared neural underpinnings affecting motor and learning processes in PWS and PPD.
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