12
The Cerebellum Contributes to Somatosensory Cortical Activity during Self-Produced Tactile Stimulation Sarah-J. Blakemore,* Daniel M. Wolpert,² and Chris D. Frith* *Wellcome Department of Cognitive Neurology, 12 Queen Square, London WC1N 3BG, United Kingdom; and ²Sobell Department of Neurophysiology, Institute of Neurology, London WC1N 3BG, United Kingdom Received February 16, 1999 We used fMRI to examine neural responses when subjects experienced a tactile stimulus that was either self-produced or externally produced. The somatosen- sory cortex showed increased levels of activity when the stimulus was externally produced. In the cerebel- lum there was less activity associated with a move- ment that generated a tactile stimulus than with a movement that did not. This difference suggests that the cerebellum is involved in predicting the specific sensory consequences of movements and providing the signal that is used to attenuate the sensory re- sponse to self-generated stimulation. In this paper, we use regression analyses to test this hypothesis explic- itly. Specifically, we predicted that activity in the cerebellum contributes to the decrease in somatosen- sory cortex activity during self-produced tactile stimu- lation. Evidence in favor of this hypothesis was ob- tained by demonstrating that activity in the thalamus and primary and secondary somatosensory cortices significantly regressed on activity in the cerebellum when tactile stimuli were self-produced but not when they were externally produced. This supports the pro- posal that the cerebellum is involved in predicting the sensory consequences of movements. In the present study, this prediction is accurate when tactile stimuli are self-produced relative to when they are externally produced, and is therefore used to attenuate the so- matosensory response to the former type of tactile stimulation but not the latter. r 1999 Academic Press Key Words: self-monitoring; forward models; tactile sensation; efference copy; psychophysiological interac- tion. INTRODUCTION It is proposed that knowledge of our intentions or motor commands is used to distinguish the sensory consequences of our own actions from externally pro- duced sensory stimuli (Jeannerod, 1988; Frith, 1992; Wolpert et al., 1995; Decety, 1996; Jeannerod, 1997; Wolpert, 1997). In order to achieve this, some kind of central monitor (Frith, 1992) or internal ‘‘forward model’’ (Wolpert et al., 1995; Wolpert, 1997) has been postu- lated. These models capture the forward or causal relationship between actions, as signalled by an effer- ence copy of the motor command (Von Holst, 1954), and the predicted sensory outcome, originally termed corol- lary discharge (Sperry, 1950). By comparing this predic- tion with the actual sensory feedback it is possible to distinguish the sensory consequences of our move- ments from sensory signals due to changes in the outside world. The ability to predict the consequences of our own actions may underlie the differential perception of identical sensory inputs when self-generated compared to when externally generated. An example of such differential perception is the phenomenon that people cannot tickle themselves (Weiskrantz et al., 1971). Using a robotic interface we have demonstrated that self-produced and externally produced tactile sensa- tions are perceived differently (Blakemore et al., 1999). Subjects consistently rated a self-produced tactile sen- sation on their right palm as being significantly less ‘‘tickly,’’ ‘‘intense,’’ and ‘‘pleasant’’ than an identical stimulus produced by a robot. Furthermore, by using two robots so that the motion of the left hand on one robot determined the tactile sensation (a piece of soft foam) on the right hand, computer controlled delays of 0, 100, 200, and 300 ms were introduced between the action of the left hand and the tactile sensation on the right. We found a progressive increase in the ‘‘tickly’’ rating as the delay was increased between 0 ms (corre- sponding to the normal situation in which subjects use their left hand to move a physical rod across the palm of their right hand) and 200 ms. In a second condition trajectory perturbations (rotations of 30, 60, and 90°) were introduced between the direction of the left hand movement and the direction of the tactile sensation on the right hand. Again there was a progressive increase in the ‘‘tickly’’ rating as the trajectory perturbation was increased between 0 and 90°. Under all delays and trajectory perturbations the left hand made the same NeuroImage 10, 448–459 (1999) Article ID nimg.1999.0478, available online at http://www.idealibrary.com on 448 1053-8119/99 $30.00 Copyright r 1999 by Academic Press All rights of reproduction in any form reserved.

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The Cerebellum Contributes to Somatosensory Cortical Activity duringSelf-Produced Tactile Stimulation

Sarah-J. Blakemore,* Daniel M. Wolpert,† and Chris D. Frith**Wellcome Department of Cognitive Neurology, 12 Queen Square, London WC1N 3BG, United Kingdom; and †Sobell Department

of Neurophysiology, Institute of Neurology, London WC1N 3BG, United Kingdom

Received February 16, 1999

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We used fMRI to examine neural responses whenubjects experienced a tactile stimulus that was eitherelf-produced or externally produced. The somatosen-ory cortex showed increased levels of activity whenhe stimulus was externally produced. In the cerebel-um there was less activity associated with a move-

ent that generated a tactile stimulus than with aovement that did not. This difference suggests that

he cerebellum is involved in predicting the specificensory consequences of movements and providinghe signal that is used to attenuate the sensory re-ponse to self-generated stimulation. In this paper, wese regression analyses to test this hypothesis explic-

tly. Specifically, we predicted that activity in theerebellum contributes to the decrease in somatosen-ory cortex activity during self-produced tactile stimu-ation. Evidence in favor of this hypothesis was ob-ained by demonstrating that activity in the thalamusnd primary and secondary somatosensory corticesignificantly regressed on activity in the cerebellumhen tactile stimuli were self-produced but not when

hey were externally produced. This supports the pro-osal that the cerebellum is involved in predicting theensory consequences of movements. In the presenttudy, this prediction is accurate when tactile stimulire self-produced relative to when they are externallyroduced, and is therefore used to attenuate the so-atosensory response to the former type of tactile

timulation but not the latter. r 1999 Academic Press

Key Words: self-monitoring; forward models; tactileensation; efference copy; psychophysiological interac-ion.

INTRODUCTION

It is proposed that knowledge of our intentions orotor commands is used to distinguish the sensory

onsequences of our own actions from externally pro-uced sensory stimuli (Jeannerod, 1988; Frith, 1992;olpert et al., 1995; Decety, 1996; Jeannerod, 1997;

olpert, 1997). In order to achieve this, some kind of t

448053-8119/99 $30.00opyright r 1999 by Academic Pressll rights of reproduction in any form reserved.

entral monitor (Frith, 1992) or internal ‘‘forward model’’Wolpert et al., 1995; Wolpert, 1997) has been postu-ated. These models capture the forward or causalelationship between actions, as signalled by an effer-nce copy of the motor command (Von Holst, 1954), andhe predicted sensory outcome, originally termed corol-ary discharge (Sperry, 1950). By comparing this predic-ion with the actual sensory feedback it is possible toistinguish the sensory consequences of our move-ents from sensory signals due to changes in the

utside world.The ability to predict the consequences of our own

ctions may underlie the differential perception ofdentical sensory inputs when self-generated comparedo when externally generated. An example of suchifferential perception is the phenomenon that peopleannot tickle themselves (Weiskrantz et al., 1971).sing a robotic interface we have demonstrated that

elf-produced and externally produced tactile sensa-ions are perceived differently (Blakemore et al., 1999).ubjects consistently rated a self-produced tactile sen-ation on their right palm as being significantly less‘tickly,’’ ‘‘intense,’’ and ‘‘pleasant’’ than an identicaltimulus produced by a robot. Furthermore, by usingwo robots so that the motion of the left hand on oneobot determined the tactile sensation (a piece of softoam) on the right hand, computer controlled delays of, 100, 200, and 300 ms were introduced between thection of the left hand and the tactile sensation on theight. We found a progressive increase in the ‘‘tickly’’ating as the delay was increased between 0 ms (corre-ponding to the normal situation in which subjects useheir left hand to move a physical rod across the palm ofheir right hand) and 200 ms. In a second conditionrajectory perturbations (rotations of 30, 60, and 90°)ere introduced between the direction of the left handovement and the direction of the tactile sensation on

he right hand. Again there was a progressive increasen the ‘‘tickly’’ rating as the trajectory perturbation wasncreased between 0 and 90°. Under all delays and

rajectory perturbations the left hand made the same
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ovement and the right hand experienced the sametimulus. Only the temporal or spatial relationshipetween the action of the left hand and the sensoryffect on the right hand was altered. These resultsuggest that the perceptual attenuation of self-pro-uced tactile stimulation is due to a precise centralttenuation of the sensory perception, based on specificpatiotemporal sensory predictions, rather than a non-pecific attenuation of all sensory signals.This perceptual attenuation of self-produced tactile

ensations could be due to gating of activity in somato-ensory cortex. Neurophysiological data demonstratehat neuronal responses in somatosensory cortex arendeed attenuated by self-generated movement. Forxample, active touch is ‘‘gated’’ in SI of rats (Chapin &oodward, 1982) and monkeys (Jiang et al., 1991;hapman & Ageranioti-Belanger, 1991; Chapman,994) compared to passive and external touch of andentical tactile stimulus. In order for somatosensoryortex activity to be attenuated to self-produced sen-ory stimuli, these stimuli need to be predicted accu-ately. The cerebellum is a likely site for a ‘‘forwardodel’’ of the motor apparatus that provides predic-

ions of the sensory consequences of motor commands,hich are then compared with the actual sensory

eedback from the movement. Evidence for this supposi-ion comes from computational (Ito, 1970; Paulin, 1989;iall et al., 1993; Wolpert et al., 1998) and neurophysi-

logical data (Oscarsson, 1980; Gellman et al., 1985;ndersson & Armstrong, 1985; Andersson & Arm-trong, 1987; Simpson et al., 1995). The error signalsrom this comparison may be used to modify motorommands during performance, to modulate neuralesponses to the sensory consequences of the move-ent, and to update the forward model. This proposed

ole of the cerebellum is supported by Jueptner &eiller (1998) who conclude that, based on the results

f three PET studies, the cerebellum may be concernedith monitoring the sensory outcome of movements.Using fMRI we have examined the neural basis of the

ifferential perception of self- and externally producedactile stimuli (Blakemore et al., 1998). A tactile stimu-ation device (see Materials and Methods and theegend of Fig. 1 for details) allowed a sinusoidal tactiletimulus to be applied to the subject’s left palm eithery the subject’s right hand or by the experimenter. Toxamine the neural correlates of self-produced tactiletimuli we employed a factorial design with the factorsf self-generated movement of the right hand vs restnd tactile stimulation on the left hand vs no stimula-ion (Fig. 2). Using this design we were able to assesshat brain activity is unique to the self-generated

actile stimulation condition by factoring out activityssociated with self-generated movement or tactiletimulation alone.

We found an increase in activity of bilateral second- m

ry somatosensory cortex when subjects experiencedn externally produced tactile stimulus on their palmelative to a self-produced tactile stimulus (Fig. 4a). Weropose that this inhibition of somatosensory cortexctivity by self-generated movements could result fromn attenuation of the actual sensory feedback based onrediction—accurate prediction occurs when a tactiletimulus is self-produced. In the cerebellum there wasess activity associated with a movement that gener-ted a tactile stimulus than with a movement that didot (Fig. 4b). We suggest that the cerebellum is in-olved in predicting the specific sensory consequencesf movements and providing the signal that is used tottenuate the somatosensory response to self-producedactile stimulation.

In this paper we use regression analysis to test thisypothesis, based on the following principles. If thectivity in one region (area A) predicts the activity innother region (area B) then the strength of the predic-ion reflects the influence area A could be exerting onrea B. If the strength of the prediction (measured byegression analysis) varies with the psychological con-ext in which the physiological activity is measuredhen this is evidence for a ‘‘psychophysiological interac-ion’’ (Friston et al., 1997). Using linear regression weested an anatomically constrained prediction (see Fig.) that the influence of the cerebellum on the thalamusnd somatosensory cortex would be strong in conditionshere sensation could be predicted from movement

self-generated tactile stimuli), but weak when sensa-ion could not be predicted (externally generated tactiletimuli).

MATERIALS AND METHODS

ubjects

Six normal right-handed volunteers (four femalesnd two males; mean age 33 years) gave informedonsent and participated in the study, which waspproved by the National Hospital for Neurology andeurosurgery Ethics Committee.

esign

The experiment was split into two 12-min sessions.ach subject underwent 200 fMRI scans in each ses-ion. Within each session the subject lay supine on theRI bed with their right arm fixed over their chest to

imit movement to the fingers. Their left arm wasecured to a perspex sheet with the left hand perpen-icular to the scanning bed about 5 cm from the fingersf the right hand. A tactile stimulus device (Fig. 1)onsisted of a piece of soft foam attached to a plastic rodlength 70 cm) which could pivot about its center. Theotation of the rod was mechanically limited to vertical

ovements of amplitude 1.5 cm. The rod could be
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oved either by the subject using the right hand or,rom the other end of the rod, which was outside thecanner, by the experimenter. A pulley system allowedhe foam stimulus to be retracted or exposed, under thexperimenter’s control, during scanning. When ex-osed the foam made light contact with the subject’seft palm.

There were two experimentally manipulated vari-bles: whether a tactile stimulus occurred and whetherhe subjects were required to make movements. In theovement conditions movements of the rod were al-ays made with the index and third fingers of the rightand. Subjects were instructed to move the rod up andown to its full extent (amplitude 1.5 cm) at a frequencyf 2 Hz and were practiced beforehand to ensure thathey could reliably generate the desired movements.he tactile stimulus was identical in force, amplitude,nd frequency throughout the experiment. Each condi-ion lasted 30 s and was followed immediately by theext condition. There were four conditions using aithin-subject factorial design, with a total of 12 repli-

ations of each condition per subject (Fig. 2). Subjects

FIG. 1. Diagram of experimental set-up. A tactile stimulus devicehich could pivot about its center. The rotation of the rod was mechane moved either by the subject using their right hand or from the othulley system allowed the foam stimulus to be retracted or exposedoam made light contact with the subjects left palm. See text for detai

ere told which condition to perform through ear-

hones (corresponding to the words in parenthesisollowing each condition name).

Condition A—Self-generated movements producingactile stimulation (‘‘touch’’). Subjects made verticalinusoidal movements of the rod with the right hand.his movement produced a tactile stimulation on thealm of the left hand.Condition B—Self-generated movements without tac-

ile stimulation (‘‘move’’). Subjects made vertical sinu-oidal movements of the rod with the right hand. Theactile stimulus was removed from the subject’s leftalm so no tactile stimulation was experienced.Condition C—Externally produced tactile stimula-

ion (‘‘feel’’). No subject movement occurred. The ex-erimenter moved the tactile stimulus sinusoidallycross the subject’s left palm.Condition D—No movement, no tactile stimulation

‘‘rest’’). No movement or tactile sensation occurred.he experimenter moved the rod sinusoidally at a

requency of 2 Hz, but the tactile stimulus did not touchhe subject’s palm.

sisted of a piece of soft foam attached to a plastic rod (length 70 cm),lly limited to vertical movements of amplitude 1.5 cm. The rod couldnd of the rod, which was outside the scanner, by the experimenter. Ader the experimenters control, during scanning. When exposed the

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The order of conditions was randomized and counter-

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451SOMATOSENSORY ACTIVITY DURING TACTILE STIMULATION

alanced within and between subjects. Scanning tooklace in a darkened room and subjects were asked toeep their eyes closed during the experiment. The totalumber of movements made was counted by the experi-enter: the average frequency of movements of the rod

n conditions 1, 2, and 3 was 2.25 Hz.

ata Acquisition

A Siemens VISION system (Siemens, Erlangen) oper-ting at 2 T was used to acquire both axial gradient-cho, echoplanar T2*-weighted image volumes withlood oxygenation level-dependent (BOLD) contrastnd axial T1-weighted structural images for anatomi-al coregistration. The experiment began with thecquisition of a T1-weighted anatomical image fromach participant. Functional imaging was then per-ormed in two separate runs with a 3-min break inetween sessions. Each functional-image volume com-rised 48 3-mm axial slices with in-plane resolution of3 3 mm positioned to cover the whole brain. During

ach run, volumes were acquired continuously every.1 s, while participants performed either epochs of thexperimental task lasting 32.8 s (8 vol) or epochs of restlasting 32.8 s or 8 vol). Each run began with 8‘dummy’’ vol, which were subsequently discarded tollow for T1 equilibration effects. Periods of no move-

FIG. 2. Table illustrating 2 3 2 factorial design. There were four che rod with their right hand, which produced a tactile stimulationinusoidal movements of the rod with their right hand, and no tactileactile stimulus sinusoidally across the subject’s left palm; in coneplications of each condition per subject.

ent (conditions 3 and 4) then alternated with the d

ovement conditions (1 and 2) as described above forhe duration of each run. The total duration of thexperiment was thus around 35 min, during which time00 functional-image volumes were acquired, of which84 were subsequently analyzed.

tatistical Analysis

Functional imaging analysis used the technique oftatistical parametric mapping, implemented in SPM97

itions: In condition A subjects made vertical sinusoidal movements ofthe palm on their left hand; in condition B subjects made verticalulation was experienced; in condition C the experimenter moved the

ion D no movement or tactile sensation occurred. There were 12

FIG. 3. Diagram of anatomical pathways between the cerebellumnd somatosensory cortex in the monkey, taken from Waxman and

ondon

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eGroot (1995).

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Wellcome Department of Cognitive Neurology, UK,ttp://www.fil.ion.ucl.ac.uk/spm]. For each subject, the

maging time series was realigned with sinc interpola-ion (Friston et al., 1995b). The data were adjusted toemove any signal correlated with head rotation andotion. The scans were then stereotactically normal-

zed using affine registration followed by nonlinearegistration. The data were resampled using sinc inter-olation into the space of Talairach & Tournoux (1988).he scans were then smoothed with a Gaussian kernelf 6 mm full-width half maximum.The analysis of functional imaging data entails the

FIG. 4. (a) Shows significant (P , 0.05 corrected for multiple comssociated with the interaction between the effects of self-generateorrected for multiple comparisons) decreased activity in right anterioelf-generated movement and tactile stimulation. In the right hand odjusted BOLD contrast signal relative to the fitted mean and expresshe effects at the voxel of highest intensity are shown, for illustrationemaining subjects in this statistical model. The labeling of theelf-generated movement without tactile stimulation; C, externally gight (42 2 24 18) parietal operculum are shown. In (b), the effects atas the only area of the brain that resulted from the contrast A–B.

reation of statistical parametric maps that represent a

tatistical assessment of condition-specific effects corre-ponding to the experimental hypotheses (Friston etl., 1990, 1995a; Friston, 1997). Condition-specific ef-ects were estimated with the General Linear Modelith a delayed boxcar wave form. Low-frequency sinend cosine waves modeled and removed participant-pecific low-frequency drifts in signal, while globalhanges in activity were removed by proportional scal-ng. Areas of significant change in brain activity werepecified by appropriately weighted linear contrasts ofhe condition-specific effects and determined using the ttatistic on a voxel to voxel basis.

isons) decreased activity in bilateral secondary somatosensory cortexovement and tactile stimulation. (b) Shows significant (P , 0.05

erebellar cortex associated with the interaction between the effects ofand b), the condition-specific parameter estimates, which reflect thes a percentage of whole brain mean activity, are shown. In both casesa single subject. Similar parameter estimates were obtained for thenditions corresponds to A, self-generated tactile stimulation; B,

erated tactile stimulation; D, rest. In (a), the effects at voxels in thee voxel 22 2 58 2 22 are shown. The right anterior cerebellar cortex

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Statistical analysis was performed to examine the

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ain effects of movement ((A 1 B) 2 (C 1 D) in Fig. 2)nd tactile stimulation (A 1 C) 2 (B 1 D), the interac-ion of these two factors (A 2 B) 2 (C 2 D), and theimple main effect of movement with tactile stimula-ion compared to movement with no tactile stimulationA 2 B). Examination of the interaction reflects thetatistically significant differential effects of self- vsxternally produced tactile stimuli while factoring outctivity due to movement or tactile stimuli alone. Thesetatistical contrasts were used to create an SPM5t6,hich was transformed into an SPM5Z6 and thresh-lded at P , 0.001. Resultant areas of activation wereharacterized in terms of their peak heights.

egression Analysis Testing for PsychophysiologicalInteractions

Our hypothesis concerning psychophysiological inter-ctions was constrained on the basis of establishednatomical pathways between the cerebellum and so-atosensory cortex in the monkey (Waxman & De-root, 1995; see Fig. 3). We first identified a target area

n the cerebellum which showed a significant interac-ion between self-generated movement and tactiletimulation. In three subjects this was in the anteriorobe of the cerebellum; in the other three subjects, theoxel of maximum intensity was in Crus I of theerebellum. We then used SPM to identify brain areasithin the subset shown in Fig. 3 where activity wasredicted by activity in the target area (the cerebellum)uring self-generated tactile stimulation, but not dur-ng externally generated simulation. To do this a covari-

TABLE 1

Regions Showing an Enhanced Contribution from theCerebellum Voxel Used as the Regressor during the

Administration of Self-Produced Relative to ExternallyProduced Tactile Stimuli, in Two Representative

Subjects, for Illustration

Coordinates(x, y, z)

Z value(P , 0.001)

ubject 1Cerebellum voxel (regressor) 34, 256, 224 4.62Postcentral gyrus (R) 42, 212, 60 3.96Parietal operculum (R) 38 216 10 3.99Parietal operculum (L) 240 216 2 3.75Lateral thalamus (R) 26, 216, 22 3.92Medial thalamus (R) 4, 218, 6 5.02

ubject 2Cerebellum voxel (regressor) 38, 242, 244 2.62 (P , 0.005)Postcentral gyrus (R) 240, 26, 46 3.63Parietal operculum (R) 46, 220, 16 4.09Parietal operculum (L) 246, 226, 10 3.88Lateral thalamus (R) 38, 2, 4 4.02Lateral thalamus (L) 212, 219, 0 3.90

te (or regressor) of interest was constructed by taking a

OLD signal values for the target voxel in the cerebel-um over the time course of the experiment (384 scans)or each subject and multiplying these by the contrastector for the interaction term in the experimentalesign. Having removed the confounding effects ofhysiological component (the activity in the cerebel-um) and the psychological component (the contrastector for the interaction between movement and touch),ny region in which activity can be predicted from theovariate of interest shows a psychophysiological inter-ction of the kind we have hypothesized. Regressionith the covariate of interest after taking account of the

wo confounding covariates was calculated for everyoxel in the relevant brain regions. The significance ofhe regression in all these voxels was displayed in aPM[t] map. A significant value implies a difference inhe regression slopes linking cerebellar activity toctivity in other brain areas in different psychologicalontexts. Where significant effects were found the twoegression slopes were plotted in order to visualize theffects revealed by the psychophysiological interaction.e predicted that activity in the cerebellum would

ovary with activity in the thalamus and somatosen-ory cortex during the experience of self-generatedactile stimuli, but not during the experience of exter-ally generated tactile stimuli.

RESULTS

Examination of the interaction ((A 2 B) 2 (C 2 D) inig. 2) reflects the differential effects of self- vs exter-ally produced tactile stimuli, while factoring out activ-

ty due to movement or tactile stimuli alone (Fig. 4a).his analysis demonstrated that there was signifi-antly less activity in bilateral secondary somatosen-ory cortex, the anterior cingulate gyrus (ACG) and thenterior lobe of the right cerebellum when the tactiletimulation was self-produced relative to when it wasxternally produced (Fig. 4b). The location of the second-ry somatosensory cortex activation was very similar tohe results of a meta-analysis of functional imagingtudies that have found SII activations (Paulesu et al.,997). Self-generated movements that did not touch theand, and movements that did, resulted in equalctivation of somatosensory cortex (there was no activ-ty in this area in the subtraction of conditions A 2 B inig. 2). In contrast, the right anterior cerebellar cortexas selectively deactivated by self-produced move-ent, which resulted in a tactile stimulus, but not byovement alone, and significantly activated by exter-

ally produced tactile stimuli relative to rest (Fig. 4b).etailed discussion of these results are reported inlakemore et al. (1998).To test the hypothesis that the cerebellum can influ-

nce neural activity in other brain regions, regression

nalyses were performed to test for the presence of
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sychophysiological interactions (see Materials andethods). Brain regions of interest demonstrating sig-

ificant (P , 0.001) condition-specific changes in thenfluence of the cerebellum in two subjects are shown in

FIG. 5. The cerebellum voxel (circled) as the regressor in the psycncreased contribution from the cerebellum during the self-producesubject 1). (a) Shows the voxel of maximum intensity in the cerebelluovement and tactile stimulation, which was used as the regressor

egions with an increased contribution from the cerebellum during theecondary somatosensory cortex (c), and the thalamus (c) are shown.

able 1. The data from these two subjects are represen- (

ative of those from all six subjects and are shown forllustration purposes.

We demonstrate here that, as predicted, activity inhe thalamus (Fig. 5b), right SI, and bilateral SII

physiological interaction analysis and brain regions (circled) with anctile stimuli are shown, for illustration, in a single typical subjecthowing a significant interaction between the effects of self-generatedthe psychophysiological interaction analysis. (b and c) Show brain

lf-produced tactile stimuli. The primary somatosensory cortex (b), the

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he cerebellum (Fig. 5a) during self-produced tactiletimuli conditions and not in conditions where tactiletimuli were externally produced. The context-specificature of the inferred connectivity between the cerebel-

um and other brain areas is illustrated graphically inig. 6. These plots show a positive regression slopeetween cerebellum BOLD signal and the thalamusFig. 6a), right primary (Fig. 6b), and secondary (Fig.c) somatosensory cortex BOLD signal in the self-roduced condition and a flat slope in the externallyroduced condition. The difference between these slopesas significant at P , 0.001 in all six subjects. Theaximum intensity projection images in Fig. 5 and the

raphical displays in Fig. 6 illustrate the psychophysi-logical interaction between the cerebellum and thehalamus and somatosensory cortices in a single repre-entative subject (subject 1), for illustration.It is possible that the positive correlation between

ctivity in the cerebellum and activity in the thalamusnd somatosensory cortex is caused by activity in a

FIG. 6. Graphical displays illustrating the psychophysiological inortices in a single typical subject (subject 1). The BOLD values for th5 212, z 5 60) in the right primary somatosensory cortex (a); (x 5 3

x 5 26, y 5 216, z 5 22) in the lateral thalamus (c) are plotted aroduced tactile stimuli conditions (see Fig. 2). Regression lines helf-produced tactile stimuli condition and a negative gradient in the er) between cerebellum and SI, SII and thalamic activity are 0.58, 0.4nd 0.14, 20.02, and 20.06, respectively, for the externally producedegression analysis.

hird area. The only other area that was activated by i

xternally produced but not by self-produced tactiletimulation was the ACG. Activity in the cerebellumnd the somatosensory cortices did not significantlyegress on activity in the voxel of maximum intensity inhe ACG when this was used as the regressor. Thereforehe hypothesis that activity in the ACG influencedctivity in the cerebellum and the somatosensory corti-es was not supported.

DISCUSSION

The finding that somatosensory cortex is activatedore by externally produced than by self-produced

actile stimulation is likely to be the physiologicalorrelate of the reduced perception associated with theatter type of stimulation (Weiskrantz et al., 1971;lakemore et al., 1999). The reduction in somatosen-ory cortex activity to self-produced tactile stimuli is inccord with neurophysiological experiments demon-trating that active touch results in less neuronal firing

action between the cerebellum and the thalamus and somatosensoryxels (x 5 34, y 5 256, z 5 224) in the right cerebellum and (x 5 42,5 216, z 5 10) in the right secondary somatosensory cortex (b); and

inst each other in the self-produced tactile stimuli and externallybeen fitted to the data, demonstrating a positive gradient in thernally produced tactile stimuli condition. The correlation coefficients

and 0.47, respectively, for the self-produced tactile stimuli condition,ctile stimuli condition. See Materials and Methods for details of the

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456 BLAKEMORE, WOLPERT, AND FRITH

FIG. 6—

Continued
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urface (see Chapman, 1994). The pattern of brainctivity we observed in the cerebellum suggests thathis area might be a source of the somatosensoryodulation. As discussed in a previous paper (Blake-ore et al., 1998) in somatosensory areas activity was

ttenuated by all movement: these areas were equallyctivated by movement that did and that did not resultn tactile stimulation, a finding that is in line with aecent fMRI experiment by Jansma et al. (1998). Inther words this movement-related somatosensory gat-ng does not seem to depend on the specific sensoryonsequences of a movement, but instead is associatedith all self-generated movements. However, our psy-

hophysical experiment described above suggests thatensory gating is very sensitive to the consequences ofhe movement since very small delays modulated theerception of the tactile stimulus (Blakemore et al.,999).We previously found that in contrast to activity in

omatosensory cortex, the right anterior cerebellarortex activity was not attenuated as a general conse-uence of all movement. Instead this area was selec-ively deactivated by self-produced movement, whichesulted in a tactile stimulus (condition A), but not byovement alone (condition B), and significantly acti-

ated by externally produced tactile stimuli (condition) relative to rest (condition 4; Fig. 4b; Blakemore et al.,998). This pattern suggests that the cerebellum makesse of a forward model of the motor apparatus, whichrovides a prediction of the specific sensory conse-uences of motor commands and therefore differenti-tes between movements depending on their specificensory feedback. In our previous study, when thectual sensory feedback of a movement matched theredicted sensory feedback (when tactile stimuli wereelf-produced), cerebellar activity decreased and theomatosensory cortex was not activated. In contrast,hen tactile stimuli were externally produced they

ould not be predicted based on efference copy so theredicted and actual sensory feedback did not match.e propose that this discrepancy is signalled by the

erebellum in the form of increased activity, and activ-ty in somatosensory cortex cannot be predictivelyated.In the present study, to test explicitly the hypothesis

hat the cerebellum might be a source of the somatosen-ory modulation we used regression analyses to investi-ate the contribution of cerebellum to the thalamus andomatosensory cortex when stimuli were self-producedelative to when they were externally produced. Theesulting regression slope suggests an influence oferebellum on the thalamus and right primary andilateral secondary somatosensory cortex. As can beeen in Fig. 6, each regression slope changed whenactile stimuli were self-produced compared to when

hey were externally produced, thus constituting a a

sychophysiological interaction (Friston et al., 1997).hese results suggest that the cerebellum output mightodulate activity in somatosensory cortex via the

halamus when, and only when, the predicted andctual sensory information are matched, i.e., whenactile stimuli are self-generated not when they arexternally generated.This reasoning is consistent with the theory that the

erebellum is a component of a system that providesrecise predictions of the sensory consequences ofotor commands (Ito, 1970; Paulin, 1989; Miall et al.,

993; Wolpert et al., 1998). The forward model of therm’s dynamics has, as inputs, the current state of therm and an efference copy of the motor commandseing issued and produces a new state of the arm. Thisodel therefore captures the state changes in the arm

n response to the motor outflow. In addition, a forwardensory output model of the arm predicts the sensoryeafferent signals that are consequent on a particularhange in state. By linking a forward dynamic andorward sensory output model an estimate of the sen-ory consequences of a motor command can be achieved.n the case of the current experiment, an estimate ofhe tactile feedback from the hand movement is madend, when congruent with the actual sensory conse-uences, this estimate is used predictively to attenuatehe percept of the tactile stimulus.

Empirical research supports the proposal that theerebellum is implicated in making sensory predictionsn the sensorimotor system. The main input to theerebellum, the climbing fibers from the inferior olive,as been proposed to act as a comparator between

ntended and achieved movement, signalling errors inotor performance (Simpson et al., 1995). Evidence for

his comes from electrophysiological studies, demon-trating that neurons in the inferior olive of catsespond to passively applied cutaneous stimuli but noto similar stimuli produced by a voluntary movement ofhe cat (except when stimuli were unexpectedly encoun-ered during movement; Gellman et al., 1985). Simi-arly, Andersson & Armstrong (1985, 1987) demon-trated that inferior olive neurons fire when a catalking on a horizontal ladder encounters a rung thatnexpectedly gives way. Therefore inferior olivary neu-ons have been proposed to act as somatic ‘‘eventetectors’’ responding particularly reliably to unex-ected stimuli (Gellman et al., 1985; Simpson et al.,995). The proposal that the cerebellum provides predic-ions of the sensory consequences of motor commands islso consistent with research demonstrating the role ofhe cerebellum in processing sensory information onine. Our data lend support to theories proposing thathe cerebellum is involved in the acquisition and dis-rimination of sensory data (Leiner et al., 1995; Gao et

l., 1996; Bower, 1997a, 1997b), a function that would
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458 BLAKEMORE, WOLPERT, AND FRITH

e necessary for the comparison between the actual andredicted sensory consequences of the movement.

SUMMARY

Our study demonstrates that self-produced tactiletimuli result in less activation of somatosensory cortexhan identical tactile stimuli when externally pro-uced. Differential sensory responses to a self-gener-ted movement do not occur at the level of somatosen-ory cortex. Instead, our results suggest that specificensory predictions occur at the level of the cerebellum.e propose that the decrease of activity in somatosen-

ory cortex to self-produced tactile stimuli occurs be-ause these match the predicted sensory feedback ofhe movement. Our regression analyses suggest thathis prediction might take place in the cerebellum sincectivity in the thalamus and somatosensory cortexignificantly regressed on activity in the cerebellumhen tactile stimuli were self-produced but not when

hey were externally produced.

ACKNOWLEDGMENTS

We thank the reviewers, Karl Friston and Richard Frackowiak, forseful comments and the radiographers at the Wellcome Departmentor Cognitive Neurology for their help. This work was supported byhe Wellcome Trust. S.J.B. is supported by a Wellcome Trust 4-yearhD Programme in Neuroscience at University College London.

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