人类小脑在非运动学习中对外界反馈的学习和处理中的作用:系统评价。
The Role of the Human Cerebellum for Learning from and Processing of External Feedback in Non-Motor Learning: A Systematic Review.
机构信息
Faculty of Mathematics and Natural Sciences, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Institute of Clinical Neuroscience and Medical Psychology, Medical Faculty & University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
出版信息
Cerebellum. 2024 Aug;23(4):1532-1551. doi: 10.1007/s12311-024-01669-y. Epub 2024 Feb 20.
This review aimed to systematically identify and comprehensively review the role of the cerebellum in performance monitoring, focusing on learning from and on processing of external feedback in non-motor learning. While 1078 articles were screened for eligibility, ultimately 36 studies were included in which external feedback was delivered in cognitive tasks and which referenced the cerebellum. These included studies in patient populations with cerebellar damage and studies in healthy subjects applying neuroimaging. Learning performance in patients with different cerebellar diseases was heterogeneous, with only about half of all patients showing alterations. One patient study using EEG demonstrated that damage to the cerebellum was associated with altered neural processing of external feedback. Studies assessing brain activity with task-based fMRI or PET and one resting-state functional imaging study that investigated connectivity changes following feedback-based learning in healthy participants revealed involvement particularly of lateral and posterior cerebellar regions in processing of and learning from external feedback. Cerebellar involvement was found at different stages, e.g., during feedback anticipation and following the onset of the feedback stimuli, substantiating the cerebellum's relevance for different aspects of performance monitoring such as feedback prediction. Future research will need to further elucidate precisely how, where, and when the cerebellum modulates the prediction and processing of external feedback information, which cerebellar subregions are particularly relevant, and to what extent cerebellar diseases alter these processes.
本综述旨在系统地确定和全面地回顾小脑在表现监测中的作用,重点是从非运动学习中的外部反馈中学习和处理外部反馈。虽然筛选出了 1078 篇符合条件的文章,但最终只有 36 项研究被纳入,这些研究在认知任务中提供了外部反馈,并提到了小脑。其中包括小脑损伤患者的研究和健康受试者应用神经影像学的研究。不同小脑疾病患者的学习表现存在异质性,只有约一半的患者表现出改变。一项使用 EEG 的患者研究表明,小脑损伤与外部反馈的神经处理改变有关。评估基于任务的 fMRI 或 PET 大脑活动的研究以及一项针对健康参与者在基于反馈的学习后连接变化的静息状态功能成像研究表明,小脑的外侧和后部区域特别参与了外部反馈的处理和学习。小脑的参与发生在不同的阶段,例如在反馈预期期间和反馈刺激出现后,这证实了小脑对表现监测的不同方面(例如反馈预测)的重要性。未来的研究需要进一步阐明小脑如何、在何处以及何时调节外部反馈信息的预测和处理,哪些小脑亚区特别相关,以及小脑疾病如何改变这些过程。