eprintid: 10191973 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/19/19/73 datestamp: 2024-05-09 07:06:26 lastmod: 2024-05-09 07:06:26 status_changed: 2024-05-09 07:06:26 type: article metadata_visibility: show sword_depositor: 699 creators_name: Kurvits, Lille creators_name: Stenner, Max-Philipp creators_name: Guo, Siqi creators_name: Neumann, Wolf-Julian creators_name: Haggard, Patrick creators_name: Ganos, Christos title: Rapid Compensation for Noisy Voluntary Movements in Adults with Primary Tic Disorders ispublished: inpress divisions: UCL divisions: B02 divisions: C07 divisions: D05 divisions: F69 keywords: Primary tic disorders; Tourette syndrome; sensorimotor integration; sensorimotor noise; movement variability note: Copyright © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, https://creativecommons.org/licenses/by-nc-nd/4.0/, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. abstract: Background: It has been proposed that tics and premonitory urges in primary tic disorders (PTD), like Tourette syndrome, are a manifestation of sensorimotor noise. However, patients with tics show no obvious movement imprecision in everyday life. One reason could be that patients have strategies to compensate for noise that disrupts performance (ie, noise that is task-relevant). // Objectives: Our goal was to unmask effects of elevated sensorimotor noise on the variability of voluntary movements in patients with PTD. // Methods: We tested 30 adult patients with PTD (23 male) and 30 matched controls in a reaching task designed to unmask latent noise. Subjects reached to targets whose shape allowed for variability either in movement direction or extent. This enabled us to decompose variability into task-relevant versus less task-relevant components, where the latter should be less affected by compensatory strategies than the former. In alternating blocks, the task-relevant target dimension switched, allowing us to explore the temporal dynamics with which participants adjusted movement variability to changes in task demands. // Results: Both groups accurately reached to targets, and adjusted movement precision based on target shape. However, when task-relevant dimensions of the target changed, patients initially produced movements that were more variable than controls, before regaining precision after several reaches. This effect persisted across repeated changes in the task-relevant dimension across the experiment, and therefore did not reflect an effect of novelty, or differences in learning. // Conclusions: Our results suggest that patients with PTD generate noisier voluntary movements compared with controls, but rapidly compensate according to current task demands. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. date: 2024-04-25 date_type: published publisher: Wiley official_url: http://dx.doi.org/10.1002/mds.29775 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2272878 doi: 10.1002/mds.29775 medium: Print-Electronic lyricists_name: Haggard, Patrick lyricists_id: PHAGG98 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner funding_acknowledgements: 92977 [VolkswagenStiftung Freigeist Fellowship]; FKZ01GQ1802 [Bundesministerium für Bildung und Forschung]; 424778381 - TRR 295 [Deutsche Forschungsgemeinschaft]; 101077060 [European Union] full_text_status: public publication: Movement Disorders event_location: United States issn: 0885-3185 citation: Kurvits, Lille; Stenner, Max-Philipp; Guo, Siqi; Neumann, Wolf-Julian; Haggard, Patrick; Ganos, Christos; (2024) Rapid Compensation for Noisy Voluntary Movements in Adults with Primary Tic Disorders. Movement Disorders 10.1002/mds.29775 <https://doi.org/10.1002/mds.29775>. (In press). Green open access document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10191973/1/Movement%20Disorders%20-%202024%20-%20Kurvits%20-%20Rapid%20Compensation%20for%20Noisy%20Voluntary%20Movements%20in%20Adults%20with%20Primary%20Tic%20Disorders.pdf