Implicit visuomotor adaptation to clamped feedback is reduced in adults who stutter

Abstract It has been demonstrated that people who stutter exhibit atypical motor control not only in speech tasks but also movements in the non-speech effector system, such as finger or arm motion. Notably, studies have reported that people who stutter show limited sensorimotor adaptation (i.e., updating subsequent movements in response to sensory errors) in both speech auditory-motor (i.e., updating speech movements in response to altered auditory feedback) and upper limb visuo-motor (i.e., updating arm movements in response to altered visual feedback) tasks. Given that speech auditory-motor adaptation is mostly if not entirely implicit (i.e., participants are unaware of the learning), it is thought that people who stutter have limited implicit adaptation in the speech effector system. It remains unclear however, whether such limited implicit learning also extends to upper limb visuomotor adaptation. Here, we examined implicit visuomotor learning in adults who stutter through the means of arm reaching adaptation to clamped visual feedback which provides a cursor that is fixed in direction (8° counterclockwise from targets) regardless of the participant’s actual hand location. All participants gradually adjusted their reach angle towards the clockwise direction, adapting in response to clamped feedback, but adults who stutter showed less adaptation compared to adults who do not stutter. In addition, computational modeling suggests that this implicit adaptation difficulties in stuttering individuals may reflect reduced error sensitivity. Together, our findings suggest that implicit sensorimotor learning difficulties in adults who stutter may generalize across multiple effector systems, providing important implications for understanding sensorimotor mechanisms underlying stuttering. Significance statement By employing the clamped visual feedback paradigm during arm reaching movements, we demonstrated that adults who stutter showed less implicit visuomotor adaptation compared to adults who do not stutter. This study provides the first evidence that implicit sensorimotor adaptation limitations in developmental stuttering generalize across multiple effector systems. Our findings not only add to a growing body of evidence that stuttering is associated with domain-general sensorimotor difficulties but also point to specific underlying processes that may lead to stuttering.