The hallmark of individuals with cerebellar damage is difficulty
producing smooth, well-coordinated, multi-jointed
movements. Instead, movements tend to be decomposed into jerky and imprecise elements, a condition referred to as cerebellar ataxia.
Many of these difficulties in performing movements can be explained as disruption
of the cerebellum�s role in correcting errors in ongoing movements, since the cerebellar error correction mechanism normally ensures that movements are modified to cope with changing circumstances. As described earlier, the Purkinje cells and deep cerebellar nuclear cells recognize potential errors by comparing patterns of convergent activity that are concurrently available to both cell types. The deep nuclear cells then send corrective signals to the upper motor neurons in order to maintain or improve the accuracy of the movement.
In contrast, individuals with
damage to the spinocerebellum have difficulty controlling walking movements; they have a wide-based gait with small shuffling movements, which represents the inappropriate operation of groups of muscles that normally rely on sensory feedback to produce smooth, concerted actions. These individuals also have difficulty performing rapid alternating movements, a sign referred to as dysdiadochokinesia. Over- and underreaching, or dysmetria, may also occur. Tremors, known as action or intention tremors, accompany over- and undershooting of a movement, due to disruption of the mechanism for detecting and correcting movement errors