Reviewer #2 (Public review):
Summary:
The authors are investigating cerebellar-mediated motor behaviors in a large sample of adults, including 30 individuals over the age of 80 (a great strength of this work). They employed a large battery of motor tasks that are tied to cerebellar function, in addition to a cognitive task and motor tasks that are more general. They also evaluated cerebellar structure. Across their behavioral metrics, they found that even with cerebellar degeneration, cerebellar-mediated motor behavior remained intact relative to young adults. However, this was not the case for measures not directly tied to cerebellar function. The authors suggest that these functions are preserved and speak to the resiliency and redundancy of function in the cerebellum. They also speculate that cerebellar circuits may be especially good for preserving function in the face of structural change. The tasks are described very well, and their implementation is also well-done with consideration for rigor in the data collection and processing. The inclusion of Bayesian estimates is also particularly useful, given the theoretically important lack of age differences reported. This work is methodologically rigorous with respect to the behavior, and certainly thought-provoking.
Strengths:
The methodological rigor, inclusion of Bayesian statistics, and the larger sample of individuals over the age of 80 in particular are all great strengths of this work. Further, as noted in the text, the fact that all participants completed the full testing battery is of great benefit. Please note, upon my second review the strengths remain. This is a really wonderful investigation and amazingly comprehensive from a behavioral perspective given the numerous tasks and domains that were considered.
Weaknesses:
The suggestion of cerebellar reserve, given that at the group level there is a lack of difference for cerebellar specific behavioral component,s could be more robustly tested. That is, the authors suggest that this is a reserve given that volume of cerebellar gray matter is smaller in the two older groups, though behavior is preserved. This implies volume and behavior are seemingly dissociated. However, there is seemingly a great deal of behavioral variability within each group and likewise with respect to cerebellar volume. Is poorer behavior associated with smaller volume? If so, this would suggest still that volume and behavior are linked; but, rather than being age that is critical it is volume. On the flip side, a lack of associations between behavior and volume would be quite compelling with respect to reserve. More generally, as explicated in the recommendations, there are analyses that could be conducted that, in my opinio,n would more robustly support their arguments given the data that they have available.
The authors have done wonderful work to address the comments from the initial feedback/reviews. While I may ultimately disagree with the approach of including the imaging data in another manuscript, that is at the same time, a reasonable decision. This, however, does not change the impression that the paper would be stronger with the inclusion of the volumetric imaging data. I can understand why it may be published separately - it would be a very long paper to include both. At the same time the assertions made here, which are largely nicely supported by the preprint, would ultimately strengthen this work. The behavior certainly stands on its own as an excellent and needed investigation; together, both pieces make for a truly excellent contribution to the literature.