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== Working memory ==
Models of working memory primarily focused on declarative memory until Oberauer suggested that declarative and procedural memory may be processed differently in working memory.<ref>{{Cite book|chapter-url=http://linkinghub.elsevier.com/retrieve/pii/S007974210951002X|last=Oberauer|first=Klaus|pages=45–100|doi=10.1016/s0079-7421(09)51002-x|title=The Psychology of Learning and Motivation|volume=51|year=2009|isbn=9780123744890|chapter=Chapter 2 Design for a Working Memory|s2cid=53933457 |url=https://www.zora.uzh.ch/id/eprint/28472/1/Oberauer_PLM_2009.pdf}}</ref> The working memory model is thought to be divided into two subcomponents; one is responsible for declarative, while the other represents procedural memory.<ref>{{Cite journal|last1=Oberauer|first1=Klaus|last2=Souza|first2=Alessandra S.|last3=Druey|first3=Michel D.|last4=Gade|first4=Miriam|title=Analogous mechanisms of selection and updating in declarative and procedural working memory: Experiments and a computational model|journal=Cognitive Psychology|volume=66|issue=2|pages=157–211|doi=10.1016/j.cogpsych.2012.11.001|pmid=23276689|year=2013|s2cid=20150745|url=https://www.semanticscholar.org/paper/8e793c2e35ed77d166cd4b3f0556304e26d09f62}}</ref><ref>{{Cite journal|last1=Souza|first1=Alessandra da Silva|last2=Oberauer|first2=Klaus|last3=Gade|first3=Miriam|last4=Druey|first4=Michel D.|date=1 May 2012|title=Processing of representations in declarative and procedural working memory|journal=The Quarterly Journal of Experimental Psychology|volume=65|issue=5|pages=1006–1033|doi=10.1080/17470218.2011.640403|issn=1747-0218|pmid=22332900|s2cid=27824663}}</ref> These two subsections are considered to be largely independent of each other.<ref>{{Cite journal|last1=Gade|first1=Miriam|last2=Druey|first2=Michel D.|last3=Souza|first3=Alessandra S.|last4=Oberauer|first4=Klaus|title=Interference within and between declarative and procedural representations in working memory|journal=Journal of Memory and Language|volume=76|pages=174–194|doi=10.1016/j.jml.2014.07.002|year=2014}}</ref> It has also been determined that the process for selection may be very similar in nature when considering either modality of working memory.<ref>{{Cite journal|last1=Gade|first1=Miriam|last2=Souza|first2=Alessandra S.|last3=Druey|first3=Michel D.|last4=Oberauer|first4=Klaus|date=1 January 2017|title=Analogous selection processes in declarative and procedural working memory: N-2 list-repetition and task-repetition costs|journal=Memory & Cognition|language=en|volume=45|issue=1|pages=26–39|doi=10.3758/s13421-016-0645-4|pmid=27517876|issn=0090-502X|doi-access=free}}</ref>
 
==Acquisition of skill==
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One model for understanding skill acquisition was proposed by [[Paul Fitts|Fitts]] (1954) and his colleagues. This model proposed the idea that learning was possible through the completion of various stages. The stages involved include:
* Cognitive phase<ref name="fits">{{cite journal | last1 = Fitts | first1 = P. M. | year = 1954 | title = The information capacity of the human motor system in controlling the amplitude of movement | url = https://semanticscholar.org/paper/3087289229146fc344560478aac366e4977749c0| journal = Journal of Experimental Psychology | volume = 47 | issue = 6| pages = 381–391 | doi=10.1037/h0055392 | pmid=13174710| s2cid = 501599 }}</ref><ref name="fits2">Fitts, P. M., Posner, M. I. (1967). Human Performance. Belmont, CA: Brooks/Cole</ref>
* Associative phase<ref name="fits"/><ref name="fits2"/>
* Autonomous phase (also called the procedural phase)<ref name="fits"/><ref name="fits2"/>
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=== Practice and the power law of learning ===
[[Practice (learning method)|Practice]] can be an effective way to learn new skills if knowledge of the result, more commonly known as [[Corrective feedback|feedback]], is involved.<ref>{{Cite book|title=How People Learn: Brain, Mind, Experience, and School: Expanded Edition|last=Council|first=National Research|date=23 August 1999|isbn=9780309070362|pages=177|language=en|doi=10.17226/9853}}</ref><ref>{{Cite book|title=Learning and memory : from brain to behavior|last1=Eduardo.|first1=Mercado|last2=E.|first2=Myers, Catherine|date=1 January 2014|publisher=Worth Publishers|isbn=9781429240147|pages=311|oclc=900627172}}</ref> There is an observed phenomenon known as the [[Power law of practice|power law of learning]], which predicts the rate of skill acquisition over practice time. The power law of learning says that learning occurs at the fastest rate in the beginning then drastically tapers off. The rate at which practice loses its ability to sharpen execution is independent from the skill being practiced and the type of animal learning the skill. For example, participants in a reading speed study made the greatest leap in the first days of the experiment, while additional days of practice saw only slight improvement.<ref>{{Cite book|title=Learning and memory : from brain to behavior|last1=Eduardo.|first1=Mercado|last2=E.|first2=Myers, Catherine|year=2014|isbn=9781429240147|pages=311–312|publisher=Worth Publishers |oclc=961181739}}</ref>
 
The power law of learning can be overcome if the subject is shown a more effective way to accomplish the task. A study subject was shown a film comparing his task performance, kicking a target as rapidly as possible, with that of a known way of minimizing kicking time. Though the subject had reached the limit of his ability to improve through practice as predicted by the power law of learning, viewing the film resulted in a breakthrough in his ability that defied the power law of learning. Viewing the film is an example of [[observational learning]], which effectively gives the viewer new memories of a technique to draw upon for his or her future performances of the task.<ref>{{Cite book|title=Learning and memory : from brain to behavior|last1=Eduardo.|first1=Mercado|last2=E.|first2=Myers, Catherine|year=2014|isbn=9781429240147|pages=312|publisher=Worth Publishers |oclc=961181739}}</ref>
 
==Tests==
===Pursuit rotor task===
A device used to study visual-motor tracking skills and [[hand–eye coordination]] by requiring the participant to follow a moving object with a [[cursor (computers)|cursor]]<ref name="Cognitive Atlas">{{Cite web | url=http://www.cognitiveatlas.org | title=Cognitive Atlas}}</ref> or use a [[stylus]] to follow the target on a computer screen or a turntable.<ref>{{cite web |url=http://149.142.158.188/phenowiki/wiki/index.php/Pursuit_Rotor_Task |title=Pursuit Rotor Task - Phenowiki |access-date=27 February 2012 |url-status=dead |archive-url=https://web.archive.org/web/20130927220537/http://149.142.158.188/phenowiki/wiki/index.php/Pursuit_Rotor_Task |archive-date=27 September 2013 }}</ref> With the computer screen version, the participant follows a dot on a circular path like the one shown below.<ref>{{Cite web | url=httphttps://peblblog.blogspot.com/2010/04/pursuit-rotor-task.html | title=PEBL Blog: The Pursuit Rotor Task| date=24 April 2010}}</ref> [[File:PursuitRotor.png|thumb|Screenshot of a computerized version of the pursuit rotor task.]]
 
The pursuit rotor task is a simple pure visual-motor tracking test that has consistent results within age groups.<ref name="Lang">{{cite journal | doi=10.1016/0191-8869(81)90025-8 | volume=2 | issue=3 | title=Learning and reminiscence in the pursuit rotor performance of normal and depressed subjects | journal=Personality and Individual Differences | pages=207–213 | year=1981 | last1 = Lang | first1 = Rudie J.}}</ref> This displays a measurement of procedural memory as well as demonstrates the participant's [[fine motor skill]]s. The pursuit rotor task tests the fine-motor skills which are controlled by the motor cortex illustrated by the green section below. [[File:Cerebral lobes.png|thumb]]<ref name="Allen">{{cite journal | last1 = Allen | first1 = J.S. | last2 = Anderson | first2 = S.W. | last3 = Castro-Caldas | first3 = A. | last4 = Cavaco | first4 = S. | last5 = Damasio | first5 = H. | year = 2004 | title = The scope of preserved procedural memory in amnesia | journal = Brain | volume = 127 | issue = 8| pages = 1853–67 | doi = 10.1093/brain/awh208 | pmid = 15215216 | doi-access = free | hdl = 10400.16/509 | hdl-access = free }}</ref> The results are then calculated by the participant's time-on and time-off the object. Amnesic participants show no impairment in this motor task when tested at later trials. It does however seem to be affected by lack of sleep and drug use.<ref name="Dotto">{{cite journal | last1 = Dotto | first1 = L | year = 1996 | title = Sleep Stages, Memory and Learning | journal = Canadian Medical Association Journal | volume = 154 | issue = 8| pages = 1193–6 | pmid = 8612256 | pmc = 1487644 }}</ref>
 
===Serial reaction time task===
This task involves having participants retain and learn procedural skills that assess specific memory for procedural-motor skill.<ref>{{cite journal | last1 = Balota | first1 = D.A. | last2 = Connor | first2 = L.T. | last3 = Ferraro | first3 = F.R. | year = 1993 | title = Implicit Memory and the Formation of New Associations in Nondemented Parkinson's Disease Individuals and Individuals with Senile Dementia of the Alzheimer Type: A Serial Reaction Time (SRT) Investigation | url = https://www.semanticscholar.org/paper/9e453e33dd0980a64ef0035555e19cc28d21c304| journal = Brain and Cognition | volume = 21 | issue = 2| pages = 163–180 | doi=10.1006/brcg.1993.1013| pmid = 8442933 | s2cid = 36405765 }}</ref> These skills are measured by observing the speed and accuracy of the participant's ability to retain and acquire new skills. The [[reaction time]] is the time it takes for the participant to respond to the designated cue presented to them.<ref name="Acquisition of Mirror Tracing">{{cite journal | last1 = Corkin | first1 = S. | last2 = Gabrieli | first2 = J. D. E. | last3 = Growdon | first3 = J. H. | last4 = Mickel | first4 = S. F. | year = 1993 | title = Intact Acquisition and Long-Term Retention of Mirror-Tracing Skill in Alzheimer's Disease and in Global Amnesia | url = https://semanticscholar.org/paper/9667d2bffca076be7a0de774dd4e92832bb77d6f| journal = Behavioral Neuroscience | volume = 107 | issue = 6| pages = 899–910 | doi=10.1037/0735-7044.107.6.899| pmid = 8136066 | s2cid = 18015440 }}</ref> Participants with Alzheimer's disease and amnesia demonstrate a long retention time which indicates that they are able to retain the skill and demonstrate effective performance of the task at a later point in time.<ref name="Acquisition of Mirror Tracing"/>
 
===Mirror tracing task===
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=== Choice reaction task ===
Choice reaction tasks have been used to assess working memory.<ref>{{Cite journal|last1=Shahar|first1=Nitzan|last2=Teodorescu|first2=Andrei R.|last3=Usher|first3=Marius|last4=Pereg|first4=Maayan|last5=Meiran|first5=Nachshon|title=Selective influence of working memory load on exceptionally slow reaction times.|journal=Journal of Experimental Psychology: General|language=en|volume=143|issue=5|pages=1837–1860|doi=10.1037/a0037190|pmid=25000446|year=2014}}</ref> It has been determined to be useful in gauging procedural working memory by asking participants to follow stimulus-reaction rules.<ref name="Shahar 197–204">{{Cite journal|last1=Shahar|first1=Nitzan|last2=Teodorescu|first2=Andrei R.|last3=Anholt|first3=Gideon E.|last4=Karmon-Presser|first4=Anat|last5=Meiran|first5=Nachshon|title=Examining procedural working memory processing in obsessive-compulsive disorder|journal=Psychiatry Research|volume=253|pages=197–204|doi=10.1016/j.psychres.2017.03.048|pmid=28390295|year=2017|s2cid=13070999|url=https://www.semanticscholar.org/paper/eeea2f4d120b48c71320a903eb0bb5c5061509eb}}</ref>
 
==Expertise==
===Divided attention===
There are several factors that contribute to the exceptional performance of a skill: memory capacities,<ref>{{cite journal | last1 = Chase | first1 = W. G. | last2 = Simon | first2 = H. A. | year = 1973 | title = Perception in chess | journal = Cognitive Psychology | volume = 4 | pages = 55–81 | doi=10.1016/0010-0285(73)90004-2}}</ref><ref>Starkes, J. L., & Deakin, J. (1984). Perception in sport: A cognitive approach to skilled performance. In W. F. Straub & J. M. Williams (Eds.), Cognitive sport psychology (pp. 115–128). Lansing, MI: Sport Science Associates.</ref> knowledge structures,<ref>{{cite journal | last1 = Chi | first1 = M. T. | last2 = Feltovich | first2 = P. J. | last3 = Glaser | first3 = R. | year = 1981 | title = Categorization and representation of physics problems by experts and novices | journal = Cognitive Science | volume = 5 | issue = 2| pages = 121–152 | doi=10.1207/s15516709cog0502_2| doi-access = free }}</ref> problem-solving abilities,<ref>Tenenbaum, G., & Bar-Eli, M. (1993). Decision-making in sport: A cognitive perspective. In R. N. Singer, M. Murphey, & L. K. Tennant (Eds.), Handbook of research on sport psychology (pp. 171–192). New York: Macmillan.</ref> and attentional abilities.<ref name="attention">{{cite journal | last1 = Beilock | first1 = S.L. | last2 = Carr | first2 = T.H. | last3 = MacMahon | first3 = C. | last4 = Starkes | first4 = J.L. | year = 2002 | title = When Paying Attention Becomes Counterproductive: Impact of Divided Versus Skill-Focused Attention on Novice and Experienced Performance of Sensorimotor Skills | url = https://semanticscholar.org/paper/3bbd5a432c08263b0bebcc888d9592ffe4bec50f| journal = Journal of Experimental Psychology: Applied | volume = 8 | issue = 1| pages = 6–16 | doi=10.1037/1076-898x.8.1.6| pmid = 12009178 | s2cid = 15358285 }}</ref> They all play key roles, each with its own degree of importance based on the procedures and skills required, the context, and the intended goals of the performance. Using these individualized abilities to compare how experts and novices differ regarding both cognitive and sensorimotor skills has provided a wealth of insight into what makes an expert excellent, and conversely, what sorts of mechanisms novices lack. Evidence suggests that an often overlooked condition for skill excellence is attentional mechanisms involved in the effective utilization and deployment of procedural memory during the real-time execution of skills. Research suggests that early in skill learning, execution is controlled by a set of unintegrated procedural steps that are held in working memory and attended to one-by-one in a step-by-step fashion.<ref>Anderson, J. R. (1983). The architecture of cognition. Cambridge, MA: Harvard University Press.</ref><ref name="Anderson, J. R. 1993">Anderson, J. R. (1993). Rules of mind. Hillsdale, NJ: Erlbaum.</ref><ref>Proctor, R. W., & Dutta, A. (1995). Skill acquisition and human performance. Thousand Oaks, CA: Sage.</ref> The problem with this is that attention is a limited resource. Therefore, this step-by-step process of controlling task performance occupies attentional capacity which in turn reduces the performer's ability to focus on other aspects of the performance, such as decision making, fine motor-skills, self-monitoring of energy level and "seeing the field or ice or court". However, with practice, [[procedural knowledge]] develops, which operates largely outside of working memory, and thus allows for skills to be executed more automatically.<ref name="Anderson, J. R. 1993"/><ref name="Langer, E. 1979">{{cite journal | last1 = Langer | first1 = E. | last2 = Imber | first2 = G. | year = 1979 | title = When practice makes imperfect: Debilitating effects of overlearning | journal = Journal of Personality and Social Psychology | volume = 37 | issue = 11| pages = 2014–2024 | doi=10.1037/0022-3514.37.11.2014| pmid = 521900 }}</ref> This, of course, has a very positive effect on overall performance by freeing the mind of the need to closely monitor and attend to the more basic, mechanical skills, so that attention can be paid to other processes.<ref name="attention"/>
 
===Choking under pressure===
It is well established that highly practiced, over-learned skills are performed automatically; they are controlled in real time, supported by procedural memory, require little attention, and operate largely outside of [[working memory]].<ref>{{cite journal | last1 = Anderson | first1 = J. R. | year = 1982 | title = Acquisition of a cognitive skill | journal = Psychological Review | volume = 89 | issue = 4| pages = 369–406 | doi=10.1037/0033-295x.89.4.369| s2cid = 18877678 | url = https://semanticscholar.org/paper/eb324f42d42dc29d9f89e044a76516227e4e2c66 }}</ref> However, sometimes even experienced and highly skilled performers falter under conditions of stress. This phenomenon is commonly referred to as choking, and serves as a very interesting exception to the general rule that well-learned skills are robust and resistant to deterioration across a wide range of conditions.<ref name="choking">{{cite journal | last1 = Beilock | first1 = S.L. | last2 = Carr | first2 = T. | year = 2001 | title = On the Fragility of Skilled Performance: What Governs Choking Under Pressure? | journal = Journal of Experimental Psychology: General | volume = 130 | issue = 4| pages = 701–725 | doi=10.1037/e501882009-391| pmid = 11757876 | citeseerx = 10.1.1.172.5140 }}</ref> Although not well understood, it is widely accepted that the underlying cause of choking is performance pressure, which has been defined as an anxious desire to perform very well in a given situation.<ref name="choking"/> Choking is most often associated with motor skills, and the most common real-life instances are in sports. It is common for professional athletes who are highly trained to choke in the moment and perform poorly. However, choking can occur within any ___domain that demands a high level of performance involving complex cognitive, verbal or motor skills. "Self-focus" theories suggest that pressure increases anxiety and self-consciousness about performing correctly, which in turn causes an increase in attention paid to the processes directly involved in the execution of the skill.<ref name="choking"/> This attention to the step-by-step procedure disrupts the well-learned, automatic (proceduralized) performance. What was once an effortless and unconscious retrieval execution of a procedural memory becomes slow and deliberate.<ref name="Langer, E. 1979"/><ref>{{cite journal | last1 = Lewis | first1 = B. | last2 = Linder | first2 = D. | year = 1997 | title = Thinking about choking? Attentional processes and paradoxical performance | journal = Personality and Social Psychology Bulletin | volume = 23 | issue = 9| pages = 937–944 | doi=10.1177/0146167297239003| pmid = 29506446 | s2cid = 3702775 }}</ref><ref>{{cite journal | last1 = Kimble | first1 = G. A. | last2 = Perlmuter | first2 = L. C. | year = 1970 | title = The problem of volition | journal = Psychological Review | volume = 77 | issue = 5| pages = 361–384 | doi=10.1037/h0029782| pmid = 4319166 }}</ref><ref>{{cite journal | last1 = Masters | first1 = R. S. | year = 1992 | title = Knowledge, knerves and know-how: The role of explicit versus implicit knowledge in the breakdown of a complex motor skill under pressure | journal = British Journal of Psychology | volume = 83 | issue = 3| pages = 343–358 | doi=10.1111/j.2044-8295.1992.tb02446.x}}</ref> Evidence suggests that the more automated a skill is the more resistant it is to distractions, performance pressure, and subsequent choking. This serves as a good example of the relative durability of procedural memory over episodic memory. In addition to deliberate practice and automatization of skills, self-consciousness training has been shown to help with reducing the effect of choking under pressure.<ref name="choking"/>
 
====Rising to the occasion====
If choking on skill-based or co-ordination oriented tasks requires the pressure of the situation to cause the performer's increased conscious attention to his or her process of performance, then the reverse can also be true. A relatively unexplored area of scientific research is the concept of "rising to the occasion." One common misconception is that a person must be an expert in order to have consistent success under pressure. On the contrary, implicit knowledge has been hypothesized to only partially mediate the relationship between expertise and performance.<ref>{{cite journal | last1 = Otten | first1 = M | year = 2009 | title = Choking vs. Clutch Performance: A Study of Sport Performance Under Pressure | url = https://semanticscholar.org/paper/8667b5039256346f271e4d30673bbbefaa058474| journal = Journal of Sport and Exercise Psychology| volume = 31 | issue = 5| pages = 583–601 | doi = 10.1123/jsep.31.5.583 | pmid = 20016110 | s2cid = 17296824 }}</ref> It works closely with a perceived control of the task, and can often trump expertise if the performer embodies procedural comfort within the ___domain. Traditionally, "rising to the occasion" or being "clutch" has been used in reference to sporting feats of particular excellence given the magnitude of the event, however there is increasing awareness to the phenomenon in our everyday life. How one performs under circumstances that do not necessarily present immediate or grave consequence, but do require the performer to actively access a conscious mechanism to perform in unfamiliar or uncomfortable settings, is a concept that may prove educationally beneficial across a variety of disciplines and activities.<ref>{{cite journal | last1 = Baumeister | first1 = Roy F | year = 1984 | title = Choking under pressure: Self-consciousness and paradoxical effects of incentives on skillful performance | url = https://semanticscholar.org/paper/d8b270163ea5d86be72e2fcb068353226ff9bc59| journal = Journal of Personality and Social Psychology | volume = 46 | issue = 3| pages = 610–620 | doi=10.1037/0022-3514.46.3.610| pmid = 6707866 | s2cid = 43839986 }}</ref>
 
====Famous examples of choking====
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== Genetic influence ==
Genetic makeup has been found to impact skill learning and performance, and therefore plays a role in achieving expertise. Using the pursuit rotor task, one study examined the effects of [[Practice (learning method)|practice]] in identical and fraternal twins raised in separate homes. Because identical twins share 100% of their genes while fraternal twins share 50%, the impact of genetic makeup on skill learning could be examined. The results of the pursuit rotor task test became more identical with practice over time for the identical twins, whereas the results for the fraternal twins became more disparate with practice. In other words, the performance of the skill by the identical twins became closer to 100% identical, while the fraternal twins' skill performance became less identical, suggesting the 50% difference in genetic makeup is responsible for the difference in skill performance. The study shows that more practice leads to a closer representation of a person's innate capability, also known as [[Aptitude|talent]]. Therefore, some of the differences people show after extended practice increasingly reflects their genetics. The study also confirmed the idea that practice improves skill learning by showing that, in both the identical and fraternal groups, more practice aided in shedding ineffective tendencies in order to improve execution of a given skill.<ref>{{Cite journal|last1=Fox|first1=Paul W.|last2=Hershberger|first2=Scott L.|last3=Bouchard|first3=Thomas J.|date=28 November 1996|title=Genetic and environmental contributions to the acquisition of a motor skill|journal=Nature|language=en|volume=384|issue=6607|pages=356–358|doi=10.1038/384356a0|pmid=8934520|bibcode=1996Natur.384..356F|s2cid=4354381|url=https://www.semanticscholar.org/paper/afa191e4026af47dbe915c19349046eba4c4c1e3}}</ref><ref>{{Cite book|title=Learning and memory : from brain to behavior|last1=Eduardo.|first1=Mercado|last2=E.|first2=Myers, Catherine|date=1 January 2014|publisher=Worth Publishers|isbn=9781429240147|pages=307–308|oclc=900627172}}</ref> Currently, the link between [[learning]] and genetics has been limited to simple task learning, while a link to more complex forms of learning, such as the learning of [[cognitive skill]]s, has not been confirmed.<ref>{{Cite journal|last1=Wulf|first1=Gabriele|last2=Shea|first2=Charles H.|date=1 June 2002|title=Principles derived from the study of simple skills do not generalize to complex skill learning|journal=Psychonomic Bulletin & Review|language=en|volume=9|issue=2|pages=185–211|doi=10.3758/BF03196276|pmid=12120783|issn=1069-9384|doi-access=free}}</ref>
 
==Anatomical structures==
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The [[dorsolateral]] striatum is associated with the acquisition of habits and is the main neuronal cell nucleus linked to procedural memory. Connecting excitatory [[afferent nerve fiber]]s help in the regulation of activity in the basal ganglia circuit. Essentially, two parallel information processing pathways diverge from the striatum. Both acting in opposition to each other in the control of movement, they allow for association with other needed functional structures<ref>{{cite journal | last1 = Alexander | first1 = GE | last2 = Crutcher | first2 = MD | year = 1990 | title = Functional architecture of basal ganglia circuits; neural substrates of parallel processing | journal = Trends Neurosci | volume = 13 | issue = 7| pages = 266–271 | doi=10.1016/0166-2236(90)90107-l | pmid=1695401| s2cid = 3990601 }}</ref> One pathway is direct while the other is indirect and all pathways work together to allow for a functional neural feedback loop. Many looping circuits connect back at the striatum from other areas of the brain; including those from the emotion-center linked limbic cortex, the reward-center linked [[ventral striatum]] and other important motor regions related to movement.<ref>{{cite journal | last1 = Haber | first1 = SN | last2 = Fudge | first2 = JL | last3 = McFarland | first3 = NR | year = 2000 | title = Striatonigrostriatal pathways in primates form an ascending spiral from the shell to the dorsolateral striatum | journal = J. Neurosci. | volume = 20 | issue = 6| pages = 2369–2382 | doi = 10.1523/JNEUROSCI.20-06-02369.2000 | pmid = 10704511 | pmc = 6772499 | doi-access = free }}</ref> The main looping circuit involved in the motor skill part of procedural memory is usually called the cortex-basal ganglia-thalamus-cortex loop.<ref>{{cite journal | last1 = Parent | first1 = A | year = 1990 | title = Extrinsic connections of the basal ganglia | journal = Trends Neurosci | volume = 13 | issue = 7| pages = 254–258 | doi=10.1016/0166-2236(90)90105-j| pmid = 1695399 | s2cid = 3995498 }}</ref>
 
The striatum is unique because it lacks the [[glutamate]]-related neurons found throughout most of the brain. Instead, it is categorized by a high concentration of a special type of [[GABA]] related inhibiting cell known as the [[medium spiny neuron]].<ref>{{cite journal | last1 = Smith | first1 = Y. | last2 = Raju | first2 = D. V. | last3 = Pare | first3 = J. F. | last4 = Sidibe | first4 = M. | year = 2004 | title = The thalamostriatal system: a highly specific network of the basal ganglia circuitry | url = https://www.semanticscholar.org/paper/99588f5770f5388d0c260eb6b70b9c88ebff0171| journal = Trends Neurosci | volume = 27 | issue = 9| pages = 520–527 | doi=10.1016/j.tins.2004.07.004| pmid = 15331233 | s2cid = 22202019 }}</ref> The two parallel pathways previously mentioned travel to and from the striatum and are made up of these same special medium spiny neurons. These neurons are all sensitive to different neurotransmitters and contain a variety of corresponding receptors including dopamine receptors ([[DRD1]], [[DRD2]]), [[muscarinic receptors]] (M4) and [[adenosine receptors]] (A2A). Separate interneurons are known to communicate with striatal spiny neurons in the presence of the [[somatic nervous system]] neurotransmitter [[acetylcholine]].<ref>{{cite journal | last1 = Zhou | first1 = FM | last2 = Wilson | first2 = CJ | last3 = Dani | first3 = JA | year = 2002 | title = Cholinergic Interneuron characteristics and nicotinic properties in the striatum | journal = J. Neurobiol. | volume = 53 | issue = 4| pages = 590–605 | doi=10.1002/neu.10150 | pmid=12436423| doi-access = free }}</ref>
 
Current understanding of brain anatomy and physiology suggests that striatal neural plasticity is what allows basal ganglia circuits to communicate between structures and to functionally operate in procedural memory processing.<ref>{{cite journal | last1 = Kreitzer | first1 = AC | year = 2009 | title = Physiology and pharmacology of striatal neurons | journal = Annual Review of Neuroscience| volume = 32 | pages = 127–47 | doi=10.1146/annurev.neuro.051508.135422| pmid = 19400717 }}</ref>
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{{further|topic=the cerebellum|Cerebellum}}
[[File:Cerebellum.png|thumb|right|The cerebellum is highlighted red]]
The [[cerebellum]] is known to play a part in correcting movement and in fine-tuning the motor agility found in procedural skills such as painting, instrument playing and in sports such as golf. Damage to this area may prevent the proper relearning of motor skills and through associated research it has more recently been linked to having a role in automating the unconscious process used when learning a procedural skill.<ref>{{cite journal | last1 = Saywell | first1 = N | last2 = Taylor | first2 = D | date = Oct 2008 | title = The role of the cerebellum in procedural learning – are there implications for physiotherapists' clinical practice?. | journal = Physiotherapy: Theory and Practice | volume = 24 | issue = 5| pages = 321–8 | doi=10.1080/09593980701884832| pmid = 18821439 | s2cid = 205654506 }}</ref> New thoughts in the scientific community suggest that the cerebellar cortex holds the holy grail of memory, what is known to researchers as "the [[theEngram (neuropsychology)|engram]]" or the biological place where memory lives. The initial memory trace is thought to form here between parallel fibers and [[Purkinje cells|Purkinje cell]] and then travel outwards to other cerebellar nuclei for consolidation.<ref>{{cite journal | last1 = Nagao | first1 = S | last2 = Kitazawa | first2 = H | year = 2008 | title = Role of the cerebellum in the acquisition and consolidation of motor memory | journal = Brain Nerve | volume = 60 | issue = 7| pages = 783–90 | pmid = 18646618 }}</ref>
 
===Limbic system===
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{{further|topic=dopamine|Dopamine}}
[[File:Dopamine Pathways.png|thumb|right|Dopamine Pathways in the brain highlighted in Blue]]
[[Dopamine]] is one of the more known neuromodulators involved in procedural memory. Evidence suggests that it may influence neural plasticity in memory systems by adapting brain processing when the environment is changing and an individual is then forced to make a behavioural choice or series of rapid decisions. It is very important in the process of "adaptive navigation", which serves to help different brain areas respond together during a new situation that has many unknown stimuli and features.<ref>{{cite journal | last1 = Mizumori | first1 = SJ | last2 = Puryear | first2 = CB | last3 = Martig | first3 = AK | date = Apr 2009 | title = Basal ganglia contributions to adaptive navigation | url = https://www.semanticscholar.org/paper/178d090cf12f5228b4db2aa08208bcfb1482b02c| journal = Behav. Brain Res. | volume = 199 | issue = 1| pages = 32–42 | doi=10.1016/j.bbr.2008.11.014| pmid = 19056429 | s2cid = 2934467 }}</ref> Dopamine pathways are dispersed all over the brain and this allows for parallel processing in many structures all at the same time. Currently most research points to the [[Mesocortical pathway|mesocorticolimbic]] dopamine pathway as the system most related to reward learning and psychological conditioning.<ref>{{cite journal | last1 = Zellner | first1 = MR | last2 = Rinaldi | first2 = R | year = 2009 | title = How conditioned stimuli acquire the ability to activate VTA dopamine cells; A proposed neurobiological component of reward-related learning | url = https://www.semanticscholar.org/paper/e1c3bddf2fbca3ca33cdf956ac96afa5c13fe10e| journal = Neurosci. Biobehav. Rev. | volume = 34| issue = 5| pages = 769–780| doi=10.1016/j.neubiorev.2009.11.011| pmid = 19914285 | s2cid = 23468580 }}</ref>
 
===At the synapse===
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Current Research indicates that procedural memory problems in [[Alzheimer's]] may be caused by changes in enzyme activity in memory-integrating brain regions such as the hippocampus. The specific enzyme linked to these changes is called [[acetylcholinesterase]] (AchE) which may be affected by a genetic predisposition in an immune-system brain receptor called the histamine H1 receptor. The same current scientific information also looks at how [[dopamine]], [[serotonin]] and [[acetylcholine]] neurotransmitter levels vary in the cerebellum of patients that have this disease. Modern findings advance the idea that the [[histamine]] system may be responsible for the cognitive deficits found in Alzheimer's and for the potential procedural memory problems that may develop as a result of the [[psychopathology]].<ref>{{cite journal | last1 = Dere | first1 = E. | last2 = Zlomuzica | first2 = A. | last3 = Viggiano | first3 = D. | last4 = Ruocco | first4 = L.A. | last5 = Watanabe | first5 = T. | last6 = Sadile | first6 = A.G. | last7 = Huston | first7 = J.P. | last8 = Souza-Silva | first8 = M.A. De | year = 2008 | title = Episodic-like and procedural memory impairments in histamine H1 Receptor knockout mice coincide with changes in acetylcholine esterase activity in the hippocampus and dopamine turnover in the cerebellum | url = https://www.semanticscholar.org/paper/c8b0f50f59a44c6d2308d4ae2fea7e893eb8affc| journal = Neuroscience | volume = 157 | issue = 3| pages = 532–541 | doi=10.1016/j.neuroscience.2008.09.025 | pmid=18926883| s2cid = 25761772 }}</ref>
 
===Tourette syndrome===
{{further|topic=Tourette syndrome|Tourette syndrome}}
This disease of the central nervous system, like many other procedural-memory related disorders, involves changes in the associated subcortical brain area known as the striatum. This area and the brain circuits closely interacting with it from the basal ganglia are affected both structurally and at a more functional level in the people affected by [[Tourette's syndrome]]. Current literature on this topic provides evidence for there being many unique forms of procedural memory. The one most relevant to procedural memory and most common in Tourette's is related to the skill-acquisition process that ties stimuli to response during the learning part of procedural memory.<ref>{{cite journal | last1 = Marsh | first1 = R | last2 = Alexander | first2 = GM | last3 = Packard | first3 = MG | last4 = Zhu | first4 = H | last5 = Peterson | first5 = BS | year = 2005 | title = Perceptual-motor skill learning in Gilles de la Tourette syndrome. Evidence for multiple procedural learning and memory systems | url = https://www.semanticscholar.org/paper/0afcdec2a12b0b52bd503da17c006fd921a3c15a| journal = Neuropsychologia | volume = 43 | issue = 10| pages = 1456–65 | doi=10.1016/j.neuropsychologia.2004.12.012 | pmid=15989936| s2cid = 43393976 }}</ref>
 
One study has found that those with Tourette syndrome have enhanced procedural learning. Subjects with Tourette's syndrome were found to have more quickly processed procedural knowledge and more accurately learned procedural skills than their typically developed counterparts. Another study found that subjects with Tourette's syndrome displayed faster processing of rule-based grammar than typically developed subjects. Two possible explanations exist for these results. One explanation is that once a person with Tourette's syndrome has learned a procedure, there is a mechanism that supports more accelerated processing. Second, because procedural memory subserves sequencing, and grammar recruits sequencing, an enhancement of grammatical processing was seen in those with Tourette's syndrome due to their improved procedural memories.<ref>{{cite journal | last1 = Takács | first1 = A | last2 = et | first2 = al. | title = Is procedural memory enhanced in Tourette syndrome? Evidence from a sequence learning task | journal = Cortex | volume = 100 | pages = 84–94 | year = 2017 | doi=10.1016/j.cortex.2017.08.037| pmid = 28964503 | s2cid = 3634434 | url = http://eprints.gla.ac.uk/149676/7/149676.pdf }}</ref>
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===Human immunodeficiency virus (HIV)===
{{further|topic=human immunodeficiency virus|HIV}}
Neural systems used by procedural memory are commonly targeted by [[Human Immunodeficiency Virus]]; the striatum being the structure most notably affected.<ref>{{cite journal | last1 = Reger | first1 = M | last2 = Welsh | first2 = R | last3 = Razani | first3 = J | last4 = Martin | first4 = DJ | last5 = Boone | first5 = KB | year = 2002 | title = A meta-analysis of the neuropsychological sequelae of HIV infection | journal = Journal of the International Neuropsychological Society | volume = 8 | issue = 3| pages = 410–424 | doi=10.1017/s1355617702813212| pmid = 11939699 | s2cid = 30520253 }}</ref> MRI studies have even shown white matter irregularity and basal ganglia subcortical atrophy in these vital areas necessary for both procedural memory and motor-skill.<ref>{{cite journal | last1 = Chang | first1 = L | last2 = Lee | first2 = PL | last3 = Yiannoutsos | first3 = CT | last4 = Ernst | first4 = T | last5 = Marra | first5 = CM | last6 = Richards | first6 = T | display-authors = etal | year = 2004 | title = A multicenter in vivo proton-MRS study of HIV-associated dementia and its relationship to age | url = https://www.semanticscholar.org/paper/f773811cd3929a13639cb15fa8cedcf5f0e01212| journal = NeuroImage | volume = 23 | issue = 4| pages = 1336–1347 | doi=10.1016/j.neuroimage.2004.07.067 | pmid=15589098| s2cid = 2664814 }}</ref> Applied research using various procedural memory tasks such as the Rotary pursuit, Mirror star tracing and Weather prediction tasks have shown that HIV positive individuals perform worse than HIV negative participants suggesting that poorer overall performance on tasks is due to the specific changes in the brain caused by the disease.<ref>{{cite journal | last1 = Gonzalez | first1 = R | last2 = Jacobus | first2 = J | last3 = Amatya | first3 = AK | last4 = Quartana | first4 = PJ | last5 = Vassileva | first5 = J | last6 = Martin | first6 = EM | year = 2008 | title = Deficits in complex motor functions, despite no evidence of procedural learning deficits, among HIV+ individuals with history of substance dependence | journal = Neuropsychology | volume = 22 | issue = 6| pages = 776–86 | doi=10.1037/a0013404| pmid = 18999351 | pmc = 2630709 }}</ref>
 
===Huntington's disease===
{{further|topic=Huntington's disease|Huntington's disease}}
[[File:Huntington.jpg|thumb|left|Coronal FSPGR through the brain of Huntington's patient]]
Despite [[Huntington's disease]] being a disorder that directly affects striatal areas of the brain used in procedural memory, most individuals with the condistioncondition display different memory problems from people with striatum related brain diseases.<ref>{{cite journal | last1 = Sprengelmeyer | first1 = R | last2 = Canavan | first2 = AG | last3 = Lange | first3 = HW | last4 = Hömberg | first4 = V | date = Jan 1995 | title = Associative learning in degenerative neostriatal disorders: contrasts in explicit and implicit remembering between Parkinson's and Huntington's diseases | journal = Mov Disord | volume = 10 | issue = 1| pages = 51–65 | doi=10.1002/mds.870100110| pmid = 7885356 | s2cid = 38578307 }}</ref> In more advanced stages of the disease, however, procedural memory is affected by damage to the important brain pathways that help the inner subcortical and prefrontal cortex parts of the brain to communicate.<ref>Saint-Cyr JA, Taylor AE, Lang AE. (1988) "Procedural learning and neostriatal dysfunction in man" ''Brain'' 1988 Aug;111 ( Pt 4):941-59.</ref>
 
===Obsessive compulsive disorder===
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===Schizophrenia===
{{further|topic=schizophrenia|Schizophrenia}}
MRI studies have shown that [[schizophrenic]] patients not currently taking related medication have a smaller [[putamen;]], part of the striatum that plays a very important role in procedural memory.<ref>{{cite journal | last1 = Lang | first1 = DJ | last2 = Kopala | last3 = Smith | first3 = GN | display-authors = etal | year = 1999 | title = MRI study of basal ganglia volumes in drug-naive first-episode patients with schizophrenia | journal = Schizophr Res | volume = 36 | page = 202 }}</ref> Further studies on the brain reveal that schizophrenics have improper basal ganglia communication with the surrounding extrapyramidal system that is known to be closely involved with the motor system and in the coordination of movement.<ref>A Chatterjee, M Chakos, A Koreen, S Geisler, B Sheitman, M Woerner, JM Kane J Alvir and Ja (1995). "Prevalence and clinical correlates of extrapyramidal signs and spontaneous dyskinesia in never-medicated schizophrenic patients" ''Am J Psychiatry'' 1995 Dec; 152 (12); 1724-9.</ref> The most recent belief is that functional problems in the striatum of schizophrenic patients are not significant enough to seriously impair procedural learning, however, research shows that the impairment will be significant enough to cause problems improving performance on a task between practice intervals.<ref>{{cite journal | last1 = Schérer | first1 = H | last2 = Stip | first2 = E | last3 = Paquet | first3 = F | last4 = Bédard | first4 = MA | date =Winter 2003 | title = Mild procedural learning disturbances in neuroleptic-naive patients with schizophrenia | journal = Journal of Neuropsychiatry| volume = 15 | issue = 1| pages = 58–63 | doi=10.1176/appi.neuropsych.15.1.58| pmid = 12556572 }}</ref>
 
==Drugs==
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===Cocaine===
{{further|topic=cocaine|Cocaine}}
It is evident that long-term [[cocaine]] abuse alters brain structures. Research has shown that the brain structures that are immediately affected by long-term cocaine abuse include: cerebral [[hypoperfusion]] in the frontal, periventricular and temporal-parietal.<ref name="cocaine abuse">{{cite journal | last1 = Strickland | first1 = T. L. | last2 = Mena | first2 = I. | last3 = Villanueva-Meyer | first3 = J. | last4 = Miller | first4 = B. L. | last5 = Cummings | first5 = J. | last6 = Mehringer | first6 = C. M. | last7 = Satz | first7 = P. | last8 = Myers | first8 = H. | year = 1993 | title = Cerebral perfusion and neuropsychological consequences of chronic cocaine use | journal = The Journal of Neuropsychiatry and Clinical Neurosciences| volume = 5 | issue = 4| pages = 419–427 | doi=10.1176/jnp.5.4.419| pmid = 8286941 }}</ref> These structures play a role in various memory systems. Furthermore, the drug cocaine elicits its desirable effects by blocking the DRD1 dopamine receptors in the striatum, resulting in increased dopamine levels in the brain.<ref name="cocaine abuse"/> These receptors are important for the consolidation of procedural memory. These increased dopamine levels in the brain resultant of cocaine use is similar to the increased dopamine levels in the brain found in schizophrenics.<ref>{{cite journal | last1 = Serper | first1 = M. R. | last2 = Bermanc | first2 = A. | last3 = Copersinoa | first3 = M. L. | last4 = Choub | first4 = J. C. Y. | last5 = Richarmea | first5 = D. | last6 = Cancrob | first6 = R. | year = 2000 | title = Learning and memory impairment in cocaine-dependent and comorbid schizophrenic patients | journal = Psychiatry Research | volume = 93 | issue = 1| pages = 21–32 | doi=10.1016/s0165-1781(99)00122-5| pmid = 10699225 | s2cid = 44527373 | doi-access = free }}</ref> Studies have compared the common memory deficits caused by both cases to further understand the neural networks of procedural memory. To learn more about the effects of dopamine and its role in schizophrenia see: [[dopamine hypothesis of schizophrenia]]. Studies using rats have shown that when rats are administered trace amounts of cocaine, their procedural memory systems are negatively impacted. Specifically, the rats are unable to effectively consolidate motor-skill learning.<ref>Willuhn I, Steiner H. (2008) Motor-skill learning in a novel running-wheel task is dependent on D1 dopamine receptors in the striatum. ''Neuroscience'', 22 April; 153 (1); 249-58. Epub 2008 Feb 6.</ref> With cocaine abuse being associated with poor procedural learning, research has shown that abstinence from cocaine is associated with sustained improvement of motor-skill learning (Wilfred et al.).
 
===Psychostimulants===
{{further|topic=psychostimulants|Psychostimulant}}
Most [[psychostimulant]]s work by activating dopamine receptors causing increased focus or pleasure. The usage of psychostimulants has become more widespread in the medical world for treating conditions like [[ADHD]]. Psychostimulants have been shown to be used more frequently today amongst students and other social demographics as a means to study more efficiently or have been abused for their pleasurable side effects.<ref>McCabe, S. E., Knight, J. R., Teter, C. J., Wechsler, H. (2004). Non-medical use of prescription stimulants among US
college students: prevalence and correlates from anational survey. Research Report.</ref> Research suggests that when not abused, psychostimulants aid in the acquisition of procedural learning. Studies have shown that psychostimulants like [[d-amphetamine]] facilitates lower response times and increased procedural learning when compared to control participants and participants who have been administered the [[antipsychotics|antipsychotic]] [[haloperidol]] on procedural learning tasks.<ref>Kumari, V., Gray, J.A., Corr, P.J., Mulligan, O.F., Cotter, P.A., Checkley, S.A. (1997). Effects of acute administration of d-amphetamine and haloperidol on procedural learning in man. ''Journal of Psychopharmacology'' 129(3); 271–276</ref> While improvements in procedural memory were evident when participants were administered traces of psychostimulants, many researchers have found that procedural memory is hampered when psychostimulants are abused.<ref>{{cite journal | last1 = Toomey | first1 = R. | last2 = Lyons | first2 = M. J. | last3 = Eisen | first3 = S. A. | last4 = Xian | first4 = Hong | last5 = Chantarujikapong | first5 = Sunanta | last6 = Seidman | first6 = L. J. | last7 = Faraone | first7 = S. | last8 = Tsuang | first8 = M. T. | year = 2003 | title = A Twin Study of the Neuropsychological Consequences of Stimulant Abuse | journal = Arch Gen Psychiatry | volume = 60 | issue = 3| pages = 303–310 | doi=10.1001/archpsyc.60.3.303| pmid = 12622664 | doi-access = free }}</ref> This introduces the idea that for optimal procedural learning, dopamine levels must be balanced.
 
==Sleep==
Practice is clearly an important process for learning and perfecting a new skill. With over 40 years of research, it is well established in both humans and animals that the formation of all forms of memory are greatly enhanced during the brain-state of sleep. Furthermore, with humans, sleep has been consistently shown to aid in the development of procedural knowledge by the ongoing process of memory consolidation, especially when sleep soon follows the initial phase of memory acquisition.<ref>{{cite journal | last1 = Karni | first1 = A. | last2 = Tanne | first2 = D. | last3 = Rubenstein | first3 = B.S. | last4 = Askenasy | first4 = J.J. | last5 = Sagi | first5 = D. | year = 1994 | title = Dependence on REM sleep of overnight improvement of a perceptual skill | journal = Science | volume = 265 | issue = 5172| pages = 679–682 | doi=10.1126/science.8036518| pmid = 8036518 | bibcode = 1994Sci...265..679K }}</ref><ref>{{cite journal | last1 = Gais | first1 = S. | last2 = Plihal | first2 = W. | last3 = Wagner | first3 = U. | last4 = Born | first4 = J. | year = 2000 | title = Early sleep triggers memory for early visual discrimination skills | journal = Nat. Neurosci. | volume = 3 | issue = 12| pages = 1335–1339 | doi=10.1038/81881| pmid = 11100156 | s2cid = 2075857 | doi-access = free }}</ref><ref>{{cite journal | last1 = Stickgold | first1 = R. | last2 = James | first2 = L. | last3 = Hobson | first3 = J.A. | year = 2000a | title = Visual discrimination learning requires sleep after training | journal = Nat. Neurosci. | volume = 3 | issue = 12| pages = 1237–1238 | doi=10.1038/81756| pmid = 11100141 | doi-access = free }}</ref><ref>{{cite journal | last1 = Stickgold | first1 = R. | last2 = Whidbee | first2 = D. | last3 = Schirmer | first3 = B. | last4 = Patel | first4 = V. | last5 = Hobson | first5 = J.A. | year = 2000b | title = Visual discrimination task improvement: A multi-step process occurring during sleep | url = https://www.semanticscholar.org/paper/f635eb5e63eff7dc17c1b0b9548f80b1b35b76cf| journal = J. Cogn. Neurosci. | volume = 12 | issue = 2| pages = 246–254 | doi=10.1162/089892900562075| pmid = 10771409 | s2cid = 37714158 }}</ref><ref>{{cite journal | last1 = Walker | first1 = M.P. | last2 = Brakefield | first2 = T. | last3 = Morgan | first3 = A. | last4 = Hobson | first4 = J.A. | last5 = Stickgold | first5 = R. | year = 2002 | title = Practice with sleep makes perfect: Sleep dependent motor skill learning | journal = Neuron | volume = 35 | issue = 1| pages = 205–211 | doi=10.1016/s0896-6273(02)00746-8 | pmid=12123620| s2cid = 7025533 | doi-access = free }}</ref> Memory consolidation is a process that transforms novel memories from a relatively fragile state to a more robust and stable condition. For a long time it was believed that the consolidation of procedural memories took place solely as a function of time,<ref>{{cite journal | last1 = Brashers-Krug | first1 = T. | last2 = Shadmehr | first2 = R. | last3 = Bizzi | first3 = E. | year = 1996 | title = Consolidation in human motor memory | journal = Nature | volume = 382 | issue = 6588| pages = 252–255 | doi=10.1038/382252a0| pmid = 8717039 | citeseerx = 10.1.1.39.3383 | bibcode = 1996Natur.382..252B | s2cid = 4316225 }}</ref><ref>{{cite journal | last1 = McGaugh | first1 = J.L. | year = 2000 | title = Memory—A century of consolidation | url = https://semanticscholar.org/paper/4599cc62e637a5619b3f9ee8dd2326d7288cbb1c| journal = Science | volume = 287 | issue = 5451| pages = 248–251 | doi=10.1126/science.287.5451.248 | pmid=10634773| bibcode = 2000Sci...287..248M | s2cid = 40693856 }}</ref> but more recent studies suggest, that for certain forms of learning, the consolidation process is exclusively enhanced during periods of sleep.<ref>{{cite journal | last1 = Fischer | first1 = S. | last2 = Hallschmid | first2 = M. | last3 = Elsner | first3 = A.L. | last4 = Born | first4 = J. | year = 2002 | title = Sleep forms memory for finger skills | journal = Proc. Natl. Acad. Sci. USA | volume = 99 | issue = 18| pages = 11987–11991 | doi=10.1073/pnas.182178199| pmid = 12193650 | pmc = 129381 | bibcode = 2002PNAS...9911987F | doi-access = free }}</ref> However, it is important to note that not just any type of sleep is sufficient to improve procedural memory and performance on subsequent procedural tasks. In fact, within the ___domain of motor skill, there is evidence showing that no improvement on tasks is shown following a short, [[non-rapid eye movement]] (NREM; stages 2–4) sleep, such as a nap.<ref>{{cite journal | last1 = Siegel | first1 = J. M. | year = 2001 | title = The REM sleep-memory consolidation hypothesis | journal = Science | volume = 294 | issue = 5544| pages = 1058–1063 | doi=10.1126/science.1063049| pmid = 11691984 | pmc = 8760621 | bibcode = 2001Sci...294.1058S | s2cid = 2214566 }}</ref> [[REM sleep]] following a period of [[slow-wave sleep]] (SWS; combined stage 3 and 4 and the deepest form of NREM sleep), has shown to be the most beneficial type of sleep for procedural memory enhancement, especially when it takes place immediately after the initial acquisition of a skill. So essentially, a full night (or day) of uninterrupted sleep soon after learning a skill will allow for the most memory consolidation possible. Furthermore, if REM sleep is disrupted, there is no gain in procedural performance shown.<ref>{{cite journal | last1 = Karni | first1 = A. | last2 = Meyer | first2 = G. | last3 = Rey-Hipolito | first3 = C. | last4 = Jezzard | first4 = P. | last5 = Adams | first5 = M.M. | last6 = Turner | first6 = R. | last7 = Ungerleider | first7 = L.G. | year = 1998 | title = The acquisition of skilled motor performance: Fast and slow experience-driven changes in primarymotor cortex | journal = Proc. Natl. Acad. Sci. USA | volume = 95 | issue = 3| pages = 861–868 | doi=10.1073/pnas.95.3.861| pmid = 9448252 | pmc = 33809 | bibcode = 1998PNAS...95..861K | doi-access = free }}</ref> However, equal improvement will take place whether the sleep after practice was at night or during the daytime, as long as SWS is followed by REM sleep. It has also been shown that the enhancement in memory is specific to the learned stimulus (i.e., learning a running technique will not cross over to improvements in biking performance).<ref>{{cite journal | last1 = Mednick | first1 = S.C. | display-authors = etal | year = 2003 | title = Sleep-dependent learning: a nap is as good as a night | url = https://www.semanticscholar.org/paper/ee698a6866fc21686c4e6798f0c3dbc13e568d2d| journal = Nat. Neurosci. | volume = 6 | issue = 7| pages = 697–698 | doi=10.1038/nn1078 | pmid=12819785| s2cid = 16348039 }}</ref> Subject performance in the Wff 'n Proof Task,<ref>Smith C. REM sleep and learning: some recent findings. In: Moffit A, Kramer M, Hoffman H, editors. The functions of dreaming. Albany:SUNY; 1993.</ref><ref>{{cite journal | last1 = Smith | first1 = C | last2 = Fazekas | first2 = A | year = 1997 | title = Amount of REM sleep and Stage 2 sleep required for efficient learning | journal = Sleep Res | volume = 26 | page = 690 }}</ref><ref>{{cite journal | last1 = Smith | first1 = C | last2 = Weeden | first2 = K | year = 1990 | title = Post training REMs coincident auditory stimulation enhances memory in humans | journal = Psychiatr J Univ Ott | volume = 15 | issue = 2| pages = 85–90 | pmid = 2374793 }}</ref> the [[Tower of Hanoi]],<ref>{{cite journal | last1 = Smith | first1 = CT | last2 = Nixon | first2 = MR | last3 = Nader | first3 = RS | year = 2004 | title = Post training increases in REM sleep intensity implicate REM sleep in memory processing and provide a biological marker of learning potential | journal = Learn Mem | volume = 11 | issue = 6| pages = 714–9 | doi=10.1101/lm.74904| pmid = 15576889 | pmc = 534700 }}</ref> and the Mirror Tracing Task<ref>Conway J, Smith C. REM sleep and learning in humans: a sensitivity to specific types of learning tasks. In: Proceedings of the 12th Congress of the European Sleep Research Society. 1994.</ref> has been found to improve following REM sleep periods.
 
Whether a skill is learned explicitly (with [[attention]]) or implicitly, each plays a role in the offline consolidation effect. Research suggests that explicit awareness and understanding of the skill being learned during the acquisition process greatly improves the consolidation of procedural memories during sleep.<ref>{{cite journal | last1 = Robertson | first1 = E.M. | display-authors = etal | year = 2004 | title = Awareness modifies skill-learning benefits of sleep | journal = Curr. Biol. | volume = 14 | issue = 3| pages = 208–212 | doi=10.1016/s0960-9822(04)00039-9| pmid = 14761652 | doi-access = free }}</ref> This finding is not surprising, as it is widely accepted that intention and awareness at time of learning enhances the acquisition of most forms of memory.