Impaired visuomotor generalization by inconsistent attentional contexts

Age-specific walking speed during locomotor adaptation leads to more generalization across contexts

Previous work has shown that compared with young adults, older adults generalize their walking patterns more across environments that impose different motor demands (i.e., split-belt treadmill vs. overground). However, in this previous study, all participants walked at a speed that was more comfortable for older adults than young participants, which leads to the question of whether young adults would generalize more their walking patterns than older adults when exposed to faster speeds that are more comfortable for them. To address this question, we examined the interaction between healthy aging and walking speed on the generalization of a pattern learned on a split-belt treadmill (i.e., legs moving at different speeds) to overground. We hypothesized that walking speed during split-belt walking regulates the generalization of walking patterns in an age-specific manner. To this end, groups of young (<30 y/o) and older (65+ y/o) adults adapted their gait on a split-belt treadmill at either slower or faster walking speeds. We assessed the generalization of movements between the groups by quantifying their aftereffects during overground walking, where larger overground aftereffects represent more generalization, and zero aftereffects represent no generalization. We found an interaction between age and walking speed in the generalization of walking patterns. More specifically, older adults generalized more when adapted at slower speeds, whereas younger adults did so when adapted at faster speeds. These results suggest that comfortable walking speeds lead to more generalization of newly acquired motor patterns beyond the training contexts.

Reciprocal facilitation between mental and visuomotor rotations

Humans exhibit remarkably complex cognitive abilities and adaptive behavior in daily life. Cognitive operation in the "mental workspace," such as mentally rotating a piece of luggage to fit into fixed trunk space, helps us maintain and manipulate information on a moment-to-moment basis. Skill acquisition in the "sensorimotor workspace," such as learning a new mapping between the magnitude of new vehicle movement and wheel turn, allows us to adjust our behavior to changing environmental or internal demands to maintain appropriate motor performance. While this cognitive and sensorimotor synergy is at the root of adaptive behavior in the real world, their interplay has been understudied due to a divide-and-conquer approach. We evaluated whether a separate domain-specific or common domain-general operation drives mental and sensorimotor rotational transformations. We observed that participants improved the efficiency of mental rotation speed after the visuomotor rotation training, and their learning rate for visuomotor adaptation also improved after their mental rotation training. Such bidirectional transfer between two widely different tasks highlights the remarkable reciprocal plasticity and demonstrates a common transformation mechanism between two intertwined workspaces. Our findings urge the necessity of an explicitly integrated approach to enhance our understanding of the dynamic interdependence between cognitive and sensorimotor mechanisms.

Inconsistent attentional contexts impair re-learning following gradual visuomotor adaptation

One of the brain's primary functions is to promote actions in dynamic, distracting environments. Because distractions divert attention away from our primary goals, we learn to maintain accurate actions under sensory and cognitive distractions. Visuomotor adaptation refers to learning processes that restore performance when sensorimotor capacities or environmental conditions are abruptly or gradually altered. Prior work showed that learning to counteract an abrupt perturbation while performing either a single or dual task, referred to as the attentional context, led to better and faster re-learning when the same attentional context was reinstated at recall. This suggested that the attentional context was associated with visuomotor adaptation and used as a contextual cue during recall. The current study investigated whether attentional context was associated with visuomotor adaptation to a gradual perturbation, which limits awareness of errors. During adaptation, participants reached to targets while learning to counteract a visuomotor rotation that increased from 0 to 45 deg by 0.3 deg each trial, with or without performing a secondary task. Re-learning was impaired when the attentional context changed between adaptation and recall (Experiment 1), even compared to when the secondary task was only performed during the early or late half of adaptation (Experiment 2). Changing the secondary task between adaptation and recall did not impair re-learning, indicating that the effect was attentional-context-dependent, rather than task-specific (Experiment 3). These findings further highlight the importance of cognitive factors, such as attention, in visuomotor adaptation and have implications for learning and rehabilitation paradigms.

Age-related enhancement in visuomotor learning by a dual-task

Many daily activities require performance of multiple tasks integrating cognitive and motor processes. While the fact that both processes go through deterioration and changes with aging has been generally accepted, not much is known about how aging interacts with stages of motor skill acquisition under a cognitively demanding situation. To address this question, we combined a visuomotor adaptation task with a secondary cognitive task. We made two primary findings beyond the expected age-related performance deterioration. First, while young adults showed classical dual-task cost in the early motor learning phase dominated by explicit processes, older adults instead strikingly displayed enhanced performance in the later stage, dominated by implicit processes. For older adults, the secondary task may have facilitated a shift to their relatively intact implicit learning processes that reduced reliance on their already-deficient explicit processes during visuomotor adaptation. Second, we demonstrated that consistently performing the secondary task in learning and re-learning phases can operate as an internal task-context and facilitate visuomotor memory retrieval later regardless of age groups. Therefore, our study demonstrated age-related similarities and differences in integrating concurrent cognitive load with motor skill acquisition which, may in turn, contributes to the understanding of a shift in balance across multiple systems.

Reliance on Visual Input for Balance Skill Transfer in Older Adults: EEG Connectome Analysis Using Minimal Spanning Tree

Skill transfer from trained balance exercises is critical to reduce the rate of falls in older adults, who rely more on vision to control postural responses due to age-dependent sensory reweighting. With an electroencephalography (EEG) minimum spanning tree (MST) structure, the purpose of this study was to compare the organization of supraspinal neural networks of transfer effect after postural training using full and intermittent visual feedbacks for older adults. Thirty-two older adults were randomly assigned to the stroboscopic vision (SV) (n = 16; age = 64.7 ± 3.0 years) and control (16; 66.3 ± 2.7 years) groups for balance training on a stabilometer (target task) with on-line visual feedback. Center-of-pressure characteristics and an MST-based connectome of the weighted phase-lag index during the bilateral stance on a foam surface (transfer task) were compared before and after stabilometer training. The results showed that both the SV and control groups showed improvements in postural stability in the trained task (p < 0.001). However, unlike the control group (p = 0.030), the SV group who received intermittent visual feedback during the stabilometer training failed to reduce the size of postural sway in the anteroposterior direction of the postural transfer task (unstable stance on the foam surface) in the post-test (p = 0.694). In addition, network integration for the transfer task in the post-test was absent in the SV group (p > 0.05). For the control group in the post-test, it manifested with training-related increases in leaf fraction in beta band (p = 0.015) and maximum betweenness in alpha band (p = 0.018), but a smaller diameter in alpha (p = 0.006)/beta (p = 0.021) bands and average eccentricity in alpha band (p = 0.028). In conclusion, stabilometer training with stroboscopic vision impairs generalization of postural skill to unstable stance for older adults. Adequate visual information is a key mediating factor of supraspinal neural networks to carry over balance skill in older adults.

Altering attention to split-belt walking increases the generalization of motor memories across walking contexts

Little is known about the impact of attention during motor adaptation tasks on how movements adapted in one context generalize to another. We investigated this by manipulating subjects' attention to their movements while exposing them to split-belt walking (i.e., legs moving at different speeds), which is known to induce locomotor adaptation. We hypothesized that reducing subjects' attention to their movements by distracting them as they adapted their walking pattern would facilitate the generalization of recalibrated movements beyond the training environment. We reasoned that awareness of the novel split-belt condition could be used to consciously contextualize movements to that particular situation. To test this hypothesis, young adults adapted their gait on a split-belt treadmill while they observed visual information that either distracted them or made them aware of the belt's speed difference. We assessed adaptation and aftereffects of spatial and temporal gait features known to adapt and generalize differently in different environments. We found that all groups adapted similarly by reaching the same steady-state values for all gait parameters at the end of the adaptation period. In contrast, both groups with altered attention to the split-belts environment (distraction and awareness groups) generalized their movements from the treadmill to overground more than controls, who walked without altered attention. This was specifically observed in the generalization of step time (temporal gait feature), which might be less susceptible to online corrections during walking overground. These results suggest that altering attention to one's movements during sensorimotor adaptation facilitates the generalization of movement recalibration.NEW & NOTEWORTHY Little is known about how attention affects the generalization of motor recalibration induced by sensorimotor adaptation paradigms. We showed that altering attention to movements on a split-belt treadmill led to greater adaptation effects in subjects walking overground. Thus our results suggest that altering patients' attention to their actions during sensorimotor adaptation protocols could lead to greater generalization of corrected movements when moving without the training device.

The role of attention in motor control and learning

Performing and learning motor behaviors are fundamental to everyday life. The relations between perceptual input and motor output have been studied and are well understood for simple experimental settings. Recent findings, however, suggest that motor actions also critically depend on cognitive factors; these influences are most notable in complex environments that place high demands on attention and memory. In this review, the role of various aspects of attention in motor control is discussed, focusing on the following points: (1) recent findings concerning interactions between attentional resources and motor skill acquisition, (2) the consistency of attentional states (divided versus focused) and motor memory retrieval, and (3) the locus of attention (internal versus external) and motor performance. These findings collectively highlight the interplay between attention and motor systems, which in turn has practical implications for developing and improving motor training and rehabilitation programs.