Age-related changes of movement patterns in discrete Fitts' task

Perceptual-motor recalibration is intact in older adults

From an ecological perspective, perceptual-motor recalibration should be a robust and adaptable process, but there are suggestions that older adults may recalibrate slower. Therefore, this study investigated the age-related temporal effects in perceptual-motor recalibration after motor disturbances. In three experiments, we disturbed young and older adults' perception-action by fitting weights around their ankles and asking them to climb stairs or cross obstacles repeatedly. In Experiment 1, participants (n = 26) climbed stairs with different ankle weights. An innovative methodology was applied, identifying the timeline of recalibration as the point where a stable movement pattern emerged. Experiment 1 showed that older adults recalibrated slower than young adults in lighter (but not heavier) weight conditions. In Experiment 2, participants (n = 24) crossed obstacles with different ankle weights. Results showed that older adults recalibrated faster than young adults. Finally, in Experiment 3, participants (n = 24) crossed obstacles of unpredictable and varying heights with heavy ankle weights. Again, results showed that older adults recalibrated faster than young adults. Taken together these results show that although older adults had reduced muscle strength and flexibility, they recalibrated quickly, especially when the task was more challenging.

Can Exergames Be Improved to Better Enhance Behavioral Adaptability in Older Adults? An Ecological Dynamics Perspective

Finding effective training solutions to attenuate the alterations of behavior and cognition in the growing number of older adults is an important challenge for Science and Society. By offering 3D computer-simulated environments to combine perceptual-motor and cognitive exercise, exergames are promising in this respect. However, a careful analysis of meta-analytic reviews suggests that they failed to be more effective than conventional motor-cognitive training. We analyzed the reasons for this situation, and we proposed new directions to design new, conceptually grounded, exergames. Consistent with the evolutionary neuroscience approach, we contend that new solutions should better combine high level of metabolic activity with (neuro)muscular, physical, perceptual-motor, and cognitive stimulations. According to the Ecological Dynamics rationale, we assume that new exergames should act at the agent-environment scale to allow individuals to explore, discover, and adapt to immersive and informationally rich environments that should include cognitively challenging tasks, while being representative of daily living situations.

Dissociating Sensorimotor Recovery and Compensation During Exoskeleton Training Following Stroke

The quality of arm movements typically improves in the sub-acute phase of stroke affecting the upper extremity. Here, we used whole arm kinematic analysis during reaching movements to distinguish whether these improvements are due to true recovery or to compensation. Fifty-three participants with post-acute stroke performed ∼80 reaching movement tests during 4 weeks of training with the ArmeoSpring exoskeleton. All participants showed improvements in end-effector performance, as measured by movement smoothness. Four ArmeoSpring angles, shoulder horizontal (SH) rotation, shoulder elevation (SE), elbow rotation, and forearm rotation, were recorded and analyzed. We first characterized healthy joint coordination patterns by performing a sparse principal component analysis on these four joint velocities recorded during reaching tests performed by young control participants. We found that two dominant joint correlations [SH with elbow rotation and SE with forearm rotation] explained over 95% of variance of joint velocity data. We identified two clusters of stroke participants by comparing the evolution of these two correlations in all tests. In the "Recoverer" cluster (N = 19), both joint correlations converged toward the respective correlations for control participants. Thus, Recoverers relearned how to generate smooth end-effector movements while developing joint movement patterns similar to those of control participants. In the "Compensator" cluster (N = 34), at least one of the two joint correlations diverged from the corresponding correlation of control participants. Compensators relearned how to generate smooth end-effector movements by discovering various new compensatory movement patterns dissimilar to those of control participants. New compensatory patterns included atypical decoupling of the SE and forearm joints, and atypical coupling of the SH rotation and elbow joints. There was no difference in clinical impairment level between the two groups either at the onset or at the end of training as assessed with the Upper Extremity Fugl-Meyer scale. However, at the start of training, the Recoverers showed significantly faster improvements in end-effector movement smoothness than the Compensators. Our analysis can be used to inform neurorehabilitation clinicians on how to provide movement feedback during practice and suggest avenues for refining exoskeleton robot therapy to reduce compensatory patterns.

Comparison of Three Physical-Cognitive Training Programs in Healthy Older Adults: A Study Protocol for a Monocentric Randomized Trial

(1) Combining aerobic, coordination and cognitive training allows for more improved physical and cognitive performance than when performed separately. A Nordic walking (NW) and two cognitive-motor circuit training programs (CT-c and CT-fit) are compared. CT-c and CT-fit stimulate cognition differently: CT-c, is through conventional complex coordination training performed in single and dual-task conditions; CT-fit, incorporates it into complex goal-directed actions, implemented by fitness gaming technology (2) The aim is to determine whether CT-fit brings additional benefits to cognition compared to more traditional training. (3) Forty-five healthy independent living community dwellers participants (65–80 years) will be included after a general medical examination. The main exclusion criteria are signs of cognitive impairments (Mini–Mental State Examination < 26/30) and physical impairments. Pre and post-tests will be performed to assess: cognitive functions (Montreal Cognitive Assessment; Trail Making Test; Stroop task, working memory test, Rey Complex Figure copy task, Oral Trail Making Test, and dual-task); motor fitness (Bipedal and unipedal balance test, gait assessments, Time Up and Go, chair sit and reach test and four-square stepping test); and physical fitness (10 m incremental shuttle walking test, maximal handgrip force, Timed-Stands test). (4) Incorporating cognitive demands into complex, goal-directed actions using fitness gaming technology should be the best solution to optimize training benefits.

The multiple process model of goal-directed aiming/reaching: insights on limb control from various special populations

Several years ago, our research group forwarded a model of goal-directed reaching and aiming that describes the processes involved in the optimization of speed, accuracy, and energy expenditure Elliott et al. (Psychol Bull 136:1023-1044, 2010). One of the main features of the model is the distinction between early impulse control, which is based on a comparison of expected to perceived sensory consequences, and late limb-target control that involves a spatial comparison of limb and target position. Our model also emphasizes the importance of strategic behaviors that limit the opportunity for worst-case or inefficient outcomes. In the 2010 paper, we included a section on how our model can be used to understand atypical aiming/reaching movements in a number of special populations. In light of a recent empirical and theoretical update of our model Elliott et al. (Neurosci Biobehav Rev 72:95-110, 2017), here we consider contemporary motor control work involving typical aging, Down syndrome, autism spectrum disorder, and tetraplegia with tendon-transfer surgery. We outline how atypical limb control can be viewed within the context of the multiple-process model of goal-directed reaching and aiming, and discuss the underlying perceptual-motor impairment that results in the adaptive solution developed by the specific group.

The sit to stand to sit postural transition variability in the five time sit to stand test in older people with different fall histories

BACKGROUND

It has been proved that increased motion variability can be indicative of lack of stability. Despite the extensive literature on single sit to stand/stand to sit postural transitions analysis in older people, no studies to this date have assessed the sit to stand to sit (STSTS) transition variability in older adults.

RESEARCH QUESTION

To investigate the variability in STSTS transition during the five times sit to stand (FTSS) test in older people with different fall histories.

METHODS

Seventy-five older (80.5 ± 7.5) and twenty-five younger (27.7 ± 6.5) subjects participated in the study. The older participants were categorized into three groups of non-fallers, once-fallers, and multiple-fallers based on their fall histories. Subjects were fitted with an IMU at their lower backs and asked to fully stand up and then sit down again five times in a row. The angular rotation of the trunk in the sagittal plane was recorded. Using the DTW method, the first STSTS transition of each subject was compared to the last transition and the variability was measured. The correlation between STSTS variability and older participants' Berg balance scale (BBS) was investigated.

RESULTS

The STSTS variability results were significantly different in older fallers (multiple-fallers and once-fallers) compared to both younger participants and older non-fallers. The results yielded a sensitivity of 85.4 % and a specificity of 83.3 % in recognizing older fallers from older non-fallers and a sensitivity and specificity of 86.7 % and 85.7 % respectively in recognizing older multiple-fallers from other older participants. The STSTS variability was found to be significantly correlated with BBS.

SIGNIFICANCE

The findings demonstrated a strong indication of variability in the STSTS transition in older fallers and a significant correlation between STSTS variability and BBS. The results suggest that variability analysis of the STSTS transition has the potential to be used for fall risk analysis in older adults.

EXTRAVERSION/INTROVERSION AND AGE-RELATED DIFFERENCES IN SPEED-ACCURACY TRADEOFF

ABSTRACT Introduction: Extraversion/introversion and age differences might influence speed-accuracy tradeoff. Objective: The speed-accuracy tradeoff was investigated in extroverted and introverted female children, young adults and older adults. Method: Participants carried out an alternative version of Fitts’ task, which involved making alternate clicks with the mouse held in the dominant hand, moving as fast as possible, on two rectangular targets on a computer screen in order to make twelve attempts at six random levels of difficulty (twelve combinations of target widths and distances between targets). Each of the three groups was composed of 16 introverted and 16 extroverted subjects, based upon Brazilian versions of Eysenck’s questionnaire. Results: Elderly introverts fell short of the target more often and committed more overall errors than the elderly extroverts. Additionally, compared to their younger adult counterparts, the elderly subjects fell short of the target more often and committed more overall errors, besides taking longer to complete the task with higher levels of difficulty. Conclusion: The findings were interpreted in light of theories designed to explain the main processes underlying extroversion/introversion and age-related differences. Level of Evidence II; Lesser quality prospective study.

Old adults preserve motor flexibility during rapid reaching

Purpose

Our ability to flexibly coordinate the available degrees of freedom allows us to perform activities of daily living under various task constraints. Healthy old adults exhibit subclinical peripheral and central nervous system dysfunctions, possibly compromising the flexibility in inter-joint coordination during voluntary movements and the ability to adapt to varying task constraints.

Method

We examined how healthy old (75.4 ± 5.2 years, n = 14) compared with young adults (24.3 ± 2 years, n = 15) make use of the available motor flexibility to adapt to physical and dexterity constraints during a rapid goal-directed reaching task. We manipulated physical and dexterity demands by changing, respectively, external resistance and target size. Motor flexibility was quantified by an uncontrolled manifold (UCM) analysis.

Results

We found that healthy young and old adults employ similar motor flexibility as quantified by the ratio between goal equivalent and non-goal equivalent variability (V_Ratio) and were similarly able to adapt to increases in physical and dexterity demands during goal-directed rapid reaching (V_Ratio: p = .092; young: 0.548 ± 0.113; old: 0.264 ± 0.117). Age affected end-effector kinematics. Motor flexibility and end-effector kinematics did not correlate.

Conclusion

The data challenge the prevailing view that old age affects movement capabilities in general and provide specific evidence that healthy old adults preserve motor flexibility during a reaching task. Future studies applying UCM analysis should examine if experimental set-ups limit movement exploration, leaving possible age differences undetected.

Strategic Variations in Fitts' Task: Comparison of Healthy Older Adults and Cognitively Impaired Patients

The present study aimed at investigating how healthy older adults (HOA) and cognitively impaired patients (CIP) differ in a discrete Fitts' aiming task. Four levels of task difficulty were used, resulting from the simultaneous manipulation of the size of the target and its distance from home position. We found that movement times (MTs) followed Fitts' law in both HOA and CIP, with the latter being significantly slower and more affected by increased task difficulty. Moreover, correlation analyses suggest that lower information processing speed (IPS) and deficits in executive functions (EFs) are associated with decline of sensorimotor performance in Fitts' task. Analyses of strategic variations showed that HOA and CIP differed in strategy repertoire (which strategies they used), strategy distribution (i.e., how often they used each available strategy), and strategy execution (i.e., how quick they were with each available strategy). These findings further our understanding of how strategic variations used in a sensorimotor task are affected by cognitive impairment in older adults.

The Effect of Aging on Muscular Dynamics Underlying Movement Patterns Changes

Introduction: Aging leads to alterations not only within the complex subsystems of the neuro-musculo-skeletal system, but also in the coupling between them. Here, we studied how aging affects functional reorganizations that occur both within and between the behavioral and muscular levels, which must be coordinated to produce goal-directed movements. Using unimanual reciprocal Fitts' task, we examined the behavioral and muscular dynamics of older adults (74.4 ± 3.7 years) and compared them to those found for younger adults (23.2 ± 2.0 years).

Methods: To achieve this objective, we manipulated the target size to trigger a phase transition in the behavioral regime and searched for concomitant signatures of a phase transition in the muscular coordination. Here, muscular coordination was derived by using the method of muscular synergy extraction. With this technique, we obtained functional muscular patterns through non-negative matrix factorization of the muscular signals followed by clustering the resulting synergies.

Results: Older adults showed a phase transition in behavioral regime, although, in contrast to young participants, their kinematic profiles did not show a discontinuity. In parallel, muscular coordination displayed two typical signatures of a phase transition, that is, increased variability of coordination patterns and a reorganization of muscular synergies. Both signatures confirmed the existence of muscular reorganization in older adults, which is coupled with change in dynamical regime at behavioral level. However, relative to young adults, transition occurred at lower index of difficulty (ID) in older participants and the reorganization of muscular patterns lasted longer (over multiple IDs).

Discussion: This implies that consistent changes occur in coordination processes across behavior and muscle. Furthermore, the repertoire of muscular patterns was reduced and somewhat modified for older adults, relative to young participants. This suggests that aging is not only related to changes in individual muscles (e.g., caused by dynapenia) but also in their coordination.

The Effect of Age on Technique Variability and Outcome Variability during a Leg Press

The aim of this study was to determine the effect of aging on power generation and joint coordination during a leg press, in order to increase understanding of how functional movements are affected during the aging process. 44 older and 24 younger adults performed eight sub-maximal power repetitions on a seated leg press dynamometer. Peak power and velocity (at 40% maximum resistance) were measured along with the coordination (coupling angle) of the lower limb joints using the vector coding technique. The younger adults produced significantly greater peak power than the older adults (mean ± SD; 762 W ± 245 vs 361 W ± 162, p < 0.01) and at higher peak velocities (mean ± SD; 1.37 m/s ± 0.05 vs 1.00 m/s ± 0.06, p < 0.01). The older adults produced less consistent values of peak power than younger adults, evidenced by a higher coefficient of variation (mean ± SD; 7.6% ± 5.2 vs 5.0% ± 3.0, p < 0.01), however, there was significantly less variability in the coupling angles displayed by the older adults compared to the younger adults (mean ± SD; 2.0° ± 1.1 vs 3.5° ± 2.7, p < 0.01 (ankle-knee); 1.7° ± 0.6 vs 4.1° ± 3.0, p < 0.01 (knee-hip)). The results of this study demonstrate that older adults display higher outcome variability but lower variability in technique (coordination). The more rigid movement strategies displayed by the older adults potentially reflects an increased risk of overuse injury due to repetitive demands on the same structures, or the reduced ability to respond to unexpected situations due to a lack of flexibility in joint control.

Sensori-motor strategic variations and sequential effects in young and older adults performing a Fitts' task

The present study aimed at investigating age-related changes in strategic variations and sequential effects in discrete Fitts' aiming task. Three sequential effects were investigated, namely trial sequential difficulty effects (TSDE), strategy sequential difficulty effects (SSDE), and strategy repetition effects (SRE). After generalizing previously observed aging effects on strategic variations, our results showed that movement times were longer when performed after harder ID level than when following easier ID level (TSDE). We also observed SSDE, such that is movement times were longer when participants executed a strategy of intermediate difficulty (i.e., the progressive-deceleration strategy) after having used a more difficult strategy (i.e., the undershoot strategy) on the previous trial than after an easier strategy (i.e., the one-shot strategy). These sequential difficulty effects related to both difficulty and strategy were similar in young and older adults. In addition, we found that across two successive trials, participants tended to repeat the one-shot strategy the most often and the undershoot strategy the least often, with repetition rates of the progressive-deceleration strategy being in-between (SRE). Finally, age-related differences in strategy repetition effects varied with strategies (e.g., they were largest for the one-shot strategy). These findings have important implications for deciphering processes responsible for sequential effects in sensori-motor tasks as well as in cognitive tasks in general, and for our understanding of processes underlying sensori-motor performance in young and older adults.

Aging induced loss of complexity and dedifferentiation: consequences for coordination dynamics within and between brain, muscular and behavioral levels

Growing evidence demonstrates that aging not only leads to structural and functional alterations of individual components of the neuro-musculo-skeletal system (NMSS) but also results in a systemic re-organization of interactions within and between the different levels and functional domains. Understanding the principles that drive the dynamics of these re-organizations is an important challenge for aging research. The present Hypothesis and Theory paper is a contribution in this direction. We propose that age-related declines in brain and behavior that have been characterized in the literature as dedifferentiation and the loss of complexity (LOC) are: (i) synonymous; and (ii) integrated. We argue that a causal link between the aforementioned phenomena exists, evident in the dynamic changes occurring in the aging NMSS. Through models and methods provided by a dynamical systems approach to coordination processes in complex living systems, we: (i) formalize operational hypotheses about the general principles of changes in cross-level and cross-domain interactions during aging; and (ii) develop a theory of the aging NMSS based on the combination of the frameworks of coordination dynamics (CD), dedifferentiation, and LOC. Finally, we provide operational predictions in the study of aging at neural, muscular, and behavioral levels, which lead to testable hypotheses and an experimental agenda to explore the link between CD, LOC and dedifferentiation within and between these different levels.