Effects of repetition of a car-driving pedal maneuver and neural output in older adults

Understanding the ability of older adults to control pedal position angle and investigating whether this ability can be enhanced through practice may contribute to the prevention of traffic accidents. This study aimed to investigate repetitive effects on variability of the pedal position and neural drive during car-pedal operation in older adults. Thirteen older and 11 young adults performed 105 (21 sets × 5 repetitions) pedal angle control tasks with plantar flexor contraction. High-density surface electromyograms were recorded of triceps surae muscles. A cumulative spike train as a neural drive was calculated using continuously active motor unit activities. The coefficient of variation of the angle was higher in older (1.47 ± 1.06 %) than young (0.41 ± 0.21 %) adults in the first sets, and improved to 0.67 ± 0.51 % in the final sets in older adults only. There was no significant difference in neural drive variability between older and young adults. Our results suggest that repetition improves angular steadiness in older adults. However, this effect could not be explained by neural output which is estimated from lower threshold motor units that are continuously active.

Influence of pedal characteristics on pedaling control and neural drive in older adults

This study was aimed to investigate whether pedal characteristics and age affect pedal position accuracy, fluctuation, and neural drive variability during a position control task. Twelve older (age: 72.8 ± 3.6 years) and twelve young (age: 23.8 ± 4.4 years) adults performed trapezoidal position control tasks involving holding plantar flexor contraction for 10 s with four pedal conditions (regular and pulley types × standard and low forces). Neural drive of the triceps surae muscle was estimated with high-density surface electromyograms and individual motor unit decomposition methods. The central 5 s of the sustained contraction phase was used for analysis. Variabilities of the angle and neural drive are presented by the coefficient of variation. We observed that the angle fluctuation was greater in older than young adults for four pedal conditions (p < 0.05). Regardless of age, using pulley pedals increased angle fluctuation more than regular pedals (p < 0.05). No significant interaction was found for pedal conditions and age in pedal position accuracy, angle fluctuation, or neural output. Our results suggest that older adults have poor control ability to maintain pedal angles, and pulley pedals make it difficult to adjust the pedal angles regardless of age. However, the neural output estimated by the continuously active motor units failed to explain these differences.

Functional motor control deficits in older FMR1 premutation carriers

Individuals with fragile X mental retardation 1 (FMR1) gene premutations are at increased risk for fragile X-associated tremor/ataxia syndrome (FXTAS) during aging. However, it is unknown whether older FMR1 premutation carriers, with or without FXTAS, exhibit functional motor control deficits compared with healthy individuals. The purpose of this study, therefore, was to determine whether older FMR1 premutation carriers exhibit impaired ability to perform functional motor tasks. Eight FMR1 premutation carriers (age: 58.88 ± 8.36 years) and eight age- and sex-matched healthy individuals (60.13 ± 9.25 years) performed (1) a steady isometric force control task with the index finger at 20% of their maximum voluntary contraction (MVC) and; (2) a single-step task. During the finger abduction task, firing rate of multiple motor units of the first dorsal interosseous (FDI) muscle was recorded. Compared with healthy controls, FMR1 premutation carriers exhibited (1) greater force variability (coefficient of variation of force) during isometric force (1.48 ± 1.02 vs. 0.63 ± 0.37%; P = 0.04); (2) reduced firing rate of multiple motor units during steady force, and; (3) reduced velocity of their weight transfer during stepping (156.62 ± 26.24 vs. 191.86 ± 18.83 cm/s; P = 0.01). These findings suggest that older FMR1 premutation carriers exhibit functional motor control deficits that reflect either subclinical issues associated with premutations independent of FXTAS, or prodromal markers of the development of FXTAS.