Brain and Cognition 82 (2013) 1–5 Contents lists available at SciVerse ScienceDirect Brain and Cognition journal homepage: www.elsevier.com/locate/b&c Aging in movement representations for sequential finger movements: A comparison between young-, middle-aged, and older adults Priscila Caçola a,⇑, Jerroed Roberson a, Carl Gabbard b a b Developmental Motor Cognition Lab, Center for Healthy Living and Longevity, The University of Texas at Arlington, United States Motor Development Lab, Department of Health and Kinesiology, Texas A&M University, United States a r t i c l e i n f o Article history: Accepted 4 February 2013 Keywords: Aging Sequential finger movements Mental representation Motor imagery a b s t r a c t Studies show that as we enter older adulthood (>64 years), our ability to mentally represent action in the form of using motor imagery declines. Using a chronometry paradigm to compare the movement duration of imagined and executed movements, we tested young-, middle-aged, and older adults on their ability to perform sequential finger (fine-motor) movements. The task required number recognition and ordering and was presented in three levels of complexity. Results for movement duration indicated no differences between young- and middle-aged adults, however both performed faster than the older group. In regard to the association between imagined and executed actions, correlation analyses indicated that values for all groups were positive and moderate (r’s .80, .76, .70). In summary, whereas the older adults were significantly slower in processing actions than their younger counterparts, the ability to mentally represent their actions was similar. Ó 2013 Elsevier Inc. All rights reserved. 1. Introduction In order to perform skilled motor actions, it is necessary to create an appropriate and effective movement representation used to plan and execute motions. The nature of mental (movement) representation is a central issue for understanding cognitive and motor development across the lifespan. The concept of mental representation has been cast from several perspectives. One of the more common views is that mental representation is an internal cognitive construct that represents external reality. This interpretation contends that action representation is a key feature of an internal forward model, a neural system that simulates the dynamic behavior of the body in relation to the environment (Wolpert, 1997). These representations are hypothesized to be an integral part of action planning (Caeyenberghs, Tsoupas, Wilson, & Smits-Engelsman, 2009; Molina, Tijus, & Jouen, 2008). Central to the present paper is the notion that motor imagery is part of an internal forward model and is equivalent to a ‘plan’ of the action to follow; that is, it reflects an internal action representation (Jeannerod, 2001; Munzert & Zentgraf, 2009). The basis for much of the discussion related to the role of motor imagery in action representation and planning is the so-called equivalence hypothesis (e.g., Jeannerod, 2001); suggesting that motor simulation and motor control processes are functionally equivalent ⇑ Corresponding author. Address: Department of Kinesiology, University of Texas at Arlington, 500 W. Nedderman Dr., Arlington, TX 76019, United States. E-mail address: [email protected] (P. Caçola). 0278-2626/$ - see front matter Ó 2013 Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.bandc.2013.02.003 (Kunz, Creem-Regehr, & Thompson, 2009; Lorey et al., 2010; Munzert & Zentgraf, 2009; Ramsey, Cummings, Eastough, & Edwards, 2010). Using the general motor imagery paradigm, studies have shown that advanced age (>64 years) is associated with functional decrements in the ability to mentally represent action (e.g., Gabbard, Caçola, & Cordova, 2011b; Mulder, Hochstenbach, Heuvelena, & Otter, 2008; Personnier, Bally, & Papaxanthis, 2010a; Saimpont, Mourey, Manckoundia, Pfitzenmeyer, & Pozzo, 2010; Skoura, Personnier, Vinter, Pozzo, & Papaxanthis, 2008). According to Gabbard, Caçola, and Bobbio (2011a), the vast majority of previous work used tasks requiring the simulation and execution of gross-motor movements; namely the trunk, shoulders and limbs, with the exception of their investigation using a chronometry paradigm (described later) to compare the movement duration of imagined and executed sequential finger movements between children and young adults. The underlying intent, as with the present study, was to gain a better understanding of the age-related ability to create internal models for action requiring fine-motor movements. The researchers found that 7-year-olds and adults were significantly different from 9- and 11-year-olds. Our goal with the present study, using the same paradigm, was to examine possible aging effects by comparing young-, middle-aged, and older adults. Behaviorally, one of the most common tactics used to examine movement representation via motor simulation is chronometry. Specifically, chronometry paradigms measure the correspondence between the time-course of the participant’s imagined (I) and executed (E) actions (Gabbard et al., 2011a). This tactic follows 2 P. Caçola et al. / Brain and Cognition 82 (2013) 1–5 the premise that there is a functional relationship between motor imagery and execution. Theoretically, the closer the relationship between I and E movement time-course, the more refined the action representation (internal model). This method has proven to give reliable and replicable results (e.g., see review by Malouin, Richards, Durand, & Doyon, 2008; Sirigu et al., 1996). With adults, durations of imagined movements have been reported not to differ significantly from executed movements (e.g., Calmels, Holmes, Lopez, & Naman, 2006; Carrillo, Galdo-Alvarez, & Lastra-Barreira, 2008; Louis, Guillot, & Maton, 2008; Sabate, Gonzalez, & Rodriguez, 2007). For example, Personnier, Kubicki, Laroche, and Papaxanthis (2010b) used a chronometry paradigm with imagined and executed arm pointing (gross-motor) actions in young and older adults and found that whereas older adults displayed the ability to mentally represent action, the quality (i.e., isochrony between executed and imagined movements) declined with advancing age. From another perspective, those findings indicate that there is likelihood of weakness in internal models of action in the elderly. In that study and a subsequent investigation (Personnier et al., 2010b), the researchers concluded that the decline in motor imagery might reflect functional changes in the aging brain; for example, the parietal cortex. Complementing those reports, Saimpont et al. (2010) reported a significant age effect regarding the ability to mentally simulate a complex sequential action involving the whole body (rising from the floor). That is, compared to younger adults, older persons displayed a significant level of difficulty. Even though functional decrements with aging have been well established in the literature, it is still unknown when declines associated with movement representation begin; which is especially relevant in regard to the representation of fine-motor movements. To that end, we compared imagined (I) and executed (E) movements of young adults (18–32 years), middle-aged adults (40–63 years), and older adults (65–93 years) using a chronometry paradigm with a task involving sequential finger (fine-motor) movements. We predicted that the ability to mentally represent action would decrease gradually with advancing age. That is, there would be a larger difference between I and E conditions as age increased. We also anticipated that movement duration would slow as age increased. As noted earlier, our goal was to gain a better understanding of advancing age during adulthood on the ability to mentally represent action requiring fine-motor movements. 2. Method 2.1. Participants The study involved a convenience sample of 99 participants with ages ranging between 18 and 93 years of age. Participants were divided in three age groups: Young adults (n = 33, M = 22.30, SD = 2.72, range 18–32 years, 16 females, 17 males), middle-aged adults (n = 33, M = 49.76, SD = 6.09, range 40– 63 years, 19 females, 14 males), and older adults (n = 33, M = 74.52, SD = 6.69, range 65–93 years, 18 females, 15 males). All participants completed an eligibility questionnaire and were excluded from the study if they had any of the following: known visual conditions or impairments affecting daily function (e.g. reading, driving, etc.); neurological disorders, diagnosed cognitive decline and low endurance or inability to maintain stance while seated. The experimental protocol and consent form were approved by the Institutional Review Board (IRB) for the ethical treatment of human subjects at the University of Texas at Arlington. Participants received written and verbal descriptions of the experimental procedures and voluntarily signed a consent form before participating in this study. 2.2. Task and procedure Participants were tested individually in an isolated testing room. The setup included the use of a dual monitor computer with two 20-in. screens positioned back-to-back 6 in. from each other so that each of the monitors faced either the participant or the experimenter. This set-up allowed the experimenter to control what the participant viewed each time a trial was presented. Participants were seated comfortably in an upright position facing the computer monitor that was approximately 12 in. away with their dominant hand placed palm down on the table in front of them at midline and the opposite hand resting on the thigh on the same side. Height of the chair was adjusted in order to match the participant’s head height to the top of the computer screen. Movement duration was programmed via computer to begin after the ‘Get Ready’ cue and completed by an experimenter via keypad (sitting adjacent to the participant) timed with the participant’s ‘Stop’ response. Programming was created using MatLab software. The test was modified from adult work by Sabate, Gonzalez, and Rodriguez (2004) and the experimental paradigm has been reported elsewhere with children and young adults (Gabbard et al., 2011a). The task involved producing sequential finger movements through imagined (I) and actual executed (E) movements. Numbered stickers were placed on the proximal segment of the fingers, numbered 1 through 5 on each finger, from their little finger through to their thumb. Movement sequences of 3, 4, and then 5 numbers (representing number load) appeared on the screen, and the participant was asked to either imagine lifting and tapping (I condition) or actually executing the task; corresponding numbered finger to match the numbers that appeared on the screen (example, Fig. 1). Participants used the dominant hand with the palm down and the wrist and the fingertips resting on the table surface. All fingers were slightly flexed as if they were prepared to begin typing on a keyboard. During testing, participants sat upright and remained relaxed. Movements of each finger began with a dorsal extension separating the fingertip from the table surface and were followed by a ventral flexion that returned the finger to its original position on the table. Each trial was composed of repetitive movements performed by different fingers. Once the sequence of taps was completed, the participant said ‘Stop’. This was repeated 5 times each for both E and I conditions at each of the three load levels. Prior to the imagery condition, participants were trained to use motor (kinesthetic) imagery, meaning that they were trained to focus on and feel the individual effector (finger), thereby being more sensitive to the biomechanical constraints of the task (Johnson, Corballis, & Gazzaniga, 2001; Sirigu & Duhamel, 2001; Stevens, 2005). Participants were randomly assigned to I or E condition to start the task which was then reversed for the start of the next level of complexity. Before the series of numbers appeared on the monitor, the participant was prompted with a ‘‘Get Ready’’ visual cue lasting 2 s. Participants were allowed breaks every block of 5 trials to Fig. 1. Illustration of the general experimental setup. 3 P. Caçola et al. / Brain and Cognition 82 (2013) 1–5 Table 1 shows movement duration values for the significant interactions, Age Load, F(4, 96) = 10.38, p < .01, g2p = .178, Age Condition, F(2, 96) = 4.57, p < .05, g2p = .087, and Load Condition, F(2, 192) = 3.61, p < .05, g2p = .036. For Age Load, simple main effect analysis revealed that young and middle-aged adults did not differ from each other in any load, while older adults were slower than both groups in all loads. For Age Condition, as in Age Load, simple main effect analysis indicated that both young and middle-aged adults were faster than older adults in both execution and imagination. Each group was faster in the imagined compared to the executed condition. For Load Condition, simple main effect analysis showed that in all possible combinations, load 3 was performed faster than load 4, which was performed faster than load 5. For all loads, the imagined duration was always faster than the executed duration. Correlation analysis for Condition and Age indicated there were moderate positive correlations between imagined and executed movements for young adults (r = .80, p < .01), middle-aged adults (r = .76, p < .01), and older adults (r = .70, p < .01). Fisher’s-Z results for the size of the correlations between E and I responses and Age indicated no significant differences. avoid fatigue. To limit memorization of finger location the order of the numbered stickers was systematically changed with each level. For the first level, in which 3 numbers appeared on screen, fingers were numbered 1–5 starting from the little finger to the thumb; with 4 numbers the order was 4, 5, 3, 2, 1, and for the sequence of 5 numbers, order was 3, 5, 2, 1, 4. 2.3. Treatment of the data The data were analyzed using a 3 [Age] 3 [Load] 2 [Condition] mixed-design ANOVA procedure, where Age was a between-subject factor [young adults, middle-aged adults, older adults], and Load [Levels 3, 4, and 5] and Condition [Imagined/Executed] were within-subject factors. Movement duration (in seconds) was used as the dependent variable. Tukey post hoc and simple main effect analyses were performed when appropriate. To determine the relationship between E and I conditions across age groups, each participant’s mean executed movement duration was plotted against his or her mean imagined movement duration for each level using Pearson’s product moment correlation calculations. To test whether the size of the correlations between E and I responses significantly differed between the age groups, Fisher’s Z was utilized. According to this test, if the Z value was above 1.96, the correlations were significantly different at the p < .05 level, and if the Z value was 2.58 or over, the correlations were significantly different at the p < .01 level. 4. Discussion This investigation compared young-, middle-aged, and older adults with the intent of examining advanced aging effects on the ability to mentally represent sequential finger movements. We predicted that movement representation ability would decrease gradually with increasing age. More specifically, we anticipated that there would be a weaker relationship between I and E conditions with increasing age. We also predicted that movement durations would slow as age increased. In reference to movement duration, our results indicated an age effect. While no statistical distinctions were found between young and middle-aged adults, both groups performed faster than older adults in every condition and load. Perhaps the most unexpected finding was that scores for the young- and middle-aged adults were similar for movement duration. In reference to the association (chronometry) between conditions, moderate relationships were found for each age group with a slight decrease with age (r’s .80, .76, and .70); differences were not statistically significant. Previous reports on aging and fine-motor movements involving timing, sequencing, and executive control processing generally indicate that with advanced aging there is a slowing of processing 3. Results Duration (sec) Fig. 2 illustrates the comparison between E and I responses by Age. ANOVA results indicated significant effects for Age, F(2, 96) = 20.60, p < .01, g2p = .300, Load, F(2, 192) = 446.7, p < .01, g2p = .823, and Condition, F(1, 96) = 97.46, p < .01, g2p = .504. Posthoc analysis for Age indicated that older adults (M = 4.89, SD = 2.5) were slower than young (M = 3.56, SD = .5) and middleaged adults (M = 3.84, SD = .5). Young and middle-aged adults were not different from each other. For Load, post hoc analysis revealed that all were significantly different, with movement duration shorter on Level 3 (M = 2.95, SD = .83) compared to Levels 4 and 5, which were also different (Level 4: M = 4.22, SD = 1.1; Level 5: M = 5.11, SD = 1.3). For Condition, the mean for E movements (M = 4.43, SD = 1.1) was higher than for I movements (M = 3.76, SD = 2.9). 9.00 8.50 8.00 7.50 7.00 6.50 6.00 5.50 5.00 4.50 4.00 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Young Middle-Aged Older Executed Imagined Level 3 Executed Imagined Level 4 Executed Imagined Level 5 Fig. 2. Comparison between E and I condition responses by level and age group. 4 P. Caçola et al. / Brain and Cognition 82 (2013) 1–5 Table 1 Mean values (seconds) for movement duration for age, Condition, and Load. Young adults Mean Middle-aged adults SD Mean SD Load 3 Executed Imagined 2.78 2.43 .55 .53 3.08 2.60 .72 .93 3.73 3.07 1.24 .89 Load 4 Executed Imagined 4.02 3.43 .91 1.03 4.23 3.56 1.03 1.14 5.45 4.65 1.16 1.25 Load 5 Executed Imagined 4.51 4.20 .97 1.04 5.24 4.31 1.09 1.39 6.87 5.55 1.78 1.52 and performance (for example, see review by Krampe, 2002; Seidler, Alberts, & Stalmach, 2009), so the result found here was not surprising. That is, other than the observation that there was no difference between young- and middle-age groups. More interesting, however; was the finding of strong correlations between imagined and executed movements for all age groups. In view of the results for the oldest group, we were somewhat surprised that they were able to maintain a moderate relationship between the two conditions (r = .70). In this study, the older group displayed a positive and relatively strong association between imagined and executed movements as did the younger groups, but was slower than their young counterparts. Would this be typical of normal healthy older adults? We do wish to note that the older adults in our sample may not be typical of the average aging population, as they were all regular attendees (three times a week) in a university program that included Pilates and Wii exercise, and most tended to engage in other types of physical activities outside of the program. Whereas we can only speculate given the design used, there are indications in the literature that level of physical fitness may serve as a neuroprotective function against the detriments of advanced aging (Hillman, Erickson, & Kramer, 2008; Nemati, Hosseini, Nemati, & Esmaily, 2012). Obviously, this suggestion requires future inquiry using participants with a range of weekly physical activity habits. Agreeing with Gabbard, Caçola and Bobbio’s study (2011a), our results also showed a decrease in performance, as indicated by longer response times with increasing task complexity (e.g., Choudhury, Charman, Bird, & Blakemore, 2007; Young, Pratt, & Chau, 2009). In reference to E and I responses, in every case (Load and Age), movement durations took longer in E compared to I conditions. Imagined (virtual) responses were always faster; a finding that has been reported previously (e.g., Anquetil & Jeannerod, 2007; Calmels et al., 2006; Gabbard et al., 2011a; Grealy & Shearer, 2007). Gabbard and colleagues offered the explanation with which we agree on: since during imagined movements the participant does not ‘actually’ encounter the biomechanical constraints of the task, imagined times are typically faster. 4.1. Brain involvement Several studies using healthy young adults have demonstrated that most of the brain regions that are active during overt movement execution, such as the parietal cortex, premotor cortex, basal ganglia, and cerebellum, are also active during mental simulation (Decety et al., 1994). The parietal cortex is suspected to be the area where motor images are stored (Gerardin et al., 2000) and the cerebellum is associated with the ability to process movements in time (Blakemore & Sirigu, 2003; Rivkin et al., 2003). Regarding advanced age and specific areas activated during a finger-movement task, Hutchinson et al. (2002) reported patterns of activation in the contralateral primary sensorimotor cortex (SMC), lateral premotor cortex (PMC), supplementary motor area (SMA), and ipsilateral cerebellum. More important to the present Mean Older adults SD study, the authors report significant differences in activation patterns with aging, with the older group displaying significantly greater activation than the younger group in a widespread distribution involving both motor and non-motor areas. This ‘‘age-related cerebral activation patterns’’ within the motor systems suggests that older subjects maintain level of performance by recruiting additional brain regions (Rypma, Berger, Genova, Rebbechi, & D’Esposito, 2005; Ward & Frackowiak, 2003). Speculately, that may be one factor that contributed to performance of the older adults in our study. Using a gross-motor task (walking) with older adults, Personnier et al. (2010b) reported that the timing of actual and imagined movements was dissimilar. It is possible that our task, because of its fine-motor and repetitive nature, allowed participants more control over maintaining performance levels between actual and imagined movements. Movement speed, however, was much slower for older- compared to younger adults, which could be due to a variety of factors such as sarcopenia (Narici, Maganaris, Reeves, & Capodaglio, 2003), reduction in motor unit activation capacity (Winegard, Hicks, Sale, & Vandervoort, 1996), coactivation of antagonist muscles (Klein, Rice, & Marsh, 2001; Seidler, Alberts, & Stalmach, 2002), decline in several aspects of proprioceptive sensitivity (Verschueren, Brumagne, Swinnen, & Cordo, 2002) and reduction in the central mechanisms operating during visuomotor information processing (Briggs, Raz, & Marks, 1999; Ketcham, Seidler, Van Gemmert, & Stelmach, 2002; Smith et al., 1999). Most likely however, older participants here matched their imagined finger taps to their executed movements, and not the other way around. In summary, these results indicate that the ability to mentally represent action in the context of sequential finger (fine-motor) movements is relatively preserved through older adulthood. We predicted that the ability to mentally represent action would decrease gradually with advancing age, but instead, it appears that there is a significant drop in speed of response at the beginning of older adulthood. Indeed this is an interesting finding, given that most reports of this nature use gross-motor oriented tasks, showing a decline for ages >64 (Mulder et al., 2008; Personnier et al., 2010a; Saimpont et al., 2010; Skoura et al., 2008). In regard to the speed of processing (movement duration), our results did indicate a significant decline beginning around the age of 65 years. To our knowledge, this is the first study mapping aging and motor representations via sequential (fine-motor) finger movements, across adulthood (young- to older adults). As noted earlier, several studies show that with more gross-motor type actions, mental representation declines with advanced age, typically in the mid 60s. From a clinical and applied perspective, this information provides an insight into when the typical aging-related decline starts with the representation and internal modeling of fine-motor movements. For example, if a middle-aged individual displays a significant decline in the ability to mentally represent action with their fingers, it could be an indication of future difficulty in planning movements. Such actions, even among the elderly, are important P. Caçola et al. / Brain and Cognition 82 (2013) 1–5 to daily living skills and communication. 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