Hasson Christopher J, Sternad Dagmar
Neuromotor Systems Laboratory, Department of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University Boston, MA, USA.
The Action Lab, Departments of Biology, Electrical and Computer Engineering, and Physics, Northeastern University Boston, MA, USA.
Front Aging Neurosci. 2014 Jul 14;6:158. doi: 10.3389/fnagi.2014.00158. eCollection 2014.
Older adults face decreasing motor capabilities due to pervasive neuromuscular degradations. As a consequence, errors in movement control increase. Thus, older individuals should maintain larger safety margins than younger adults. While this has been shown for object manipulation tasks, several reports on whole-body activities, such as posture and locomotion, demonstrate age-related reductions in safety margins. This is despite increased costs for control errors, such as a fall. We posit that this paradox could be explained by the dynamic challenge presented by the body or also an external object, and that age-related reductions in safety margins are in part due to a decreased ability to control dynamics. To test this conjecture we used a virtual ball-in-cup task that had challenging dynamics, yet afforded an explicit rendering of the physics and safety margin. The hypotheses were: (1) When manipulating an object with challenging dynamics, older adults have smaller safety margins than younger adults. (2) Older adults increase their safety margins with practice. Nine young and 10 healthy older adults practiced moving the virtual ball-in-cup to a target location in exactly 2 s. The accuracy and precision of the timing error quantified skill, and the ball energy relative to an escape threshold quantified the safety margin. Compared to the young adults, older adults had increased timing errors, greater variability, and decreased safety margins. With practice, both young and older adults improved their ability to control the object with decreased timing errors and variability, and increased their safety margins. These results suggest that safety margins are related to the ability to control dynamics, and may explain why in tasks with simple dynamics older adults use adequate safety margins, but in more complex tasks, safety margins may be inadequate. Further, the results indicate that task-specific training may improve safety margins in older adults.
由于普遍存在的神经肌肉退化,老年人面临运动能力下降的问题。因此,运动控制中的错误增加。所以,老年人应比年轻人保持更大的安全裕度。虽然在物体操作任务中已证实了这一点,但关于全身活动(如姿势和行走)的几份报告表明,安全裕度存在与年龄相关的降低。尽管控制错误(如跌倒)的代价增加,但情况依然如此。我们认为,这种矛盾可以通过身体或外部物体呈现的动态挑战来解释,并且与年龄相关的安全裕度降低部分是由于控制动态的能力下降。为了验证这一推测,我们使用了一个具有挑战性动态的虚拟球入杯任务,该任务能清晰呈现物理原理和安全裕度。假设如下:(1)在操作具有挑战性动态的物体时,老年人的安全裕度比年轻人小。(2)老年人通过练习会增加其安全裕度。九名年轻人和十名健康老年人练习在恰好2秒内将虚拟球入杯移至目标位置。定时误差的准确性和精确性量化了技能,球能量相对于逃逸阈值量化了安全裕度。与年轻人相比,老年人的定时误差增加、变异性更大且安全裕度降低。通过练习,年轻人和老年人都提高了控制物体的能力,定时误差和变异性降低,安全裕度增加。这些结果表明,安全裕度与控制动态的能力有关,这可能解释了为什么在动态简单的任务中老年人使用足够的安全裕度,但在更复杂的任务中,安全裕度可能不足。此外,结果表明特定任务训练可能会提高老年人的安全裕度。