Tool-use training in augmented reality: plasticity of forearm body schema does not predict sense of ownership or agency in older adults.

In young adults (YA) who practised controlling a virtual tool in augmented reality (AR), the emergence of a sense of body ownership over the tool was associated with the integration of the virtual tool into the body schema (BS). Agency emerged independent of BS plasticity. Here we aimed to replicate these findings in older adults (OA). Although they are still able to learn new motor tasks, brain plasticity and learning capacity are reduced in OA. We predicted that OA would be able to gain control over the virtual tool indicated by the emergence of agency but would show less BS plasticity as compared to YA. Still, an association between BS plasticity and body ownership was expected. OA were trained in AR to control a virtual gripper to enclose and touch a virtual object. In the visuo-tactile (VT) but not the vision-only (V) condition, vibro-tactile feedback was applied through a CyberTouch II glove when the tool touched the object. BS plasticity was assessed with a tactile distance judgement task where participants judged distances between two tactile stimuli applied to their right forearm. Participants further rated their perceived ownership and agency after training. As expected, agency emerged during the use of the tool. However, results did not indicate any changes in the BS of the forearm after virtual tool-use training. Also, an association between BS plasticity and the emergence of body ownership could not be confirmed for OA. Similar to YA, the practice effect was stronger in the visuo-tactile feedback condition compared with the vision-only condition. We conclude that a sense of agency may strongly relate to improvement in tool-use in OA independent of alterations in the BS, while ownership did not emerge due to a lack of BS plasticity.