Practice effects on motor control in healthy seniors and patients with mild cognitive impairment and Alzheimer's disease

This research was designed to test the hypothesis that motor practice can enhance the capabilities of motor control in healthy controls (NC) and patients with a diagnosis of probable Alzheimer's disease (AD) and mild cognitive impairment (MCI), and consequently results in better motor performance. Approximately half of the subjects in the NC (n = 31), AD (n = 28), and MCI (n = 29) either received or did not receive practice on a task of fast and accurate arm movement with a digitizer. Changes in movement time (MT), movement smoothness (jerk), and percentage of primary submovement (PPS) were recorded and compared among the three groups across six blocks of trials (baseline and five training sessions). For all subjects, practice improved motor functions as reflected by faster and smoother motor execution, as well as a greater proportion of programming control. Compared to unaffected matched controls, AD and MCI subjects exhibited a greater reduction in movement jerk due to practice. Movement time and PPS data revealed that motor practice appeared to reduce the use of "on-line" correction adopted by the AD or MCI patients while performing the aiming movements. Evidently, their arm movements were quicker, smoother, and temporally more consistent than their untrained peers. The findings of this study shed light on how MCI and AD may affect motor control mechanisms, and suggest possible therapeutic interventions aimed at improving motor functioning in these impaired individuals.     

Practice Effects on Motor Control in Healthy Seniors and Patients with Mild Cognitive Impairment and Alzheimer's Disease

ABSTRACT

This research was designed to test the hypothesis that motor practice can enhance the capabilities of motor control in healthy controls (NC) and patients with a diagnosis of probable Alzheimer's disease (AD) and mild cognitive impairment (MCI), and consequently results in better motor performance. Approximately half of the subjects in the NC (n = 31), AD (n = 28), and MCI (n = 29) either received or did not receive practice on a task of fast and accurate arm movement with a digitizer. Changes in movement time (MT), movement smoothness (jerk), and percentage of primary submovement (PPS) were recorded and compared among the three groups across six blocks of trials (baseline and five training sessions). For all subjects, practice improved motor functions as reflected by faster and smoother motor execution, as well as a greater proportion of programming control. Compared to unaffected matched controls, AD and MCI subjects exhibited a greater reduction in movement jerk due to practice. Movement time and PPS data revealed that motor practice appeared to reduce the use of “on-line” correction adopted by the AD or MCI patients while performing the aiming movements. Evidently, their arm movements were quicker, smoother, and temporally more consistent than their untrained peers. The findings of this study shed light on how MCI and AD may affect motor control mechanisms, and suggest possible therapeutic interventions aimed at improving motor functioning in these impaired individuals.     

Movement structure in young and elderly adults during goal-directed movements of the left and right arm

Elderly adults often exhibit performance deficits during goal-directed movements of the dominant arm compared with young adults. Recent studies involving hemispheric lateralization have provided evidence that the dominant and non-dominant hemisphere-arm systems are specialized for controlling different movement parameters and that hemispheric specialization may be reduced during normal aging. The purpose was to examine age-related differences in the movement structure for the dominant (right) and non-dominant (left) during goal-directed movements. Young and elderly adults performed 72 aiming movements as fast and as accurately as possible to visual targets with both arms. The findings suggest that previous research utilizing the dominant arm can be generalized to the non-dominant arm because performance was similar for the two arms. However, as expected, the elderly adults showed shorter relative primary submovement lengths and longer relative primary submovement durations, reaction times, movement durations, and normalized jerk scores compared to the young adults.     

Time delays prior to movement alter the drawing kinematics of elderly adults

Position sense has been found to decay as a function of the time delay the limb remains in a static position prior to movement onset. Position sense has also been found to deteriorate as a function of aging, with increased reliance on vision by the elderly. This study investigated whether the pointing kinematics of elderly adults were differentially affected by delay compared to young adults, and whether visual information could compensate for the effects of delay. Young and elderly adults kept the limb in a static position for 1, 6, or 10 s prior to movement onset, both with and without vision of the limb, initial position, and the movement trajectory. Across groups, delay resulted in increased overall movement duration, decreased peak velocity including a shorter relative time to peak velocity, with decreased distance and duration of the primary submovement. Delay and lack of vision differentially decreased distance of the primary submovement for elderly adults. Vision was able to compensate to some degree for the effects of delay across age groups. The findings provide evidence that decays in position sense as a function of time create difficulties in incorporating the initial limb position in motor planning process in elderly adults.     

Effects of varying force production in practice schedules of children learning a discrete motor task

The variability of practice prediction from Schmidt's Schema Theory involving transfer and retention was tested when manipulating only the performance parameter of over-all force. Children (n = 120) of two age groups performed a 15-in (39.1 cm) arm movement on a linear slide modified to allow manipulating the force required to move the car on the slide. No significant differences between the variable group and the constant practice group were found for either the 10 transfer or 5 retention trials. Mean absolute errors were ordered in favor of the constant practice group for both transfer and retention. For the first transfer trial a significant difference was found; constant practice groups performed better. This finding is contrary to predictions of schema theory as well as evidence from children as subjects.     

Effects of Practice Variability on Unimanual Arm Rotation

High variability practice has been found to lead to a higher rate of motor learning than low variability practice in sports tasks. The authors compared the effects of low and high levels of practice variability on a simple unimanual arm rotation task. Participants performed rhythmic unimanual internal-external arm rotation as smoothly as possible before and after 2 weeks of low (LV) or high (HV) variability practice and after a 2-week retention interval. Compared to the pretest, the HV group significantly decreased hand, radioulnar, and shoulder rotation jerk on the retention test and shoulder jerk on the posttest. After training the LV group had lower radioulnar and shoulder jerk on the posttest but not the retention test. The results supported the hypothesis that high variability practice would lead to greater learning and reminiscence than low variability practice and the theoretical prediction of a bifurcation in the motor learning dynamics.     

Movement segmentation and visual perturbation increase developmental differences in motor control and learning

We examined the developmental differences in motor control and learning of a two‐segment movement. One hundred and five participants (53 female) were divided into three age groups (7–8 years, 9–10 years and 19–27 years). They performed a two‐segment movement task in four conditions (full vision, fully disturbed vision, disturbed vision in the first movement segment and disturbed vision in the second movement segment). The results for movement accuracy and overall movement time show that children, especially younger children, are more susceptible to visual perturbations than adults. The adults’ movement time in one of the movement segments could be increased by disturbing the vision of the other movement segment. The children's movement time for the second movement segment increased when their vision of the first movement segment was disturbed. Disturbing the vision of the first movement segment decreased the percentage of central control of the second movement in younger children, but not in the other two age groups. The children's normalized jerk was more easily increased by visual perturbations. The children showed greater improvement after practice in the conditions of partial vision disturbance. As the participants’ age increased, practice tended to improve their feedforward motor control rather than their feedback motor control. These results suggest that children's central movement control improves with age and practice. We discuss the theoretical implications and practical significance of the differential effects of visual perturbation and movement segmentation upon motor control and learning from a developmental viewpoint.     

The role of inner and outer face parts in holistic processing: A developmental study

The effects of inner–outer feature interactions with unfamiliar faces were investigated in 6- and 10-year-old children and adults (20–30 years) to determine their contribution in holistic face vision. Participants completed a two-alternative forced-choice (2AFC) task under two conditions. The congruent condition used whole, inner-only, and outer-only stimuli. The incongruent condition used stimuli combining the inner features from one face with outer features from a novel face, or vice versa. Results yielded strong congruency effects which were moderated by pronounced feature-type asymmetries specific to developmental stage. Adults showed an inner-feature preference during congruent trials, but no asymmetry for incongruent trials. Children showed no asymmetry for congruent trials, but an outer-feature preference for incongruent trials. These findings concur with recent theoretical developments indicating that adults and children are likely to differ in the types of feature-specific information they preferentially encode in face perception, and that holistic effects are moderated differently in adults and children as a function of feature type.     

Temporal and spatial parameters of stepping in place in children and adults

Characteristics of synchronized and self-paced stepping in place were examined by analyzing a temporal parameter (step frequency) and a spatial parameter (step height). Participants were 20 adults (10 women, 10 men; M age = 22.5 yr., range = 21-23) and 10 children (5 girls, 5 boys; M age=6.1 yr., range = 5-6). Results indicated that: (1) the step frequencies, which were equivalent for both groups, were well coincident with stimulus frequencies; (2) when step frequencies were imposed, the step height decreased with increasing step frequency, except for the lowest frequency condition in children; (3) movement consistency was the highest at 2 Hz and deteriorated if the step frequency was higher or lower; and (4) the self-paced stepping in place was optimal in terms of movement consistency. These results showed that stepping in place is a rhythmic movement at a given range of frequency which is coordinated so as to keep the product of step frequency and step height constant.     

Developmental Features of Rapid Aiming Arm Movements Across the Lifespan

Using a lifespan approach, the authors investigated developmental features of the control of ballistic aiming arm movements by manipulating movement complexity, response uncertainty, and the use of precues. Four different age groups of participants (6- and 9-year-old boys and girls and 24- and 73-year- old men and women, 20 participants in each age group) performed 7 types of rapid aiming arm movements on the surface of a digitizer. Their movement characteristics such as movement velocity, normalized jerk, relative timing, movement linearity, and intersegment intervals were profiled. Analyses of variance with repeated measures were conducted on age and task effects in varying movement complexity (Study 1), response uncertainty (Study 2), and precue use (Study 3) conditions. Young children and senior adults had slower, more variant, less smooth, and less linear arm movements than older children and young adults. Increasing the number of movement segments resulted in slower and more variant responses. Movement accuracy demands or response uncertainty interacted with age so that the 6- and 74-year-old participants had poorer performances but responded similarly to the varying treatments. Even though older children and young adults had better performances than young children and senior adults, their arm movement performance declined when response uncertainty increased. The analyses suggested that young children's and senior adults' performances are poorer because less of their movement is under central control, and they therefore use on-line adjustments. In addition, older children and young adults use a valid precue more effectively to prepare for subsequent movements than do young children and senior adults, suggesting that older children and young adults are more capable of organizing motor responses than arc young children and senior adults.     

An Examination of the Selection of Criterion Scores for the Study of Motor Learning and Retention

150 Ss were given 50 practice trials on the stabilometer over a period of 4 days (20 trials on Day 1 followed by a 1-day rest, 10 trials on Day 2, followed by a 7-day rest, 10 trials on Day 3 followed by a 14-day rest, and 10 trials on Day 4). A series of learning scores reflecting improvement in performance over the 4 days and retention scores reflecting loss of performance between days were obtained. The reliability of individual differences in these scores were calculated using the odd-even method and by progressively increasing the number of trials included in the measure of initial and final performance level. On the basis of the findings obtained it was concluded that using 4 – 6 trials in initial and final ability levels results in a difference (criterion) score which combines relatively high reliability with a relatively high estimate of the amount of change in performance.     

Developmental features of rapid aiming arm movements across the lifespan

Using a lifespan approach, the authors investigated developmental features of the control of ballistic aiming arm movements by manipulating movement complexity, response uncertainty, and the use of precues. Four different age groups of participants (6- and 9-year-old boys and girls and 24- and 73-year-old men and women, 20 participants in each age group) performed 7 types of rapid aiming arm movements on the surface of a digitizer. Their movement characteristics such as movement velocity, normalized jerk, relative timing, movement linearity, and intersegment intervals were profiled. Analyses of variance with repeated measures were conducted on age and task effects in varying movement complexity (Study 1), response uncertainty (Study 2), and precue use (Study 3) conditions. Young children and senior adults had slower, more variant, less smooth, and less linear arm movements than older children and young adults. Increasing the number of movement segments resulted in slower and more variant responses. Movement accuracy demands or response uncertainty interacted with age so that the 6- and 74-year-old participants had poorer performances but responded similarly to the varying treatments. Even though older children and young adults had better performances than young children and senior adults, their arm movement performance declined when response uncertainty increased. The analyses suggested that young children's and senior adults' performances are poorer because less of their movement is under central control, and they therefore use on-line adjustments. In addition, older children and young adults use a valid precue more effectively to prepare for subsequent movements than do young children and senior adults, suggesting that older children and young adults are more capable of organizing motor responses than are young children and senior adults.     

Constrained action selection in children with developmental coordination disorder

The effect of advance ('precue') information on short aiming movements was explored in adults, high school children, and primary school children with and without developmental coordination disorder (n=10, 14, 16, 10, respectively). Reaction times in the DCD group were longer than in the other groups and were more influenced by the extent to which the precue constrained the possible action space. In contrast, reaction time did not alter as a function of precue condition in adults. Children with DCD showed greater inaccuracy of response (despite the increased RT). We suggest that the different precue effects reflect differences in the relative benefits of priming an action prior to definitive information about the movement goal. The benefits are an interacting function of the task and the skill level of the individual. Our experiment shows that children with DCD gain a benefit from advance preparation in simple aiming movements, highlighting their low skill levels. This result suggests that goal-directed RTs may have diagnostic potential within the clinic.     

Movement trajectory smoothness is not associated with the endpoint accuracy of rapid multi-joint arm movements in young and older adults

The minimum variance theory proposes that motor commands are corrupted by signal-dependent noise and smooth trajectories with low noise levels are selected to minimize endpoint error and endpoint variability. The purpose of the study was to determine the contribution of trajectory smoothness to the endpoint accuracy and endpoint variability of rapid multi-joint arm movements. Young and older adults performed arm movements (4 blocks of 25 trials) as fast and as accurately as possible to a target with the right (dominant) arm. Endpoint accuracy and endpoint variability along with trajectory smoothness and error were quantified for each block of trials. Endpoint error and endpoint variance were greater in older adults compared with young adults, but decreased at a similar rate with practice for the two age groups. The greater endpoint error and endpoint variance exhibited by older adults were primarily due to impairments in movement extent control and not movement direction control. The normalized jerk was similar for the two age groups, but was not strongly associated with endpoint error or endpoint variance for either group. However, endpoint variance was strongly associated with endpoint error for both the young and older adults. Finally, trajectory error was similar for both groups and was weakly associated with endpoint error for the older adults. The findings are not consistent with the predictions of the minimum variance theory, but support and extend previous observations that movement trajectories and endpoints are planned independently.     

Effects of dynamic and isometric motor practice on position control,force control and corticomuscular coherence in preadolescent children

In this study, we investigated the effects of motor practice with an emphasis on either position or force control on motor performance, motor accuracy and variability in preadolescent children. Furthermore, we investigated corticomuscular coherence and potential changes following motor practice.We designed a setup allowing discrete wrist flexions of the non-dominant hand and tested motor accuracy and variability when the task was to generate specific movement endpoints (15–75 deg) or force levels (5–25% MVC). All participants were tested in both tasks at baseline and post motor practice without augmented feedback on performance. Following baseline assessment, participants (44 children aged 9–11 years) were randomly assigned to either position (PC) or force control (FC) motor practice or a resting control group (CON). The PC and FC groups performed four blocks of 40 trials motor practice with augmented feedback on performance.Following practice, improvements in movement accuracy were significantly greater in the PC group compared to the FC and CON groups (p < 0.001). None of the groups displayed changes in force task performance indicating no benefits of force control motor practice and low transfer between tasks (p-values:0.08–0.45). Corticomuscular coherence (C4-FCR) was demonstrated during the hold phase in both tasks with no difference between tasks. Corticomuscular coherence did not change from baseline to post practice in any group. Our findings demonstrate that preadolescent children improve position control following dynamic accuracy motor practice. Contrary to previous findings in adults, preadolescent children displayed smaller or no improvements in force control following isometric motor practice, low transfer between tasks and no changes in corticomuscular coherence.     

Average KR schedule in learning of timing: influence of length for summary knowledge of results and task complexity

This experiment investigated the influence of length for average Knowledge of Results (KR) and task complexity on learning of timing in a barrier knock-down task. Participants (30 men and 30 women) attempted to press a goal button in 1200 msec. after pressing a start button. The participant was assigned into one of six groups by two tasks (simple and complex) and three feedback groups (100% KR, Average 3, Average 5). The simple and complex tasks required a participant to knock down one or three barriers before pressing a goal button. After a pretest without KR, participants practiced 60 trials of physical practice with one of the three following groups as a practice phase: one given the result of movement time after every trial (100% KR), a second given the average movement time after every third trial (Average 3), a third given the average movement time after every fifth trial (Average 5). Participants then performed a posttest with no-KR and two retention tests, taken 10 min. and 24 hr. after the posttest without KR. Analysis gave several findings. (1) On the complex task, the absolute constant error (/CE/) and the variable error (VE) were less than those on the simple task. (2) The /CE/ and the VE of the 100% KR and the Average 3 groups were less than those of the Average 5 group in the practice phase, and the VE of the 100% KR and the Average 3 group were less than those of the Average 5 group on the retention tests. (3) In the practice phase, the /CE/ and the VE on Blocks 1 and 2 were higher than on Blocks 5 and 6. (4) On the retention tests, the /CE/ of the posttest was less than retention tests 1 and 2. And, the VE of the 100% KR and the Average 3 groups were less than that of the Average 5 group. These results suggest that the average feedback length of three trials and the given feedback information after every trial are advantageous to learning timing on this barrier knock-down task.     

Benefits of Blocked Over Serial Feedback on Complex Motor Skill Learning

The effects of blocked versus serial feedback (FB) on the learning of a complex motor skill-the production of slalom-type movements on a ski-simulator-were examined. FB was given about force onset, which is considered to be a measure of movement efficiency; relatively late force onsets characterize expert performance. One group of participants (blocked FB; n = 10) received FB about 1 foot per day; for example, for the right foot on Days 1 and 3 and for the left foot on Days 2 and 4. For another group (serial FB; n = 10), the foot about which FB was received was switched on consecutive trials on each of 4 days of practice. Learning was assessed on no-FB trials at the beginning of Days 2, 3, and 4, and on Day 5. Even though there were no differences between groups in force onset, the blocked FB group produced significantly larger movement amplitudes and higher movement frequencies than the serial FB group on the retention test on Day 5. Thus, contrary to the learning of more simple skills (e.g., T. D. Lee & H. Carnahan, 1990), constantly changing the movement component that FB is provided about did not seem to be beneficial for the learning of more complex skills. The findings add to the increasing evidence showing that practice variables that have been shown to enhance the learning of simple skills can actually be detrimental to the learning of complex skills.     

Visual control of manual aiming movements in 6- to 10-year-old children and adults

Recent results indicate that adults modulate their initial movement impulse toward a stationary visual target by processing visual afferent information. The authors investigated whether the mechanisms responsible for those modulations are already in place in young children or develop as the children grow older. Adults (n = 10) and 6-, 8- and 10-year-old children (ns = 6, 7, and 7, respectively) performed a video-aiming task while vision of the cursor they were moving was (acquisition) or was not (transfer) visible. The results indicated that within-participant variability of the initial impulse trajectory of the children's aiming movement leveled-off in acquisition between peak extent deceleration and the end of the initial impulse, whereas it increased linearly as movement unfolded in transfer. The results also indicated that children modulate their initial movement impulse when visual afferent information is available, although to a lesser extent than adults do, and strongly imply that contrary to past suggestions, the initial impulse of an aiming movement is not ballistic.     

Hand preference, practice order, and spatial assimilations in rapid bimanual movement

When subjects make rapid bimanual aiming movements over different distances, spatial assimilations are shown; the shorter distance limb overshoots when paired with a longer distance limb. Recent research has also shown spatial assimilations to be greater in the nonpreferred left limb of right-handed subjects, but it is not known whether the increased spatial assimilations represent a handedness effect or one of hemispheric lateralization of motor control. To determine the nature of the asymmetric effect, left- (n = 32) and right- (n = 60) handed subjects part practiced, then whole practiced, short (20 degrees ) and long 60 degrees ) reversal movements. During whole practice, both groups showed spatial assimilations in the shorter distance limb, particularly when the left limb performed the short movement. This asymmetry was greatest for right-handed subjects, but left-handed subjects showed smaller, but systematic effects, providing moderate support for the hypothesis that the asymmetric effect is due to hemispheric lateralization of motor control. All interlimb differences in spatial accuracy for the short and long movements were eliminated with practice, however, suggesting the asymmetric effect was temporary as well. In addition, subjects who part practiced the long movement just prior to whole practice showed greater overshooting in the short distance limb compared with subjects who followed the other practice order throughout whole practice and the no-KR retention trials. Such findings suggest that the part-practice order of bimanual tasks can directionally bias whole-task performance.     

Faces in Motion: Age‐Related Changes in Eyewitness Identification Performance in Simultaneous,Sequential, and Elimination Video Lineups

The identification performance of children (5 to 6 years, n = 180; 9 to 10 years, n = 180) and adults (n = 180) was examined using three types of video lineup procedures: simultaneous, sequential and elimination. Participants viewed a videotaped staged theft and then attempted to identify the culprit from a target‐present or target‐absent video lineup. Correct identifications in simultaneous and elimination video lineups did not differ as a function of age. The sequential video lineup was associated with a reduction in correct identifications for both child groups compared with adults. With respect to the target‐absent lineup condition, the video elimination lineup was associated with an increase in correct rejection rates for adult witnesses. Age was also significantly associated with accuracy. Differences in correct rejection rates were observed between adults and children and also between the two child groups. Implications and future directions are discussed. Copyright © 2011 John Wiley & Sons, Ltd.