Age-Associated Differences in Positional Variability Are Greater With the Lower Limb

The authors’ purpose was to determine the interaction of age and limb used on positional variability at different loads. Eleven young adults and 10 older adults were asked to accurately match and maintain a horizontal target line with 5° abduction of their index finger and 5° dorsiflexion of their ankle for 20 s at loads ranging from 2 to 50% of the maximal load that could be lifted with each limb. The visual gain was kept constant at 1° (visual angle). Positional variability was greater in older adults for both limbs, nonetheless age-associated differences were greater for the ankle dorsiflexion task compared with the abduction of the index finger task. In addition, we found that, independent of age, motor output variability was greater with the lower limb. These results provide novel evidence that older adults may exhibit greater impairments in motor control with the foot compared with the finger. Furthermore, these findings support the idea, using a different task than previous literature, that the lower limb has greater motor output variability than the upper limb.     

Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm

The COVID-19 pandemic is a public health crisis that continues to impact individuals worldwide. While children may be less susceptible to severe medical complications, they are nonetheless vulnerable to stress and anxiety associated with the pandemic. However, current understanding of psychological functioning and potential strategies to mitigate distress amid a pandemic is naturally limited. Consequently, this article is an attempt to fill that gap. Existing literature on pandemics, health-related anxieties, intolerance of uncertainty, and psychopathological sequelae is summarized within the context of the COVID-19 outbreak. Conclusions from the empirical data and emerging theoretical models are reviewed and synthesized. Finally, several potentially engaging and effective examples of developmentally appropriate interventions targeting intolerance of uncertainty and health-related anxieties in pediatric patients during the peri- and post-pandemic periods are described.

     

Age-associated differences in positional variability are greater with the lower limb

The authors' purpose was to determine the interaction of age and limb used on positional variability at different loads. Eleven young adults and 10 older adults were asked to accurately match and maintain a horizontal target line with 5° abduction of their index finger and 5° dorsiflexion of their ankle for 20 s at loads ranging from 2 to 50% of the maximal load that could be lifted with each limb. The visual gain was kept constant at 1° (visual angle). Positional variability was greater in older adults for both limbs, nonetheless age-associated differences were greater for the ankle dorsiflexion task compared with the abduction of the index finger task. In addition, we found that, independent of age, motor output variability was greater with the lower limb. These results provide novel evidence that older adults may exhibit greater impairments in motor control with the foot compared with the finger. Furthermore, these findings support the idea, using a different task than previous literature, that the lower limb has greater motor output variability than the upper limb.     

The interaction of respiration and visual feedback on the control of force and neural activation of the agonist muscle

The purpose of this study was to compare force variability and the neural activation of the agonist muscle during constant isometric contractions at different force levels when the amplitude of respiration and visual feedback were varied. Twenty young adults (20–32 years, 10 men and 10 women) were instructed to accurately match a target force at 15% and 50% of their maximal voluntary contraction (MVC) with abduction of the index finger while controlling their respiration at different amplitudes (85%, 100% and 125% normal) in the presence and absence of visual feedback. Each trial lasted 22 s and visual feedback was removed from 8–12 and 16–20 s. Each subject performed three trials with each respiratory condition at each force level. Force variability was quantified as the standard deviation of the detrended force data. The neural activation of the first dorsal interosseus (FDI) was measured with bipolar surface electrodes placed distal to the innervation zone. Relative to normal respiration, force variability increased significantly only during high-amplitude respiration (∼63%). The increase in force variability from normal- to high-amplitude respiration was strongly associated with amplified force oscillations from 0 to 3 Hz (R² ranged from .68 to .84, p < .001). Furthermore, the increase in force variability was exacerbated in the presence of visual feedback at 50% MVC (vision vs. no-vision: .97 vs. .87 N) and was strongly associated with amplified force oscillations from 0 to 1 Hz (R² = .82) and weakly associated with greater power from 12 to 30 Hz (R² = .24) in the EMG of the agonist muscle. Our findings demonstrate that high-amplitude respiration and visual feedback of force interact and amplify force variability in young adults during moderate levels of effort.