Comparing arm to whole-body motor control disambiguates age-related deterioration from compensation

Abstract

As the global population ages, it is crucial to understand sensorimotor compensation mechanisms. These mechanisms are thought to enable older adults to remain in good physical health, but despite important research efforts, they remain essentially chimeras. A major problem with their identification is the ambiguous interpretation of age-related alterations. Whether a change reflects deterioration or compensation is difficult to determine. Here we compared the electromyographic and kinematic patterns of different motor tasks in younger (n = 20; mean age = 23.6 years) and older adults (n = 24; mean age = 72 years). Building on the knowledge that humans take advantage of gravity effects to minimize their muscle effort, we probed the ability of younger and older adults to plan energetically efficient movement during arm-only and whole-body movements. In line with previous studies and compared to younger adults, muscle activation patterns revealed that older adults used a less efficient movement strategy during whole-body movement tasks. We found that this age-related alteration was task-specific. It did not affect arm movements, thereby supporting the hypothesis that healthy older adults maintain the ability to plan energetically efficient movements. More importantly, we found that the reduced whole-body movement efficiency was correlated with kinematic measures of balance control (i.e., the center-of-mass movement amplitude and speed). The more efficient the movement strategy, the more challenging the balance. Overall, these results suggest that reduced movement efficiency in healthy older adults does not reflect a deterioration but rather a compensation process that adapts movement strategy to the task specificities. When balance is at stake, healthy older adults prefer stability to energy efficiency.