Young Uk Ryu1, Kyu-Ho Lee1, Hocheol Lee2, Jungsik Park3. 1. Department of Physical Therapy, College of Medical Science, Catholic University of Daegu, Republic of Korea. 2. School of Mechanical and Automotive Engineering, Catholic University of Daegu, Republic of Korea. 3. Center for Medical Humanities and Convergent Contents, Ajou University, Republic of Korea.
Abstract
[Purpose] The purpose of the current study was to examine age-related differences in control of a perception-action coordination skill. We adapted a visuomotor tracking experiment requiring various coordination patterns between a limb's motion and an external signal. [Subjects and Methods] A total of 12 subjects (6 elderly and 6 young) voluntarily participated in the study. The experimental session consisted of 3 trials for 3 different relative phase patterns: 0°, 90°, and 180°, defined by the relationship between the online visual feedback of the joystick motion and the white dot signal. [Results] The 0° and 180° tracking patterns were stable compared with the 90° tracking pattern for both age groups. The present results also showed that the elderly subjects were less stable than were young subjects for all tracking patterns. [Conclusion] The intrinsic coordination dynamics predicted by the Haken-Kelso-Bunz (HKB) mathematical model did not change with age, whereas utilization of visual feedback information declined overall. Further research is needed regarding methods for increasing utilization of visual feedback information from the perspective of rehabilitation.
[Purpose] The purpose of the current study was to examine age-related differences in control of a perception-action coordination skill. We adapted a visuomotor tracking experiment requiring various coordination patterns between a limb's motion and an external signal. [Subjects and Methods] A total of 12 subjects (6 elderly and 6 young) voluntarily participated in the study. The experimental session consisted of 3 trials for 3 different relative phase patterns: 0°, 90°, and 180°, defined by the relationship between the online visual feedback of the joystick motion and the white dot signal. [Results] The 0° and 180° tracking patterns were stable compared with the 90° tracking pattern for both age groups. The present results also showed that the elderly subjects were less stable than were young subjects for all tracking patterns. [Conclusion] The intrinsic coordination dynamics predicted by the Haken-Kelso-Bunz (HKB) mathematical model did not change with age, whereas utilization of visual feedback information declined overall. Further research is needed regarding methods for increasing utilization of visual feedback information from the perspective of rehabilitation.
Visuomotor tracking tasks have been used to investigate the underlying mechanisms of
perception-action that support the coordination of a movement to an environmental event when
tracking a moving object based on visual information1,
2).In visuomotor tracking tasks examining the nature of such perception-action coordination
skills, actors track a rhythmic external signal in various phase relationships between the
external signal and a limb3, 4).Previous investigations utilizing the visuomotor tracking paradigm demonstrated that an
in-phase tracking pattern (external signal and limb motion moving together in the same
direction) is more stable than an anti-phase pattern (external signal and limb motion moving
in opposite directions), and that relative phase patterns between the two relative phases
are difficult to track3, 4). Based on such differential stability among relative phase
patterns, Haken et al. developed a mathematical model (called the HKB model) and named it
‘intrinsic coordination dynamics’5).Many previous investigations demonstrated that increased age leads to a decrease in
perceptual motor skill on various experimental tasks6,7,8). Such studies adapting perceptual motor tasks demonstrated that
elderly people tend to rely more on external signals than do young people9, 10).
Moreover, elderly people use more time in processing visual information than do young
people, resulting in a marked decline in motor performance11, 12). However, no such
studies have investigated the effects of aging on the nature of perception-action
coordination in a perceptual motor task.The perceptual motor system improves or maintains qualities of tracking performance by
correcting unstable movements4). Corrective
movements in such visuomotor tracking tasks are characterized by directional changes in the
velocity profile of the tracking trajectory and are measured by an increase in power
(referred to as intermittency) in a frequency band higher than the target signal’s
frequency13). A recent study of Ryu and
Buchanan4) showed that the intermittency
measurement may be an important tool for understanding a perception-action coordination
skill.The purpose of the current study was to examine age-related differences in control of a
perception-action coordination skill. We adapted a visuomotor tracking experiment that
required various coordination patterns between a limb’s motion and an external signal. Based
on a previous finding14, 15), it is expected that tracking performance in various
coordination patterns would be degraded for elderly people compared with young people. An
important question for the present study was to identify the effect of aging on the
intrinsic coordination dynamics. If the intrinsic coordination dynamics are an inherent part
of human motor coordination, the differential stability among the coordination patterns
would be expected to remain for elderly people.
SUBJECTS AND METHODS
The protocol and consent form for this study were approved by the Institutional Review
Board of Catholic University of Daegu. All subjects signed a written consent prior to
participation. A total of 12 subjects voluntarily participated in the study. Age group
demographics are presented in Table 1. Elderly subjects were required to achieve a minimum Mini-Mental State Exam
score of 25 to participate and were provided with a health history questionnaire to exclude
those who may have had a condition affecting motor performance. All subjects were
self-reported to be right-handed with normal or corrected-to-normal vision.
Table 1.
General characteristics of the age groups
Group
Age (mean ± SD)
Age range (yrs)
MMSE (mean ± SD)
Young (N = 6)
22.8 ± 2.14
20–26
n/a
Old (N = 6)
66.8 ± 0.98
65–68
28.3 ± 2.25
Subjects sat on a height-adjustable chair with the right forearm comfortably placed on a
custom-made forearm rest with a cuff to secure the forearm, allowing comfortable use of a
force-feedback joystick (Logitech® Force 3D Pro). Subjects grasped the joystick,
which sat on a table. The force feedback function of the joystick was disabled to minimize
the resistance of the joystick. The joystick was placed in a box covering the subjects’ hand
and forearm, so that subjects could not see their joystick motions. A computer monitor was
placed at a distance of approximately 0.6 meters from the subject’s face and was used to
display two dots. The two dots were displayed with two different colors, red and white,
within a single window display (15 cm long × 5 cm high) with a black background. Each dot
was approximately 4 mm in diameter, and was displayed one above the other (10 mm gap). The
top red dot was under the control of the computer, and traversed a path approximately 125 mm
across from left to right. The oscillation frequency for the red dot was set at 0.333 Hz
with a total of 8 cycles per trial. The bottom white dot was controlled by the subject,
using the joystick. Subjects were asked to move the joystick from side to side in order to
move the white dot, representing the subjects’ motion.Prior to the main experiment, subjects were given 4 familiarization trials with the
production of the joystick motion displayed on the computer monitor. Subjects were asked to
track the white dot signal in both a 0° relative phase (two dots moving in the same
direction) and a 180° relative phase (two dots moving in the opposite direction) tracking
pattern. For these trials (2 trials each), the oscillation frequency was set at 0.25 Hz with
a total of 8 cycles in a trial. This oscillation frequency was slower than the one used in
the experimental sessions (0.333 Hz), to reduce the practice effect on tracking before the
experiment. The experiment was conducted immediately after the familiarization trials.The experimental session consisted of 3 trials for 3 different relative phase patterns: 0°,
90°, and 180°, defined by the relationship between the online visual feedback of the
joystick motion and the white dot signal. The 90° relative phase pattern was in-between the
0° and 180° patterns. Before performing each relative phase pattern, the required relative
phase pattern was shown to a subject. The computer-generated signal was represented with the
white dot, while the signal that the subjects were supposed to reproduce with joystick
motion was represented with the red dot. The assigned subject’s joystick signal lagged
behind the computer generated white dot signal in the 90° relative phase pattern. Subjects
were instructed to watch the pattern represented by the two dots and to try to reproduce the
pattern. After watching one of the relative phase patterns, subjects immediately performed 3
consecutive trials for the assigned relative phase pattern. The three relative phase
patterns were performed in a random order.Prior to data analysis, a dual-pass Butterworth Filter was applied to the joystick
trajectories, with a cutoff frequency of 10 Hz. The first cycle of motion was dropped and
considered as an adaptation phase, so that 7 cycles were used to analyze each trial. A
continuous relative phase was computed to characterize the temporal tracking relationship
between the computer-generated signal and the joystick motion. For both the
computer-generated signal (Өcomputer) and joystick motion
(Өjoystick), individual phase values were computed for every
sampled point i in a trial, Ө=
tan−1[(dx
/dt)/x], with
x the normalized position and
dx/dt the normalized instantaneous velocity.
For each sampled point i in a trial, the continuous relative phase was
computed as ϕ = Өcomputer −
Өjoystick. Mean resultant vectors were computed from the
observed unit vectors (x, y) of the ϕ values.
The mean resultant vectors were used to compute a mean phase angle
(ϕ) and a magnitude of circular variance. A value of
ϕ = 0° represented in-phase tracking, and a value of
Ө = 180° represented anti-phase tracking. There were
three required relative phase values, ϕ = 0°, −90°, and 180°.
An absolute phase error (ϕ = |
ϕ − ϕ|) was computed and
used to evaluate tracking accuracy.A circular variance was computed to characterize the variability of the joystick
trajectory. The circular variance fell within the range of 0 to 1, with 1 representing
perfect uniformity. To submit the circular variance data to inferential tests based on
standard normal theory16), the circular
variance score was transformed to the range 0 to ∞ as follows, s0 =
−2logn(1 − S0)0.5. S0 denotes the measure of
circular variance for the interval [0, 1], with s0 the transformed circular
variance (TCV) measure that was submitted for statistical analysis. This TCV measure was
treated as an estimate of the pattern stability in tracking performance.A discrete Fourier transformation was applied to the velocity time series with a Hanning
window. The power spectrum of the joystick trajectory’s velocity was then computed to
analyze the subject’s performance in the frequency domain. The power spectrum provided
information mainly about the distribution of the power across the frequency component of the
signal. To simplify this information, the distribution of the power spectrum was normalized
by the total power, so that the total area of the normalized power became 1. The power
spectrum also provided the frequency of the primary peak, which was defined as the frequency
at the largest power in the spectrum. Three frequency components (lower, main, and higher)
were defined to further understand the power distribution of the frequency components. The
main frequency component was defined by ± 0.0476 Hz of the frequency of the primary peak.
For example, the range of the main component would be 0.285 Hz to 0.381 Hz, with 0.333 Hz
being the primary peak. The higher frequency component (HFC) was defined by the frequency
above the main frequency component. The HFC indicated intermittency in which an increase in
corrective movements leads to an increase of the proportion.Dependent variables were the absolute phase error (ϕ), TCV,
mean power frequency, and the percentage of power in the HFC (HFC percentage). The four
dependent variables were analyzed in a 2 Age (young, old) × 3 Pattern (0°, 90°, 180°), with
the last factor repeated. Duncan’s multiple range tests (p < 0.05) were used to analyze
all post-hoc main effects. Partial eta squared values (ηp2) were
computed and reported with every significant F value.
RESULTS
Neither main nor interaction was found in the ϕ data (ps >
0.05). The analysis of the TCV data revealed that elderly subjects (TCV = 2.23) produced
significantly more tracking variability compared with young subjects (TCV = 3.16)
(F(1,10) = 14.27, p < 0.01,
η2 = 0.59). A significant main effect of Pattern
in the TCV values was found (F(2,20) = 54.12, p < 0.0001,
η2 = 0.84), and post-hoc tests revealed that the
0° (TCV = 3.20) and 180° (TCV = 3.08) tracking patterns were significantly more stable than
the 90° tracking pattern (TCV = 1.80).Power spectrum analysis showed that the primary peak located at the target frequency and
the peak frequency was not significantly affected by age or patterns (ps > 0.5). The
analysis of the HFC percentage revealed that the elderly subjects (HFC = 53.4%) produced
more corrective movements than did the young subjects (HFC = 37.1%)
(F(1,10) = 27.47, p < 0.001,
η2 = 0.73.3). A significant main effect of Pattern
in the HFC percentage was found (F(2,20) = 4.27, p < 0.05,
η2 = 0.30), and post-hoc tests revealed that the
0° (HFC = 41.9%) and 180° (HFC = 43.5%) tracking patterns were performed with less
corrective movements compared with the 90° tracking pattern (HFC = 50.3%).
DISCUSSION
In the visuomotor tracking task used in the current study, the elderly and young subjects
had to perform 0°, 90°, and 180° tracking patterns. The 0° and 180° tracking patterns were
stable compared with the 90° tracking pattern for both age groups. These findings were
consistent with the prediction by the HKB model5) and also consistent with many previous visuomotor tracking
experiments examining perception-action coordination3,
4). The present result also showed that
the elderly subjects were less stable than the young subjects for all tracking patterns,
consistent with the previous tracking studies14,
15).The differential stability found in the present study can be understood as the difference
of perceptual stability created by the visuomotor coordination patterns, in that the 0° and
180° patterns were perceived with more coordination than the 90° tracking pattern17, 18). The present visuomotor tracking task was accompanied by a perceptual
cost that discriminated coordination between the two dots, and the actor had to perform
physical tracking in accordance with the specific coordination relationship while
continuously processing the visual feedback. Therefore, any reduction of perceptual ability
would inhibit processing of visual information, destabilizing tracking performance. That is,
the differential stability among the three coordination patterns used in the current study
is thought to have originated from differences between each tracking pattern’s perceptual
stability17, 18). For the same reason, the overall decrease in tracking stability of
the elderly suggested an overall loss of perceptual ability with age14).The elderly showed more corrective movements than did the young subjects in the current
study. Since the degree of corrective movements is determined by the utilization of visual
feedback information, it is reasonable to assume that the elderly subjects used more visual
feedback than did the young subjects. This might be due to the decrease of accuracy and
stability of tracking performance resulting from the degradation of perceptual ability with
age. In turn, the degraded tracking performance required the elderly to adjust tracking
movements frequently through increased utilization of feedback information. Unlike the
elderly, the young subjects required less perceptual effort to discriminate coordination
patterns due to stable perception, leading in turn to fewer corrective movements.An interesting finding was that the 90° tracking pattern was performed with the most
corrective movements compared with the other two patterns, suggesting that the degree of
intermittency can depend on the degree of perceptual stability. That is, the 90° tracking
pattern was a perceptually unstable coordination pattern, requiring more discrimination
effort than the other 2 patterns, resulting in increased corrective movements. In the stable
0° and 180° tracking patterns, the coordination patterns were relatively easy to perceive,
so fewer corrective movements were required compared with the unstable 90° pattern. The 90°
pattern is a perceptually unstable pattern, thus corrective movements increased through more
visual feedback.Taken together, the present findings indicate that the intrinsic coordination dynamics
predicted by the HKB model did not change with age, whereas utilization of visual feedback
information declined overall19).
Therefore, the decline in perception-action coordination skills is related to the lower
utilization of visual feedback information. The number of subjects participating in this
study might be too small to make generalized conclusions from the data. Further research is
needed on the methods for increasing the utilization of visual feedback information from the
perspective of rehabilitation.