Visuospatial Control of Perturbation-evoked Reach-to-grasp Reactions in Young and Older Adults

Rapid compensatory reach-to-grasp reactions are prevalent and functionally important responses to instability. The need to react very rapidly (to prevent falling) imposes temporal constraints on acquisition and processing of the visuospatial information (VSI) needed to guide the reaching movement. Previous results suggested that the CNS may deal with these constraints by using VSI stored in memory proactively, prior to perturbation-onset; however, the extent to which online visual control is necessary or sufficient to guide these reactions has not been established. Furthermore, the influence of memory-decay and concurrent cognitive-task on the performance of these reactions has not been examined. This Thesis employed a novel paradigm wherein the participant is stationary and a motor-driven handhold is positioned unpredictably in front of the participant for each trial. Reach-to-grasp reactions were evoked in healthy young and older adults by sudden unpredictable antero-posterior platform translation (barriers deterred stepping reactions). Liquid-crystal goggles were used to occlude vision either before (recall-delay time=0s/2s/5s/10s) or after perturbation-onset to force reliance on either stored- or online-VSI, respectively. Participants performed a spatial- or non-spatial-memory task during the delay-time in a subset of trials. When forced to rely on stored-VSI, all participants showed reduction in reach accuracy; however, a tendency to undershoot the handhold was exacerbated in the older adults. Forced-reliance on online-VSI led to similar delays in all participants; however, the older adults were more likely to reach with the “wrong” arm or raise both arms. Comparison with normal-VSI trials suggests that both sources of VSI are utilized when grasping the movable handhold for support, with stored-VSI predominating during initiation/transport and online-VSI contributing primarily to final target acquisition/prehension. In terms of recall-delay, both age groups showed comparable reduction in medio-lateral endpoint accuracy when delay-time was longest. Moreover, both cognitive tasks had similar (slowing) effects in both age-groups, suggesting these effects were related to generic attentional demands. However, the older-adults also showed a dual-task interference effect (poorer cognitive-task performance) that was specific to the spatial-memory-task. Further research is needed to establish whether interventions aimed to improve visual/cognitive processing speed, visuospatial memory, and/or attention capacity can reduce risk of falling among senior populations.Ph