Age-related differences in bimanual movements: A systematic review and meta-analysis

Exp Gerontol. 2017 Nov:98:199-206. doi: 10.1016/j.exger.2017.09.001. Epub 2017 Sep 7.

Abstract

Background: With increasing age motor functions decline. The additional challenges of executing bimanual movements further hinder motor functions in older adults. The current systematic review and meta-analysis determined the effects of healthy aging on performance in bimanual movements as compared to younger adults.

Methods: Our comprehensive search identified 27 studies that reported bimanual movement performance measures. Each study included a between groups comparison of older (mean age=68.79years) and younger adults (mean age=23.14years). The 27 qualified studies generated 40 total outcome measure comparisons: (a) accuracy: 18, (b) variability: 14, and (c) movement time: eight.

Results: Our meta-analysis conducted on a random effects model identified a relatively large negative standardized mean difference effect (ES=-0.93). This indicates that older adults exhibited more impaired bimanual movement performance in comparison to younger adults in our group of studies. Specifically, a moderator variable analysis revealed large negative effects in both accuracy (ES=-0.94) and variability (ES=-1.00), as well as a moderate negative effect (ES=-0.71) for movement time. These findings indicate that older adults displayed reduced accuracy, greater variability, and longer execution time when executing bimanual movements.

Conclusion: These meta-analytic findings revealed that aging impairs bimanual movement performance.

Keywords: Aging; Bimanual movements; Motor control; Motor performance.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aging / physiology*
  • Female
  • Functional Laterality
  • Humans
  • Male
  • Middle Aged
  • Motor Activity*
  • Psychomotor Performance*
  • Time Factors
  • Upper Extremity / innervation*
  • Young Adult