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Practicing a functional task improves steadiness with hand muscles in older adults
Adam R Marmon1, Jeffrey R Gould, Roger M Enoka
1Department of Physical Therapy, University of Delaware, Newark, DE 19711, USA. marmon@udel.edu
Medicine and Science in Sports and Exercise
|January 27, 2011
Summary
Practicing a functional task improved hand steadiness and performance in older adults. Force steadiness is a key indicator of hand function, particularly at lower force levels.
Area of Science:
- Gerontology
- Motor Control
- Rehabilitation Science
Background:
- Improvements in motor steadiness correlate with better functional task performance in older adults.
- Understanding the specificity of this association is crucial for targeted interventions.
Purpose of the Study:
- To investigate the relationship between hand steadiness and functional task performance in older adults.
- To determine if practicing a functional task enhances hand muscle force steadiness.
Main Methods:
- Twenty-three older adults (≥70 years) were divided into a practice group (n=15) and a control group (n=8).
- Assessments included maximal voluntary contractions (MVC), force steadiness (precision pinch, index finger abduction) at 5%, 15%, and 25% MVC, and the Grooved Pegboard test.
- Interventions involved six practice sessions of the Grooved Pegboard task for the practice group over two weeks.
Main Results:
- Grooved Pegboard task completion time was associated with index finger abduction steadiness at 15% and 25% MVC, but not pinch steadiness.
- The practice group showed significant improvements in Grooved Pegboard task completion time.
- Practice also led to enhanced force steadiness in both precision pinch and index finger abduction tasks.
Conclusions:
- Force steadiness serves as a valid measure of hand function in older adults.
- Measuring force steadiness at lower force levels (e.g., 15-25% MVC) may be particularly informative for assessing hand function.

