Hand movement illusions show changes in sensory reliance and preservation of multisensory integration with age for...

To perceive self-hand movements, the central nervous system (CNS) relies on multiple sensory inputs mainly derived from vision, touch, and muscle proprioception. However, how and to what extent the CNS relies on these sensory systems to build kinesthetic percepts as the systems decline with age remain poorly understood. Illusory sensations of right hand rotation were induced by separately stimulating these three sensory modalities at two intensity levels. A mechanical vibrator applied to the pollicis longus muscle, a textured disk for touching, and a visual pattern rotating under the participant's hand were used to activate muscle proprioception, touch, and vision, respectively. The perceptual responses of 19 healthy elderly adults (60-88 yrs) were compared to those of 12 younger adults (19-40 yrs). In the younger group, the three types of stimulation elicited similar kinesthetic illusions at each intensity level applied. The same visual and tactile stimuli elicited more salient and faster illusions in older adults than in younger adults. In contrast, the vibration-induced illusions were significantly fewer, less salient and delayed in the older adults. For the three modalities considered, increasing the intensity of stimulation resulted in smaller increases in illusion velocity in older adults than in younger adults. Lastly, a similar improvement in the perceptual responses was observed in older and younger adults when several stimulations were combined and older participants reported more salient illusions than younger participants only in the visuo-tactile condition. This study suggests that reliance on sensory inputs for kinesthetic purposes is profoundly reshaped with aging. The elderly may rely more on visual and tactile afferents for perceiving self-hand movements than younger adults likely due to relatively greater muscle proprioception degradation. In addition, multisensory integration seems preserved but not enhanced to compensate for the global decline of all sensory systems with age.