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Updated: Jun 4, 2025

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Effector-dependent decline in strength and subcortical motor excitability with aging
Ronan A Mooney1, Pablo A Celnik1
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Shirley Ryan AbilityLab, Chicago, IL, USA.
Older adults show reduced upper limb flexion strength due to decreased reticulospinal tract excitability, a key pathway for motor control. This finding sheds light on age-related strength decline.
Area of Science:
- Neuroscience
- Gerontology
- Human Physiology
Background:
- Upper limb strength commonly declines with aging.
- The relationship between age-related strength loss and descending motor pathway excitability remains unclear.
- The reticulospinal tract is crucial for gross motor control and its excitability can be modulated by training.
Purpose of the Study:
- To investigate age-related changes in upper limb strength.
- To assess age-related alterations in reticulospinal tract excitability.
- To determine if reduced reticulospinal excitability contributes to age-related strength decline in upper limb flexors and extensors.
Main Methods:
- Quantified upper limb strength using dynamometry in younger and older adults.
- Assessed reticulospinal tract excitability via transcranial magnetic stimulation to elicit ipsilateral motor evoked potentials.
- Compared strength and motor pathway excitability between age groups.
Main Results:
- Older adults exhibited reduced flexion strength compared to younger adults, but extension strength was not significantly different.
- A decrease in the presence of ipsilateral motor evoked potentials was observed in older adults, specifically for flexor muscles.
- The observed decline in flexion strength correlated with reduced reticulospinal tract excitability in older individuals.
Conclusions:
- Reduced excitability of the reticulospinal tract may be a significant factor in the age-related decline of upper limb strength, particularly in flexor muscles.
- The reticulospinal tract, with its prominent innervation of flexor muscles, appears to be differentially affected by aging.
- These findings provide insights into the neural mechanisms underlying age-associated motor impairments in the upper limbs.
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