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Updated: Jan 29, 2026

Development of a Novel Task-oriented Rehabilitation Program using a Bimanual Exoskeleton Robotic Hand
Published on: May 20, 2020
Investigating age-related decline in sensorimotor control using robotic tasks
Laura Alvarez-Hidalgo1, Ellie Edlmann2, Gunnar Schmidtmann3
1School of Computing, Engineering and Mathematics, University of Plymouth, Plymouth, United Kingdom.
Abstract:
Aging is associated with changes in sensorimotor control that contribute to functional decline, mobility limitations, and increased fall risk. Traditional motor assessments often rely on subjective measures, highlighting the need for objective, quantitative tools. We developed three robot-based tasks using the vBOT planar manipulandum to evaluate sensorimotor performance in healthy young (<35 years) and older (>60 years) adults. These tasks uniquely combined bimanual control and altered dynamic conditions to assess age-related differences. The first task required bimanual coordination to control a virtual 2D arm over 400 center-out and return trials, targeting de novo motor learning. The second task involved unimanual reaching with the dominant hand, consisting of 200 trials in a null-field condition followed by 200 trials with object-like dynamic forces. The third task similarly began with 200 null-field trials and then introduced a viscous force field in the final 200 trials, with fast movements rewarded to encourage peak performance. This task also enabled comparison between dominant and non-dominant arms. All tasks detected age-related performance differences, with the viscous resistance task proving most sensitive to declines in movement speed, force generation, and response onset time. Scoring mechanisms that encouraged brisk performance amplified these effects. Across tasks, older adults generally moved more slowly, took longer to complete tasks, exerted lower peak forces, and had longer response onset times. However, some older participants performed comparably to younger individuals. In the third task, dominant arm performance consistently exceeded that of the non-dominant arm. These results demonstrate that robot-based tasks can sensitively quantify age-related sensorimotor decline and may offer valuable metrics for clinical assessment and monitoring.
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