Effects of Aging on Muscle and Motor Functions
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Questions and Answers

What percentage of Type I muscle fibers is typically lost with aging?

  • 20% (correct)
  • 10%
  • 30%
  • 40%

How is the rate of contraction in older adults affected according to research?

  • It drops by approximately 30%.
  • It increases by 50%.
  • It remains the same as younger adults.
  • It drops by approximately 50%. (correct)

What is the effect of aging on motor unit firing rates?

  • They fire at lower rates. (correct)
  • They increase significantly.
  • They remain unchanged.
  • They only fire during physical activity.

What happens to the vestibulo-ocular reflex (VOR) gain as people age?

<p>It slightly reduces. (D)</p> Signup and view all the answers

What type of muscle fibers experience the greatest loss with aging?

<p>Type II glycolytic fibers. (C)</p> Signup and view all the answers

How much loss of vestibular nerve fibers occurs with aging?

<p>40% (C)</p> Signup and view all the answers

What is a consequence of slower twitch contractions in older adults?

<p>Slower torque development rate. (C)</p> Signup and view all the answers

What is believed to enhance the remaining vestibular receptors as people age?

<p>Central gain enhancement. (D)</p> Signup and view all the answers

What is the term used to describe the general reduction in muscle mass associated with aging?

<p>Sarcopenia (C)</p> Signup and view all the answers

Which type of muscle fibers experiences the smallest loss with aging?

<p>Type I (slow, oxidative) (A)</p> Signup and view all the answers

How does the decline in motor neuron number affect muscle innervation with age?

<p>Muscle fibers either atrophy or shift to larger motor units (A)</p> Signup and view all the answers

Which muscle group typically shows a greater effect of atrophy with aging?

<p>Lower limbs (B)</p> Signup and view all the answers

What phenomenon allows for a greater amplitude EMG despite a reduction in the number of motor neurons?

<p>Remodeling of the motor pool (A)</p> Signup and view all the answers

What is the primary cause of lost muscle fibers in older adults?

<p>Deprivation of innervation (B)</p> Signup and view all the answers

Which of the following is not a characteristic of aging in the motor system?

<p>Increased muscle fiber size (C)</p> Signup and view all the answers

What factor primarily contributes to balance control issues in older adults?

<p>Decline in sensory systems (A)</p> Signup and view all the answers

What is the approximate percentage loss of hair cell receptors due to aging?

<p>40% (A)</p> Signup and view all the answers

Which age group showed more sensitivity to virtual rotations evoked with EVS at higher frequencies?

<p>Older adults (D)</p> Signup and view all the answers

How does aging affect visual acuity?

<p>It causes macular degeneration, reducing visual acuity (B)</p> Signup and view all the answers

What condition occurs during the aging of the eye that contributes to blurriness of vision?

<p>Misshaped eyeballs (D)</p> Signup and view all the answers

What factor contributed to the reduced perceptual sensitivity to head rotations in older adults?

<p>Loss of vestibular nerve fibers (C)</p> Signup and view all the answers

What impact does visual acuity reduction have on daily life?

<p>Decreases contrast sensitivity (A)</p> Signup and view all the answers

At which frequency did young adults have a lower threshold in response to virtual rotations?

<p>0.5 Hz (B)</p> Signup and view all the answers

What are 'Drusen' in the context of macular degeneration?

<p>Build-ups of lipids and proteins (B)</p> Signup and view all the answers

Which reflex shows gain enhancement as determined by Stochastic Vestibular Stimulation (SVS)?

<p>Vestibulo-spinal reflex (A)</p> Signup and view all the answers

What method is used to measure eye torsion when assessing vestibulo-ocular reflex gain?

<p>Ink dots on the sclera (B)</p> Signup and view all the answers

How is the vestibulo-ocular reflex gain affected by aging?

<p>It is slightly reduced due to central gain enhancement. (B)</p> Signup and view all the answers

Which of the following frequencies is commonly associated with daily life experiences and is important for vestibular stimulation?

<p>1 Hz (B)</p> Signup and view all the answers

How much is perceptual sensitivity to head rotations reduced in older adults compared to younger adults at a frequency of 1 Hz?

<p>Decreased from 1.3 deg/s to 2.4 deg/s (A)</p> Signup and view all the answers

At what frequency range do older adults exhibit greater gain to Electrical Vestibular Stimulation (EVS)?

<p>0.5 to 5 Hz (B)</p> Signup and view all the answers

What type of current is applied during Stochastic Vestibular Stimulation (SVS)?

<p>Low amplitude noisy currents (D)</p> Signup and view all the answers

What role does central gain enhancement play in the aging sensory systems?

<p>It counteracts reduced perceptual sensitivity (A)</p> Signup and view all the answers

What is the approximate loss of vestibular nerve fibres with aging?

<p>40% (D)</p> Signup and view all the answers

What is the impact of aging on vestibular nerve fibers?

<p>Approximately 40% loss occurs. (B)</p> Signup and view all the answers

Why is the torsional vestibulo-ocular reflex (VOR) significant in studies of aging?

<p>It assesses central gain enhancement. (A)</p> Signup and view all the answers

At what angular velocity was the threshold for young adults measured at 0.1 Hz?

<p>3 deg/s (C)</p> Signup and view all the answers

What statistical significance level was observed in the effect at 1 Hz?

<p>p = 0.08 (D)</p> Signup and view all the answers

Which head positioning method was used to examine head rotations?

<p>Positioning the head downward (C)</p> Signup and view all the answers

What does the Useful Field of Vision primarily refer to?

<p>The area of the visual scene from which information can be processed (A)</p> Signup and view all the answers

How does aging affect vibration detection in older adults?

<p>They require larger vibrations to feel them (D)</p> Signup and view all the answers

What is a key predictor of standing balance stability in older adults?

<p>Sensitivity of the foot soles (B)</p> Signup and view all the answers

What proportion of adults aged 65 and older experiences falls each year?

<p>1 in 3 (A)</p> Signup and view all the answers

What does higher postural sway in older adults correlate with?

<p>Weaker cutaneous reflexes (D)</p> Signup and view all the answers

What estimated annual cost do falls account for in the U.S. government by 2020?

<p>$54.9 billion (A)</p> Signup and view all the answers

Which of the following is NOT a consequence of aging on balance control?

<p>Increased sensitivity to cutaneous input (D)</p> Signup and view all the answers

What is the primary reason for the high incidence of falls in older adults?

<p>Decreased Useful Field of Vision (A)</p> Signup and view all the answers

Flashcards

Aging of the Motor System

Decline in motor performance with age, characterized by reduced speed and efficiency of movement.

Motor Neuron Loss

The number of motor neurons in both the spinal cord and muscles decreases significantly with age.

Motor Unit Remodeling

As motor neurons die off, remaining neurons take over the innervation of more muscle fibers, resulting in larger motor units.

EMG Amplitude Paradox

Larger motor units translate to a larger amplitude in electromyography (EMG) signals, despite a reduction in motor neuron number.

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Sarcopenia

The gradual loss of muscle mass due to age, primarily affecting the lower limbs more than the upper limbs.

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Type I Muscle Fiber Resistance

Type I muscle fibers, which are slow-twitch and responsible for endurance, are less affected by age-related muscle loss compared to other fiber types.

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Muscle Fiber Atrophy

Reduction in motor neuron number leads to muscle fiber atrophy (death) or being innervated by a different neuron.

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Effects of Aging on Motor Performance

Aging affects motor performance due to changes in muscle mass, motor neuron number, and motor unit size.

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Vestibular System Aging

The process of aging causes a reduction in hair cell receptors and vestibular nerve fibers, leading to reduced sensitivity to head movements.

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Virtual Rotations and Aging

Older adults experience increased sensitivity to virtual rotations, especially at frequencies around 1 Hz, which is a crucial range for the vestibular system.

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Macular Degeneration

A common age-related eye condition where the central part of the retina deteriorates, leading to reduced visual acuity.

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Fovea

A tiny pit in the retina aligned with the central axis of the lens that provides the sharpest visual detail.

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Macula

A larger area in the retina surrounding the fovea, vulnerable to age-related damage.

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Drusen

Small, yellow deposits on the retina, particularly in the macula, that can damage photoreceptors and contribute to macular degeneration.

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Eye Shape Changes and Blurred Vision

The eye's ability to focus light on the retina can be affected by changes in the eyeball's length or the cornea's curvature, resulting in blurry vision.

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Focus Point of Light

The point where light entering the eye is focused, ideally on the retina. If the focus point falls in front or behind the retina, it causes blurriness.

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Age-related loss of hair cells and nerve fibers

A decrease in the number of hair cell receptors and vestibular nerve fibers in the inner ear with age.

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Vestibulo-ocular reflex (VOR) with aging

The Vestibulo-ocular reflex (VOR) is a reflex that stabilizes gaze during head movements. It is slightly reduced with age, but the effect is minimized due to central gain enhancement.

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Scleral ink dot method

A method of measuring eye torsion (twisting) during head movements. Small dots are placed on the white part of the eye (sclera), allowing precise tracking of eye rotation.

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EVS (electrical vestibular stimulation)

A laboratory technique that stimulates the vestibular system directly, bypassing mechanoreceptors, and measuring the VOR. This is used to assess central gain.

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Degeneration of the afferent pathway

The process of the afferent pathway (carrying signals from the sensory organs to the brain) degenerating with age, but at a slower rate compared to the loss of hair cells.

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Vestibulo-spinal reflex (VSR) with aging

A reflex that helps maintain balance during head movements by adjusting muscle activity. It is also enhanced with age through central gain mechanisms.

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Stochastic Vestibular Stimulation (SVS)

A technique for measuring balance responses using electrical stimulation of the vestibular system. Small electrical currents are applied, and muscle activity in the legs is measured.

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Physiological range of head movements

The range of frequencies at which head movements occur naturally during daily activities.

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Hyperopia (Farsightedness)

A condition where distant objects appear clear, but near objects are blurry. This happens because the eyeball is too short or the lens is too flat, causing light to focus behind the retina.

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Useful Field of Vision

The area of the visual scene from which an individual can process information. It's essential for safe driving, especially in older adults.

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Cutaneous Vibration Detection

The ability to detect vibrations on the soles of the feet. This sensory input plays a crucial role in maintaining balance and preventing falls.

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Posturography

A measure of how stable someone is when standing still. It helps assess the risk of falling in older adults.

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Cutaneous Reflex

A reflex triggered by touch, helping control balance. It becomes weaker with age, contributing to an increased risk of falls.

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Anterior-Posterior Postural Sway

The tendency to sway more while standing still, primarily in the direction of front to back.

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Vibration Detection Threshold

The detection threshold for vibration on the feet, meaning the minimum intensity needed to feel the vibration.

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Falls

A significant health concern in older adults, often leading to serious injuries, hospitalizations, and even death.

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Type I Muscle Fiber Loss with Aging

Type I muscle fibers, responsible for slow and sustained contractions, experience the smallest loss (around 20%) compared to other muscle fiber types with aging. This means they are somewhat resilient to age-related decline.

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Motor Unit Firing Rate with Aging

The rate at which motor units (groups of muscle fibers controlled by a single nerve) fire decreases with age. This leads to slower muscle contractions in older adults.

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Muscle Twitch Contraction Speed in Aging

Older muscles have slower twitch contractions compared to younger counterparts. This results in a slower rate of torque (rotational force) development in older adults.

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Maximal Muscle Contraction Rate in Aging

Older adults experience a significant drop (~50%) in maximal contraction rate compared to younger adults. This decline is linked to a lengthening (~30%) of intervals between the initial nerve impulses.

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Hair Cell and Nerve Loss in Vestibular System

There is a significant loss of hair cell receptors (~40%) and nerve fibers (~40%) in the vestibular system with aging. This system is crucial for balance and spatial orientation.

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Vestibulo-ocular Reflex (VOR) Compensation in Aging

Despite the significant loss of hair cells and nerve fibers, the vestibulo-ocular reflex (VOR) – which helps stabilize vision during head movements - is only slightly reduced with aging. This is due to central gain enhancement, where the brain compensates for the loss by amplifying the remaining signal.

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Central Gain Enhancement

Central gain enhancement is a mechanism where the central nervous system (CNS) increases the sensitivity of remaining sensory receptors to compensate for age-related losses. This helps maintain functionality despite reduced sensory input.

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Central Gain Enhancement - Maintaining Balance

Central gain enhancement plays a crucial role in maintaining balance and coordination in older adults, despite the significant loss of vestibular hair cells and nerve fibers. This adaptive mechanism helps preserve functional abilities...

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Age-Related Vestibular Nerve Fiber Loss

A decrease in the number of hair cell receptors and vestibular nerve fibers in the inner ear as we age. This loss is typically around 40%.

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Reduced Perceptual Sensitivity to Head Movements

The ability to detect and perceive changes in head position and movement, such as rotations or translations, is reduced with age.

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Rotation Perception Threshold

The minimum amount of head rotation needed to be detected by the individual. It is typically higher in older adults compared to younger adults, especially at frequencies outside the common range of daily life.

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Central Gain Enhancement at 1 Hz

A specific example of central gain enhancement; the brain adapts by amplifying the signal from the vestibular system to make up for the loss of hair cells and nerve fibers. This is particularly noticeable at certain frequencies that are common in daily life.

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Frequencies Common in Daily Life (0.5 to 5 Hz)

This is a common frequency range we experience in daily life and the brain is especially good at compensating for losses at these frequencies. This is likely why the difference in perception between age groups is smaller at 1 Hz.

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Rotary Chair Stimulation

A type of vestibular stimulation that involves rotating the body around a vertical axis. It is used to study the vestibular system.

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Rotation Vector

The direction of the rotation that is being tested on the body.

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