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Gamage, N. N.

Publications and source records attributed to Gamage, N. N..

3 recordsLinked to original sources

Task Complexity and Limb Dominance Modulate the Effects of Ageing on Neuromuscular Function

BackgroundNeuromuscular function is critical for independence in ageing, yet asymmetries between dominant and non-dominant limbs, arising from central or peripheral mechanisms, are not well understood. This study examined age- and limb-related differences and motor unit (MU) firing behaviour of the vastus lateralis under tasks of varying difficulty. MethodsTwenty-one young (22 {+/-} 4 years; 15M, 6F) and seventeen older adults (74 {+/-} 5 years; 12M, 5F) performed constant and variable force unilateral isometric knee extensions. In both limbs, high-density surface electromyography signals were decomposed into MU spike trains. Force control and MU firing properties were analysed using multilevel mixed-effects regression models. ResultsOlder adults showed reduced maximal muscle strength (p<0.001) and increased force tracking error (p=0.008), MU firing rate (MUFR) was significantly lower in older adults during constant contractions (p = 0.001) and trended toward lower during variable contractions (p=0.061). MUFR variability showed a significant Leg x AgeGroup interaction (p<0.001); older adults had greater variability in non-dominant legs, while younger adults showed the opposite. With variable force contractions in both age groups, MUFR was higher during ascending segments with greater variability during descending segments. ConclusionNeuromuscular ageing involves asymmetric adaptations rather than a uniform decline, with leg dominance effects become more pronounced under variable force modulation. Task difficulty amplifies these asymmetries, underscoring the need to consider limb-specific neural control in age-related motor assessments.

physiology↗

Bilateral neuromuscular adaptation to acute unilateral resistance exercise in healthy older adults

IntroductionResistance exercise (RE) enhances functionality in older adults and has proven effective as a means of cross-education in scenarios of unilateral disuse. However, the extent to which older adults demonstrate cross-limb transfer at the motor unit (MU) level following a single bout of unilateral RE is unclear. MethodsThirteen healthy older adults (74.9 {+/-} 4.8 years; 5 females) underwent bilateral neuromuscular assessments pre- and post- a single bout of unilateral RE consisting of 3-4 sets of 8-12 repetitions of leg extension of the dominant (exercise) leg, at 75% of 1 repetition maximum, performed to failure. Maximum voluntary contraction (MVC) and force steadiness (FS) were measured. Central and peripheral features of individual MU were recorded using high-density surface electromyography and intramuscular electromyography (HDs/iEMG), during contractions normalised to 25% MVC. ResultsFollowing unilateral RE, MVC reduced in exercise (-14.8%, p < 0.001) and control (-6.9%, p = 0.003) legs, with reduced FS performance in the exercise leg compared to the control (p = 0.002). MU firing rate increased during contractions normalised to 25% baseline MVC in the exercised leg (p < 0.05), with no adaptation in the control leg (p > 0.05). All iEMG recorded measures of MU potentials remained unchanged in both legs (all p > 0.05). ConclusionAcute unilateral RE leads to bilateral MVC reduction in older males and females, demonstrating the cross-limb transfer effect. However, adaptation of MU features was only apparent in the exercised limb, and mechanisms underlying the force decline in the non- exercised limb remain uncertain.

physiology↗

Theta-gamma transcranial alternating current stimulation enhances motor skill acquisition in healthy young and older adults

Theta-gamma transcranial alternating current stimulation (TG tACS) over primary motor cortex (M1) can improve motor skill acquisition in young adults, but the effect on older adults is unknown. This study investigated the effects of TG tACS on motor skill acquisition and M1 excitability in 18 young and 18 older adults. High-definition TG tACS (6 Hz theta, 75 Hz gamma) or sham tACS was applied over right M1 for 20 minutes during a ballistic left-thumb abduction motor training task performed in two experimental sessions. Motor skill acquisition was quantified as changes in movement acceleration during and up to 60 minutes after training. Transcranial magnetic stimulation (TMS) was used to assess changes in M1 excitability with motor-evoked potentials (MEP) and short-interval intracortical inhibition (SICI) before and after training. We found that TG tACS increased motor skill acquisition compared with sham tACS in young and older adults (P < 0.001), with greater effects for young adults (P = 0.01). The improved motor performance with TG tACS lasted at least 60 minutes after training in both age groups. Motor training was accompanied by greater MEP amplitudes with TG tACS compared to sham tACS in young and older adults (P < 0.001), but SICI did not vary between tACS sessions (P = 0.40). These findings indicate that TG tACS over M1 improves motor skill acquisition and alters training-induced changes in M1 excitability in healthy young and older adults. TG tACS may therefore be beneficial to alleviate motor deficits in the ageing population. Key Points SummaryO_LITheta-gamma transcranial alternating current stimulation (TG tACS) can improve motor function in healthy young adults, but the effect on older adults is unknown. C_LIO_LIWe found that TG tACS improved motor skill acquisition with long-lasting effects in healthy young and older adults, but effects were stronger in young adults. C_LIO_LITranscranial magnetic stimulation showed that TG tACS altered the training-induced changes in motor cortex excitability, but there was no effect of TG tACS on intracortical inhibition in young or older adults. C_LIO_LIOur data suggest that TG tACS represents a promising approach to improve motor skill acquisition throughout the lifespan, and may be beneficial in older patient populations that experience motor or cognitive deficits. C_LI

neuroscience↗