Evidence map›Paper›PMID 24610868›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2014

Dexterous manipulation is poorer at older ages and is dissociated from decline of hand strength.

Sudarshan Dayanidhi, Francisco J Valero-Cuevas

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Sudarshan DayanidhiDivision of Biokinesiology and Physical Therapy and.
Francisco J Valero-CuevasDivision of Biokinesiology and Physical Therapy and Department of Biomedical Engineering, The University of Southern California, Los Angeles, California. valero@usc.edu.
American Physical Therapy Association · USUniversity of Southern California · US

Funding

Structure &function of the fingers tendinous apparatusR01AR052345 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALERO-CUEVAS, FRANCISCO J · 2005 to 2017
$3.7M
Control of finger movement and force for precision pinchR01AR050520 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALERO-CUEVAS, FRANCISCO J · 2004 to 2014
$2.9M
NIAMS NIH HHS AR050520NIAMS NIH HHS AR052345
6 · The paper itself

Abstract

backgroundThe ability to dynamically control fingertip force vector magnitude and direction is critical for dexterous manipulation. We quantified the dynamic control of fingertip forces to examine how dexterous manipulation declines with age.

methodsThe strength-dexterity (SD) test measures fingertip forces during compression of a slender spring prone to instability and buckling. The greatest sustained compression (designed to be under 3 N), and force dynamics therein, have been shown to be simple and quick measures of dynamic dexterous manipulation ability. We measured pinch strength and strength-dexterity test in a cross-sectional population of 98 people from 18 to 89 years of age.

resultsDexterous manipulation ability is poorer at older ages, beginning in middle age (p < .001), with greater decline past 65 years of age. Fingertip force dynamics during spring compression and stabilization show a deterioration of neuromuscular control with age. Importantly, this novel detection of decline in dynamic manipulation ability is not correlated with, and thus cannot be entirely explained by, the known decline in pinch strength. We also measured standardized tests of dexterity in participants older than 45, and discuss how the strength-dexterity test uniquely captures features of sensorimotor capabilities for dexterous manipulation in this adult population.

conclusionsStarting in middle age, changes in the functional interactions among sensory, motor, and neural capabilities result in measurably poorer dynamic dexterous manipulation. This deterioration of neuromuscular control motivates and enables future studies to understand the physiological bases for this functional decline so critical to activities of daily living and quality of life.

Indexed as

AdolescentAdultAgedAged, 80 and overAgingFingersHand StrengthHumansMiddle AgedMotor SkillsAgingDexterous manipulationDynamical analysis.Middle agePinch strength

Identifiers

PMID24610868
PMCPMC4202259
OpenAlexW2137093200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.