A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly

The acquisition and retention of motor skills is necessary for everyday functioning in the elderly and may be critical in the context of motor rehabilitation. Recent studies indicate that motor training closely followed by sleep may result in better engagement of procedural (“how to”) memory consoli...

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Main Authors: Carmit Gal, Ella Gabitov, Rinatia Maaravi-Hesseg, Avi Karni, Maria Korman
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnagi.2019.00321/full
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author Carmit Gal
Carmit Gal
Ella Gabitov
Rinatia Maaravi-Hesseg
Rinatia Maaravi-Hesseg
Avi Karni
Avi Karni
Maria Korman
author_facet Carmit Gal
Carmit Gal
Ella Gabitov
Rinatia Maaravi-Hesseg
Rinatia Maaravi-Hesseg
Avi Karni
Avi Karni
Maria Korman
author_sort Carmit Gal
collection DOAJ
description The acquisition and retention of motor skills is necessary for everyday functioning in the elderly and may be critical in the context of motor rehabilitation. Recent studies indicate that motor training closely followed by sleep may result in better engagement of procedural (“how to”) memory consolidation processes in the elderly. Nevertheless, elderly individuals are mostly morning oriented and a common practice is to time rehabilitation programs to morning hours. Here, we tested whether the time-of-day wherein training is afforded (morning, 8–10:30 a.m., or evening, 6–9 p.m.) affects the long-term outcome of a multi-session motor practice program (10 sessions across 3–4 weeks) in healthy elderly participants. Twenty-nine (15 women) older adults (60–75 years) practiced an explicitly instructed five-element key-press sequence by repeatedly generating the sequence “as fast and accurately as possible.” The groups did not differ in terms of sleep habits and quality (1-week long actigraphy); all were morning-oriented individuals. All participants gained robustly from the intervention, shortening sequence tapping duration and retaining the gains (> 90%) at 1-month post-intervention, irrespective of the time-of-day of training. However, retesting at 7-months post-intervention showed that the attrition of the training induced gains was more pronounced in the morning trained group compared to the evening group (76 and 56.5% loss in sequence tapping time; 7/14 and 3/14 participants showed a > 5% decline in accuracy relative to end of training, respectively). Altogether, the results show that morning-oriented older adults effectively acquired skill in the performance of a sequence of finger movements, in both morning and evening practice sessions. However, evening training leads to a significant advantage, over morning training, in the long-term retention of the skill. Evening training should be considered an appropriate time window for motor skill learning in older adults, even in individuals with morning chronotype. The results are in line with the notion that motor training preceding a sleep interval may be better consolidated into long-term memory in the elderly, and thus result in lower forgetting rates.
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spelling doaj.art-04b852a4ac5b4dc18fd78828d17b53632022-12-22T03:43:45ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652019-11-011110.3389/fnagi.2019.00321488270A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the ElderlyCarmit Gal0Carmit Gal1Ella Gabitov2Rinatia Maaravi-Hesseg3Rinatia Maaravi-Hesseg4Avi Karni5Avi Karni6Maria Korman7The Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, IsraelLaboratory for Human Brain and Learning, Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, IsraelMcConnell Brain Imaging Center, Montreal Neurological Institute, McGill University, Montreal, QC, CanadaThe Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, IsraelLaboratory for Human Brain and Learning, Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, IsraelThe Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, IsraelLaboratory for Human Brain and Learning, Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, IsraelThe Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, IsraelThe acquisition and retention of motor skills is necessary for everyday functioning in the elderly and may be critical in the context of motor rehabilitation. Recent studies indicate that motor training closely followed by sleep may result in better engagement of procedural (“how to”) memory consolidation processes in the elderly. Nevertheless, elderly individuals are mostly morning oriented and a common practice is to time rehabilitation programs to morning hours. Here, we tested whether the time-of-day wherein training is afforded (morning, 8–10:30 a.m., or evening, 6–9 p.m.) affects the long-term outcome of a multi-session motor practice program (10 sessions across 3–4 weeks) in healthy elderly participants. Twenty-nine (15 women) older adults (60–75 years) practiced an explicitly instructed five-element key-press sequence by repeatedly generating the sequence “as fast and accurately as possible.” The groups did not differ in terms of sleep habits and quality (1-week long actigraphy); all were morning-oriented individuals. All participants gained robustly from the intervention, shortening sequence tapping duration and retaining the gains (> 90%) at 1-month post-intervention, irrespective of the time-of-day of training. However, retesting at 7-months post-intervention showed that the attrition of the training induced gains was more pronounced in the morning trained group compared to the evening group (76 and 56.5% loss in sequence tapping time; 7/14 and 3/14 participants showed a > 5% decline in accuracy relative to end of training, respectively). Altogether, the results show that morning-oriented older adults effectively acquired skill in the performance of a sequence of finger movements, in both morning and evening practice sessions. However, evening training leads to a significant advantage, over morning training, in the long-term retention of the skill. Evening training should be considered an appropriate time window for motor skill learning in older adults, even in individuals with morning chronotype. The results are in line with the notion that motor training preceding a sleep interval may be better consolidated into long-term memory in the elderly, and thus result in lower forgetting rates.https://www.frontiersin.org/article/10.3389/fnagi.2019.00321/fullelderlymotor skillmulti-session trainingretentionmorningevening
spellingShingle Carmit Gal
Carmit Gal
Ella Gabitov
Rinatia Maaravi-Hesseg
Rinatia Maaravi-Hesseg
Avi Karni
Avi Karni
Maria Korman
A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
Frontiers in Aging Neuroscience
elderly
motor skill
multi-session training
retention
morning
evening
title A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
title_full A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
title_fullStr A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
title_full_unstemmed A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
title_short A Delayed Advantage: Multi-Session Training at Evening Hours Leads to Better Long-Term Retention of Motor Skill in the Elderly
title_sort delayed advantage multi session training at evening hours leads to better long term retention of motor skill in the elderly
topic elderly
motor skill
multi-session training
retention
morning
evening
url https://www.frontiersin.org/article/10.3389/fnagi.2019.00321/full
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