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Relationship Between Physiological Mirror Activity and Corticomuscular Coherence During a Finger Dexterity Task Among Healthy Young and Older Adults

Sawai, S.; Murata, S.; Shimizu, N.; Fujikawa, S.; Yamamoto, R.; Nishida, T.; Shizuka, Y.; Nakano, H.

2026-08-13 rehabilitation medicine and physical therapy
10.64898/2026.08.12.26360287 medRxiv
Show abstract

Physiological mirror activity (pMA) is the increase in involuntary muscle activity observed on the contralateral side during unilateral voluntary movement in neurologically healthy participants. This cross-sectional study aimed to explore the relationship between pMA and corticomuscular coherence (CMC) during finger dexterity tasks in young and older adults. Thirty-one right-handed young adults and 24 older adults performed a left-hand finger dexterity task. Electroencephalogram (EEG) signals were recorded from C3 and C4, and electromyogram (EMG) signals were collected from bilateral finger flexors and extensors. pMA was quantified as the change in right-hand EMG from rest to task. Gamma-band CMC was calculated from task-related EEG-EMG pairs, and its association with pMA was analyzed. In young adults, greater pMA was associated with lower CMC (C3- and C4-right flexors), whereas in older adults, greater pMA was associated with higher CMC (C3-left flexor). Young adults may suppress pMA emergence by appropriately monitoring and inhibiting activity, in the hand not performing the task. Conversely, in older adults, the mobilization of the ipsilateral motor cortex may have contributed to pMA emergence. This study suggests that the neuromuscular mechanisms involved in pMA during finger dexterity tasks differ between young and older adults.

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