Illustration symbolizing the connection between cognitive function and motor control in aging.

Sharpen Your Mind, Steady Your Hand: How Cognitive Skills Impact Motor Control as We Age

"Uncover the surprising link between cognitive function and physical steadiness, and learn how to protect both as you age."


Precise motor control is essential for many everyday activities, from cooking and using touch screen devices. These tasks don't just rely on strong muscles; they also require sharp cognitive function. Attention, memory, and executive function are all vital for coordinating our movements.

Executive function, in particular, allows us to plan, organize, and switch between tasks – crucial when we're juggling multiple demands. Think about following a recipe while keeping an eye on the kids: that's executive function in action. Unfortunately, both motor and cognitive skills tend to decline as we age.

New research investigates whether age-related changes in physical steadiness and cognitive function are connected. The findings reveal a surprising link: executive function plays a key role in maintaining motor control, especially when we're faced with cognitively demanding tasks. Understanding this connection is the first step toward protecting both our minds and bodies as we age.

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What Current Research Shows

Recent research is examining motor-cognitive training as a combined approach to cognitive function and gait in people with dementia. A July 10, 2025 meta-analysis specifically evaluated its effects on these outcomes. Separate work has used a meta-analysis of 40 functional brain-imaging studies to examine how aging affects motor control, while other research describes age-related changes in cognitive and motor task performance.

From Isolated Skills to Integrated Models

Earlier models often examined neural structure, cognitive function, or motivation separately, which limited their ability to capture interactions across life stages. Newer perspectives argue that emotional support and motivational guidance can improve and preserve motor skills indirectly. The SMART COMPASS framework further links structured physical training and motor-skill learning with long-term brain adaptability.

The Rise of Motor-Cognitive Thinking

Motor cognition begins with the idea that the brain transforms sensory patterns into coordinated motor activity. More recent research has examined how motor function relates to long-term cognitive trajectories and has explored possible mechanisms using brain MRI. The 2025 SMART COMPASS framework represents a further milestone by integrating neural, environmental, and behavioral influences across the lifespan.

The Surprising Link Between Mind and Muscle

Illustration symbolizing the connection between cognitive function and motor control in aging.

The study, published in Frontiers in Physiology, explored the relationship between executive function and force steadiness – the ability to maintain a consistent level of muscle force. Researchers recruited 60 older adults (60-85 years old) and 48 young adults (19-30 years old) to perform a simple task: maintaining a steady elbow flexion at 5% of their maximum voluntary contraction (MVC).

However, there was a catch. Sometimes, participants performed the task while also doing a mental math exercise – counting backward by 13 from a four-digit number. This cognitive challenge was designed to test how well participants could maintain their physical steadiness while also engaging their executive function.

  • Measuring Steadiness: Force steadiness was measured by quantifying the coefficient of variation (CV) of force. A higher CV indicates greater variability, and thus, lower steadiness.
  • Assessing Executive Function: Executive function was evaluated using the Trail-making Test, a standard neuropsychological assessment. Part A of the test measures attention and motor speed, while Part B assesses cognitive flexibility and the ability to switch between tasks.
  • The Impact of Cognitive Load: Researchers compared force steadiness during the control trial (no math) and the cognitive challenge trial (with math) to see how mental exertion affected motor control.
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Current Research Directions

Recent reviews connect basic cerebellar discoveries with human imaging and preclinical work on complex brain disorders involving motor function. A 2025 systematic review and meta-analysis compared dual-task exercise with single-task training, cognitive-only training, exercise-only training, and usual rehabilitation in stroke patients. A 2024 Brain Sciences special issue likewise brought together ten papers and six reviews on motor-cognitive connections and emerging therapies.

Where the Evidence Remains Limited

Cognitive-motor dual-task assessment is considered useful for studying the interaction between cognition and motor control and may aid the diagnosis, prevention, and management of cognitive impairment and falls. However, research on motor-function failure emphasizes that the mechanisms leading to impaired movement still require investigation. One study reports that low motor function is associated with accelerated decline in global and domain-specific cognitive abilities, while noting that neurodegenerative and cerebrovascular pathologies may both contribute.

A Cautious Comparison

Motor-cognitive approaches generally emphasize practicing movement while managing a cognitive demand, whereas conventional approaches may focus more narrowly on movement or cognition alone. The available material suggests that integrated approaches are promising, but it does not establish that one method is universally superior. Comparisons should therefore account for the population, task design, and outcome being measured.

The results revealed that the cognitive challenge significantly reduced force steadiness, especially in older adults. Moreover, performance on the Trail-making Test was correlated with force steadiness during the cognitive challenge: those with poorer executive function skills exhibited greater difficulty maintaining a steady muscle contraction while also performing mental math.

Protecting Your Mind and Body: Practical Takeaways

These findings highlight the importance of maintaining strong executive function skills as we age. Not only does it help us with mental tasks, but it also plays a vital role in preserving our physical coordination and steadiness. The good news is that executive function can be improved with targeted training and lifestyle changes.

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Promising, but Not Settled

Motor-cognitive training combines motor and cognitive tasks within the same training process. A July 10, 2025 report states that its effectiveness for cognitive function and gait in people with dementia remains unknown. It also notes that whether this approach is superior to single physical or cognitive training has yet to be investigated.

Navigation as a Research Frontier

Future brain-aging research may increasingly examine visuo-motor integration during everyday movement. A review identifies the allocation of cognitive resources during locomotion as central to real-world spatial navigation. This focus could help connect laboratory findings about motor control with the demands of navigating complex environments.

Mobility Has Multiple Contributors

Functional mobility in community-dwelling older adults depends on motor, cognitive, and sensory functions. A 2026 study specifically examined both their distinct and shared roles in mobility tasks. This broader framework cautions against treating motor control as independent from cognition or sensory processing.

Making Skills Matter in Daily Life

In everyday life, movement often requires attention, decisions, and adaptation at the same time. This means that changes in cognitive or motor abilities may affect how confidently a person manages ordinary tasks, although the size and nature of that impact can vary. Practical support should therefore remain attentive to the whole person rather than treating cognition and movement as completely separate.

Here are a few strategies to consider:

<ul> <li>Engage in mentally stimulating activities: Crossword puzzles, Sudoku, learning a new language, or playing strategy games can all help sharpen your mind and boost executive function.</li> <li>Stay physically active: Regular exercise has been shown to improve cognitive function, including executive function. Aim for a mix of aerobic exercise and strength training.</li> <li>Practice multitasking: Gradually challenge yourself with dual-task activities, such as walking while talking or cooking while listening to a podcast. Start with simple combinations and gradually increase the complexity.</li> <li>Manage stress: Chronic stress can impair cognitive function. Practice stress-reducing techniques such as meditation, yoga, or spending time in nature.</li> <li>Prioritize sleep: Getting enough sleep is essential for cognitive health. Aim for 7-8 hours of quality sleep each night.</li> </ul>

Executive-test results helped explain steadiness under mental load

In older adults, Trail-making Test performance added predictive information about force variability during the mental-math task; the same added contribution was not found in young adults. This is a prediction within the study, not evidence that executive function changes cause steadiness to change.[1]

What limits conclusions about cognition and force control

  • Other influences on steadiness in older adults were not assessed, so the tested predictors may not capture the full picture.[1]
  • The mechanisms behind sex differences in force control during cognitive challenge remain unclear.[1]
  • The study’s prediction models found that maximal strength did not add predictive value during the cognitive challenge beyond age or Trail-making Test results.[1]

A low-force elbow task in healthy community-dwelling adults

PopulationOlder adults aged 60–85 and young adults aged 19–30[2]
SettingHealthy community-dwelling adults[2]
Main outcomeForce steadiness, quantified as coefficient of variation of force[2]
p-valueP < 0.001 for cognitive challenge effect × age[2]
Conflicts of interestNo commercial or financial relationships were declared[2]
Times cited15[2]

What remains unresolved about the test result

  • Would the link between Trail-making performance and force steadiness hold when other influences on older adults’ steadiness are measured?[1]
  • What physiological processes account for the sex-related differences observed during cognitive challenge?[1]

About this Article -

Written with AI assistance from published research, and reviewed by the Mystum team. See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.3389/fphys.2018.01316, Alternate LINK

Title: Force Steadiness During A Cognitively Challenging Motor Task Is Predicted By Executive Function In Older Adults

Subject: Physiology (medical)

Journal: Frontiers in Physiology

Publisher: Frontiers Media SA

Authors: Hugo M. Pereira, Bonnie Schlinder-Delap, Kristy A. Nielson, Sandra K. Hunter

Published: 2018-10-02

Everything You Need To Know

1

How does executive function affect our ability to maintain physical steadiness, especially as we age?

Executive function plays a critical role in coordinating movements. It allows us to plan, organize, and switch between tasks, which is vital when juggling multiple demands. The study in *Frontiers in Physiology* demonstrates a link between executive function and force steadiness. When cognitive load increases, as shown in the mental math exercise, force steadiness decreases, especially in older adults. The Trail-making Test results correlated with force steadiness, indicating those with poorer executive function skills struggled more with maintaining a steady muscle contraction during mental tasks.

2

How was the connection between executive function and motor control studied in the *Frontiers in Physiology* research?

The study in *Frontiers in Physiology* involved 60 older adults (60-85 years old) and 48 young adults (19-30 years old). Participants maintained a steady elbow flexion at 5% of their maximum voluntary contraction (MVC). To assess the impact of cognitive load, they performed this task while also doing a mental math exercise—counting backward by 13 from a four-digit number. Force steadiness was measured by quantifying the coefficient of variation (CV) of force, and executive function was evaluated using the Trail-making Test.

3

What specific methods are used to evaluate executive function in the context of motor control research?

The study used the Trail-making Test to assess executive function. Part A measures attention and motor speed, while Part B assesses cognitive flexibility and the ability to switch between tasks. By comparing performance on the Trail-making Test with force steadiness during cognitive challenges, the researchers could determine the extent to which executive function impacts motor control. The results highlighted that poorer executive function correlated with a greater difficulty in maintaining physical steadiness under cognitive load.

4

What exactly is force steadiness, and how does it relate to cognitive function and aging?

Force steadiness, or the ability to maintain a consistent level of muscle force, is crucial for everyday activities. The study in *Frontiers in Physiology* measured force steadiness by quantifying the coefficient of variation (CV) of force. A higher CV indicates greater variability, and thus, lower steadiness. The research showed that cognitive challenges, like performing mental math, significantly reduce force steadiness, especially in older adults, emphasizing the link between cognitive function and motor control.

5

What are the implications of the findings regarding the relationship between cognitive skills and motor control for aging adults?

The findings suggest that maintaining and improving executive function can help preserve physical coordination and steadiness as we age. By engaging in targeted training and adopting lifestyle changes that boost cognitive skills, individuals may be able to mitigate the age-related decline in motor control. The importance of executive function extends beyond mental tasks; it plays a crucial role in physical performance, highlighting the interconnectedness of mind and body.

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