Proprioception impacts body perception in healthy aging – insights from a Psychophysical and Computational Approach

The experience of owning a body (body ownership, BO) and the perception of our body dimensions (metric body representation, mBR) depend on the integration of multisensory cues. As the human sensory system is subjected to a decline along the lifespan, encompassing all sensory modalities, we hypothesize that body perception may be different in older, as compared to young adults. Here, we investigate this hypothesis by comparing the multisensory processing underlying BO and mBR in healthy older (> 65 years) and young individuals. First, we applied rigorous computational and psychophysical methods to assess alterations in mBR and BO quantitatively. We then modeled the manifold relationship between the observed body misperceptions and the potential underlying sensory, motor, and cognitive factors. The results highlight significant differences between the two groups, with higher distortions in perceived arm dimensions and an increased tendency to experience BO towards a virtual hand in the aged group. These differences in both mBR and BO are explained by the reduced proprioceptive abilities of older adults, suggesting a crucial role of proprioception in driving age-dependent plasticity in body representations. Overall, our modeling and experimental approach provide new perspectives on altered body perception during aging, suggesting that they stem from the physiological proprioceptive decline occurring in older adults, and laying the groundwork to generate prevention and stimulation strategies to restore accurate body perception in aging.