# Bilateral force control and coordination patterns across upper and lower limbs

**Authors:** Tae Lee Lee, Nyeonju Kang

PMC · DOI: 10.17179/excli2025-8672 · EXCLI Journal · 2025-10-07

## TL;DR

This study shows that upper and lower limbs have different patterns of bilateral force control and coordination in healthy young adults.

## Contribution

The study is the first to compare bilateral force control and coordination patterns between upper and lower limbs.

## Key findings

- Lower limbs showed less maximal and mean force compared to upper limbs.
- Lower limbs had lower force accuracy and variability at higher force levels.
- Bilateral force control in upper limbs was related to lower limbs, but coordination patterns were not significantly correlated.

## Abstract

Bilateral force control and coordination in upper and lower limbs are important functions for executing activities of daily living. Although upper and lower limbs may reveal distinct bilateral motor control patterns because of different motor networks involvements, no one has examined the possibility that upper and lower limbs reveal distinct bilateral force control and coordination patterns. This study investigated bilateral force control and coordination patterns between upper and lower limbs in healthy young adults. Thirty-two healthy young adults (mean±SD of age = 23.2±2.2 years; 16 Females) performed bilateral hand-grip and ankle-dorsiflexion force control tasks at 10 % and 40 % of maximal voluntary contraction. Bilateral force control performances were evaluated by calculating mean force, force symmetry, force accuracy, and force variability. To estimate bilateral force coordination, we used cross-correlation with time lag. Further, we examined the relationship between bilateral force control and coordination patterns of upper and lower limbs by conducting Pearson's correlation analysis. Bilateral maximal and mean forces of lower limbs were significantly less than those for upper limbs. At higher targeted force level, force accuracy and variability in lower limbs were significantly lower than those for upper limbs. More negative correlation coefficient values appeared in lower limbs as compared with upper limbs. Finally, bilateral force control performances in upper limbs were related to those in lower limbs although no significant correlation was observed for interlimb coordination patterns. These findings suggest that bilateral motor control and coordination patterns were different between upper and lower limbs although the level of bilateral upper and lower motor control capabilities was presumably influenced by shared motor control processes for each individual.

See also the graphical abstract(Fig. 1).

## Full-text entities

- **Diseases:** musculoskeletal impairments (MESH:D009140), cognitive deficits (MESH:D003072), stroke (MESH:D020521), fatigue (MESH:D005221), neurological diseases (MESH:D020271), Parkinson's disease (MESH:D010300)
- **Chemicals:** LED (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12598106/full.md

## References

47 references — full list in the complete paper: https://tomesphere.com/paper/PMC12598106/full.md

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Source: https://tomesphere.com/paper/PMC12598106