Although many studies have explored the utility of tracing as a rehabilitation approach for patients with aphasia and alexia and for Japanese patients with various disabilities, this may be the first study to demonstrate the superiority of tracing over copying for enhancing long-term memory. We investigated the utility of tracing as a memory storage method. Young and elderly participants learned a figure from the Rey-Osterrieth complex figure test by copying or tracing its outline. They were asked to reproduce the figure after 3 min and 3 days. Although the copying group performed better than the tracing group in immediate recall after 3 min, the performance of the tracing and copying groups after 3 days was similar. Among younger participants, the tracing group achieved higher scores than the copying group after 3 days; however, the difference was not statistically significant. Copying as a learning strategy has a substantial temporal gradient of memory loss; tracing may be more appropriate for improving long-term memory. This result could have considerable practical usefulness, e.g., among professionals who provide memory training for the elderly. Tracing, which uses visuomotor memory, is acquired earlier than transcription. Tracing may be effective for rehabilitation because it is a developmentally appropriate approach to early instruction.
Most of our daily activities are supported by a complex cognitive system known as memory. Squire and Zolz-Morgan [
Visuomotor memory, which connects visual information with physical move- ments to enable people to perform daily functions such as cooking or driving a car, is neurologically controlled by the basal ganglia. Neurological studies of child development have reported that tracing, which uses visuomotor memory, is acquired earlier than transcription [
Several studies have reported on the use of tracing as a rehabilitation approach for patients with aphasia, alexia, and agraphia or those who have had to change their writing hand after suffering a stroke [
In this study, we sought to examine the effectiveness of tracing in comparison with copying as a memorization technique. We achieved this objective by asking participants to either trace or copy figures and then by evaluating their ability to remember and sketch the same figure both after 3 min and 3 days.
The participants were 28 healthy students attending the Kanazawa University in Japan and 28 elderly members of an urban social club. All participants had no known health problems and gave informed consent for their participation. The elderly participants were evaluated using the Mini-Mental State Examination (MMSE) to confirm that they could achieve a score of 24 or higher (indicating the absence of dementia). All of the young participants were the students in Kanazawa University. As all young participants are healthy and have no trouble with academic work, MMSE for young group was omitted. The experiment was conducted with the approval of the medical ethics committee of Kanazawa University.
Each age cohort was divided into the copying and tracing groups. We don’t have training for the participants, only have the memory test.
Participants were shown a figure from the Rey-Osterrieth complex figure test (ROCF), which is commonly used as a test for neurological status or cognitive development. Each participant in the copying group was given a separate sheet
Mean age ± SD | MMSE ± SD | ||
---|---|---|---|
Elderly | Copying | 73 ± 6.8 | 28.4 ± 1.6 |
Tracing | 75.8 ± 5.9 | 28.2 ± 1.9 | |
Young | Copying | 21.8 ± 0.4 | No data |
Tracing | 20.5 ± 0.5 | No data |
of paper and asked to copy a figure from ROCF onto that sheet. The figure is placed so that its length runs along the subject’s horizontal plane. After the participant had completed copying the figure, interference simulation (talking about issues unrelated to the task) took place for 3 min; thereafter, the participant was asked to draw the figure again as an immediate recall test, without referring to the original or copy. After 3 days, as a delayed recall test, the participants were instructed to recall and draw the figure.
Participants in the tracing group followed the same procedures, except that the figure was directly traced onto the model of the ROCF sheet. To highlight their tracing, the participants were instructed to use a red pencil. No tracing order was determined, i.e., the participants were free to trace the lines in any order.
Both copying and tracing performed only once.
The participants’ drawings were evaluated using a conventional 36-point rating scale. Their scores were worked out by assessment of EM Taylor [
For statistical analysis, two-way ANOVA was performed to compare the scores of the copying and tracing groups 3 min and 3 days after the experiment (
With regard to the young participants (
Among the elderly participants (
Sum of square | Degree of freedom | Mean of square | F-value | P-value | |
---|---|---|---|---|---|
Time | 347.504 | 1 | 347.504 | 26.085 | <0.001** |
Time × Method | 250.754 | 1 | 250.754 | 18.823 | <0.001** |
Error | 346.366 | 26 | 13.322 | ||
Method | 2.290 | 1 | 29.290 | 0.975 | 0.332 |
Error | 780.723 | 26 | 30.328 | 30.028 |
Sum of square | Degree of freedom | Mean of square | F-value | P-value | |
---|---|---|---|---|---|
Time | 42.875 | 1 | 42.875 | 15.174 | <0.001** |
Time × Method | 27.161 | 1 | 27.161 | 9.613 | <0.005** |
Error | 73.464 | 26 | 2.826 | ||
Method | 27.161 | 1 | 27.161 | 0.369 | 0.549 |
Error | 1915.464 | 26 | 73.672 |
Participants | Tracing | Copying | Tratio | Degree of freedom | p value | |
---|---|---|---|---|---|---|
Yong | 3 min | 27.61 ± 4.52 | 33.29 ± 2.30 | −4.192 | 26 | <0.001** |
3 days | 26.86 ± 5.45 | 24.07 ± 5.59 | 1.334 | 25.982 | 0.194 | |
Elderly | 3 min | 18.36 ± 7.49 | 21.14 ± 4.77 | −1.173 | 26 | 0.251 |
3 days | 18.00 ± 7.49 | 18.00 ± 4.24 | 0.000 | 26 | 1.000 |
Participants | 3 min | 3 days | Tratio | Degree of freedom | p value | |
---|---|---|---|---|---|---|
Yong | Tracing | 27.61 ± 4.52 | 26.86 ± 5.45 | 5.178 | 13 | <0.000** |
Copying | 33.29 ± 2.30 | 24.07 ± 5.59 | 1.273 | 13 | 0.225 | |
Elderly | Tracing | 18.36 ± 7.49 | 18.00 ± 7.49 | 5.925 | 13 | <0.000** |
Copying | 21.14 ± 4.77 | 18.00 ± 4.24 | 0.492 | 13 | 0.631 |
**p < 0.001.
fference was observed between the immediate recall and delayed recall scores for the tracing group.
We assessed the results of copying and tracing performed by healthy young and elderly participants to examine the usefulness of tracing in promoting memory. Although the copying group performed better than the tracing group in immediate recall after 3 min (with a significant difference in scores among younger participants), the performance of the tracing and copying groups after 3 days was similar. Among the younger participants, the tracing group achieved higher scores than the copying group after 3 days; however, the difference was not statistically significant.
These results indicated a difference in the temporal gradient of memory loss between the copying and tracing groups. The participants who learned the figure by copying it achieved high scores when asked to reproduce the figure immediately after 3 min; however, their memory degraded significantly over 3 days. In contrast, the memory storage attained through tracing did not decrease substantially, suggesting that tracing is an appropriate method for improving long-term memory. Furthermore, in this study, the improvement was found especially in the young group. A prior study on learning to draw indicated that the copying group achieved a higher score when asked to reproduce a figure after a short period; however, no significant score difference was observed after a long period [
The task of reproduction by copying requires not only a sufficient capacity of visual memory but also visual constructional and spatial abilities. Although healthy young people have these abilities, the elderly are often weak in these areas. However, the task of tracing does not require the abovementioned visual constructional and spatial abilities. The skills used in tracing involve the somatosensory system.
These considerations and the study results suggested that although copying activities can be used in a rehabilitation program to improve the reduced visual constructional and spatial abilities of the elderly, tracing can be introduced as a novel method for memory rehabilitation of the elderly to evoke memories using the somatosensory system.
In this study, the elderly in the tracing group scored lower than those in the copying group on the immediate recall test; however, the difference was not significant. Therefore, it may seem that copying has some benefit, particularly in inducing short-term memory, and we plan to introduce the task of tracing in combination with copying in their memory training.
Although some training programs designed to teach writing skills to infants have used tracing as an instructional method, to the best of our knowledge, no studies have been conducted on memory training for the elderly that incorporates both copying and tracing. We intend to implement and evaluate the effectiveness of such a program for the elderly in our future research.
This study investigated the utility of tracing as a long-termmemory storage method. A preliminary study was conducted to examine the effectiveness of tracing in comparison with copying as a memorization technique, with participants either copying or tracing a figure from ROCF. The findings indicated that copying as a learning strategy has a substantial temporal gradient of memory loss and that tracing may be a more appropriate method for improving long-term memory. In future, we conduct to brain-damaged patients’ memory rehabilitation.
We would like to thank the students from Kanazawa University and the elderly members of the urban social club for their participation and cooperation.
Tsutsui, M., Notoya, M., Kimura, D., Nakatani, K., Fujita, T., Sunahara, N. and Inoue, K. (2017) Uti- lity of Tracing as a Memory Storage Method. World Journal of Neuroscience, 7, 216-222. https://doi.org/10.4236/wjns.2017.72017