Motor imagery (MI) supports motor learning and performance, having the potential to be a useful tool for neurorehabilitation. However, MI ability may be impacted by ageing and neurodegeneration, which could limit its therapeutic effectiveness. MI is often assessed through a hand laterality task (HLT), whereby laterality judgements are typically slower for hands presented at orientations corresponding to physically more difficult postures (a “biomechanical constraint” effect). Performance is also found to differ between back and palm views of the hand, suggesting the differential involvement of visual and sensorimotor strategies. While older adults are generally found to be slowed and show increased biomechanical effects, few studies have examined the effects of both ageing and Parkinson’s disease (PD).The present study compared healthy younger (YA), healthy older (OA) and PD groups on HLT performance from both palm and back views, as well as an object-based (letter) mental rotation task. OA and PD groups were slower than YA, particularly when judging laterality from the back view, and exhibited increased biomechanical constraint effects for the palm. While response times were generally similar between OA and PD groups, the PD group showed reduced accuracy in the back view. Moreover, object rotation was slower and less accurate only in the PD group. The results indicate that different mechanisms are involved in mental rotation of hands viewed from the back or palm, consistent with previous findings, and demonstrate particular effects of ageing and PD when judging the back view. Alongside findings from studies of explicit MI, this suggests a greater alteration of visual than kinaesthetic MI with ageing and neurodegeneration, with additional impairment of object-based visual imagery in PD. The findings are also discussed in relation to different perspectives in MI and the integration of visual and kinaesthetic representations.