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Using multimodal neuroimaging methods, the current study was designed to examine the relationship between white matter microstructural integrity (WMI) and changes in prefrontal cortex (PFC) oxygenated hemoglobin (HbO2) during active walking in older adults. Consistent with neural inefficiency, we hypothesized that worse WMI would be associated with a greater increase in PFC HbO2 from single to dual-task walking in the context of worse or similar gait performance. Fifty-five cognitively healthy older adults (mean age = 74.76 years, 49% women) underwent diffusion tensor imaging (DTI) to derive a whole-brain measure of fractional anisotropy (FA) and functional Near Infrared Spectroscopy (fNIRS), which measured PFC HbO2 during walking tasks. Gait velocity was assessed using an instrumented walkway. A linear mixed effects model revealed that HbO2 levels increased from single to dual-task walking (P < 0.01) given the greater cognitive demands inherent in the latter condition. Moreover, WMI moderated the effect of dual tasking on PFC HbO2 (P < 0.05). Specifically, worse WMI was associated with a larger increase in PFC HbO2 levels from single to dual-task walking in the context of similar gait velocity. Results suggest that compromised WMI may be a mechanism underlying inefficient brain response to cognitive demands of locomotion.
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http://dx.doi.org/10.1093/gerona/gly131 | DOI Listing |
Gait Posture
August 2025
Department of Kinesiology, Sport, and Hospitality Management, College of Education and Human Development, George Mason University, 10890 George Mason Circle, Katherine Johnson Hall, 201G 4E5, Manassas, VA 20110, USA; Department of Health and Kinesiology, University of Utah, Salt Lake City, UT, USA.
Introduction: Both fall-related anxiety and cognitive demands affect balance and gait without additional motor complexity. High elevation settings in virtual reality elicit 'stiffening of posture' (i.e.
View Article and Find Full Text PDFBMC Geriatr
September 2025
Department of Motor Behavior and Sport Management, Faculty of Sports Science, Urmia University, Urmia, Iran.
Background: Knee osteoarthritis (KOA) is a prevalent condition among older adults, leading to impaired proprioception and reduced gait speed, which compromise mobility and quality of life. While aquatic therapy and transcranial direct current stimulation (tDCS) have individually shown potential for enhancing motor and sensory functions, their combined effects are not well understood.
Objective: This study aimed to evaluate the combined effects of aquatic therapy and tDCS on knee proprioception and gait speed in older women with KOA.
Behav Neurosci
September 2025
Neurophotonics Center, Boston University.
The ability to engage in everyday tasks, such as walking, requires the integration of cognitive and motor processes. How these processes integrate may be discernable through the relation of brain activity patterns to behavioral performance, particularly in the prefrontal cortex (PFC), examination of which has been restricted because of the limitations in experimental design. We related behavior (cognition, walking) to brain activity, as measured by functional near-infrared spectroscopy, under dual-task conditions (cognition while walking) in healthy young adults.
View Article and Find Full Text PDFDisabil Rehabil
August 2025
School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Purpose: Investigate the reliability of balance and walking assessments undertaken remotely telehealth in people with PD.
Material And Methods: Thirty people with mild-to-moderate PD and 15 older adults performed 14 tests of balance and walking twice between 7 and 14 days: (i) in-person and (ii) remotely videoconference. The tests included items from the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Timed-Up-And-Go (TUG) test simple and dual-task.
Sci Rep
August 2025
Physical Therapy Department, Rehabilitation Faculty, Tehran University of Medical Sciences, P. O. Box: 16535-188, Tehran, Iran.
Falls pose a significant health risk for older adults, with most incidents occurring during dual-task situations-when walking is combined with a secondary cognitive task. Reducing cognitive-motor interference and attentional demands during walking is therefore a key goal in effective fall-prevention and rehabilitation programs. High-definition transcranial direct current stimulation (HD-tDCS) is an emerging neuromodulation technique that may support this goal by enhancing neural efficiency.
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