Key result
Faster gait speed correlated with stronger functional connectivity within the frontoparietal control network (R=0.61), while less gait variability correlated with stronger negative connectivity between the dorsal attention and default networks (R=0.78).
Cross-Sectional (n=12)
No
Effect estimate: R = 0.61
p-value: p=0.04
Gait speed and gait variability are associated with distinct functional brain networks in older adults with slow gait and executive dysfunction.
Gait metrics may index network integrity in aging; hypothesis-generating and should not yet change practice.
Gait speed and gait variability are clinically-meaningful markers of locomotor control that are suspected to be regulated by multiple supraspinal control mechanisms. The purpose of this study was to evaluate the relationships between these gait parameters and the functional connectivity of brain networks in functionally-limited older adults. Twelve older adults with mild-to-moderate cognition “executive” dysfunction and relatively slow gait, yet free from neurological diseases, completed a gait assessment and a resting state fMRI. Gait speed and variability were associated with the strength of functional connectivity of different brain networks. Those with faster gait speed had stronger functional connectivity within the frontoparietal control network (R=0.61, p=0.04). Those with less gait variability (i.e., steadier walking patterns) exhibited stronger negative functional connectivity between the dorsal attention network and the default network (R=0.78, p<0.01). No other significant relationships between gait metrics and the strength of within- or between- network functional connectivity was observed. Results of this pilot study warrant further investigation to confirm that gait speed and variability are linked to different brain networks in vulnerable older adults.
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Lo et al. (2017) conducted a cross-sectional in Mild-to-moderate cognitive executive dysfunction and slow gait (n=12). Gait speed and gait variability was evaluated on Correlation between gait speed and functional connectivity within the frontoparietal control network (R = 0.61, p=0.04). Faster gait speed correlated with stronger functional connectivity within the frontoparietal control network (R=0.61), while less gait variability correlated with stronger negative connectivity between the dorsal attention and default networks (R=0.78).
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