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September 24, 2024Psychiatry Research NeuroimagingOpen Access

(Interfering) Cortical mechanisms of standing balance and cognition in old-age depression: A functional near-infrared spectroscopy (fNIRS) study

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Key result

Older patients with major depressive disorder tended to show higher motor cortex activation during standing balance compared to healthy controls, particularly during dual tasks.

Why the study?

Major depressive disorder in old age can cause changes in the cerebral cortex that might lead to postural imbalance and increase fall risk.

Does major depressive disorder in old age affect cortical activation during standing balance and dual tasks compared to healthy controls?

Population

Eleven older patients (age ≥65 years) with major depressive disorder and sixteen age-matched healthy controls

Comparison

Depressed older patients vs healthy controls under single vs dual task

Authors

PTPia ThönnessenLBLeo Cornelius BollheimerRWTH Aachen UniversityMLMichael LuehrsMaastricht University

Discussion

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Overview

May indicate compensatory mechanisms in late-life depression; hypothesis-generating and requires prospective validation before clinical relevance.

Study Design

Type

Case-Control (n=27)

Structured PICO

Does major depressive disorder in old age affect cortical activation during standing balance and dual tasks compared to healthy controls?

P
Population
27 older adults (age ≥65 years), including 11 with major depressive disorder and 16 age-matched healthy controls, assessed for cortical activation during standing balance.
E
Exposure
Standing balance with eyes closed under single and dual task (counting backwards) assessed by functional near-infrared spectroscopy (fNIRS)
C
Comparator
Age-matched healthy controls; single task vs dual task
O
Outcome
Cortical activation of the prefrontal (PFC) and motor (MC) cortexsurrogate

Older patients with depression may require increased cortical activation to perform motor and cognitive tasks compared to healthy controls, suggesting a compensatory mechanism.

Limitations

  • small participant number
  • too simple task conditions
  • possibly too simple task conditions

Cite This Study

Thönnessen et al. (2024) conducted a case-control in Major depressive disorder in old age (n=27). Major depressive disorder vs. Healthy controls was evaluated on Cortical activation of the prefrontal (PFC) and motor (MC) cortex during standing balance with eyes closed under single and dual task. Older patients with major depressive disorder tended to show higher motor cortex activation during standing balance compared to healthy controls, particularly during dual tasks.

synapsesocial.com/papers/6a996660bb742e5820bd4673https://doi.org/10.1016/j.pscychresns.2024.111905
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Age-Related Differences in Stepping Reactions to a Balance Perturbation: A Functional Near-Infrared Spectroscopy and Surface Electromyography Study2022 · 9 citations
  2. 2Brain activations during motor imagery of locomotor‐related tasks: A PET study2003 · 469 citations
  3. 3Reduced frontopolar brain activation characterizes concussed athletes with balance deficits2020 · 22 citations
  4. 4Role of the Frontal Cortex in Standing Postural Sway Tasks While Dual-Tasking: A Functional Near-Infrared Spectroscopy Study Examining Working Memory Capacity2016 · 69 citations
  5. 5Systematic review of fNIRS studies reveals inconsistent chromophore data reporting practices2022 · 75 citations