Key result
Dual-task walking increases motor and prefrontal cortical activity, but this adaptation diminishes after age 75.
Why the study?
Walking while performing additional tasks becomes more difficult with aging, and the effects of dual-tasking and increased walking speed on cortical activation in different elderly age groups are not well understood.
Does dual-tasking and increased walking speed affect cortical activation differently in young-old versus old-old elderly individuals?
Cross-Sectional (n=50)
No
Does dual-tasking and increased walking speed affect cortical activation differently in young-old versus old-old elderly individuals?
p-value: p=<0.05
Changes in cortical activity during dual-task walking are lower in the old-old compared to the young-old, reflecting reduced adaptive plasticity with advanced aging.
Reduced cortical adaptation during dual-task walking in the old-old warrants fall-risk caution; leaves open whether interventions can enhance plasticity in severe aging.
In the elderly, walking while simultaneously engaging in other activities becomes more difficult. This study aimed to examine the changes in cortical activity during walking with aging. We try to reveal the effects of an additional task and increased walking speed on cortical activation in the young-old and the old-old elderly. Twenty-seven young-old (70.2 ± 3.0 years) and 23 old-old (78.0 ± 2.3 years) participated in this study. Each subject completed four walking tasks on the treadmill, a 2 × 2 design; two single-task (ST) walking conditions with self-selected walking speed (SSWS) and fast walking speed (FWS), and two dual-task (DT) walking conditions with SSWS and FWS. Functional near-infrared spectroscopy was applied for measurement of cerebral oxyhemoglobin (oxyHb) concentration during walking. Cortical activities were increased during DT conditions compared with ST conditions but decreased during the FWS compared with the SSWS on the primary leg motor cortex, supplementary motor area, and dorsolateral prefrontal cortex in both the young-old and the old-old. These oxyHb concentration changes were significantly less prominent in the old-old than in the young-old. This study demonstrated that changes in cortical activity during dual-task walking are lower in the old-old than in the young-old, reflecting the reduced adaptive plasticity with severe aging.
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Kim et al. (2021) conducted a cross-sectional in Healthy aging (n=50). Dual-task walking and fast walking speed vs. Single-task walking and self-selected walking speed was evaluated on Changes in cortical activity (oxyhemoglobin concentration) measured by fNIRS (p=<0.05). Dual-task walking increased cortical activity in motor and prefrontal areas compared to single-task walking, but this adaptive cortical activation was significantly less prominent in old-old adults (75-84 years) than in young-old adults (65-74 years).
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