Prefrontal cortex involvement during dual-task stair climbing in healthy older adults: An fNIRS study

Executive function and motor control deficits adversely affect gait performance with age, but the neural correlates underlying this interaction during stair climbing remains unclear. Twenty older adults (72.7 ± 6.9 years) completed single tasks: standing and responding to a response time task (SC),...

Full description

Autores:
Tipo de recurso:
Fecha de publicación:
2021
Institución:
Universidad de Medellín
Repositorio:
Repositorio UDEM
Idioma:
eng
OAI Identifier:
oai:repository.udem.edu.co:11407/5898
Acceso en línea:
http://hdl.handle.net/11407/5898
Palabra clave:
Cognitive aging
Cognitive function
Executive function
Functional near-infrared spectroscopy (fNIRS)
Gait
Neuroimaging
Older adult
Prefrontal cortex (PFC)
Stair climbing
aged
article
cognitive aging
controlled study
executive function
female
functional near-infrared spectroscopy
hemodynamics
human
human experiment
male
neuroimaging
prefrontal cortex
reaction time
stair climbing
walking speed
Rights
License
http://purl.org/coar/access_right/c_16ec
Description
Summary:Executive function and motor control deficits adversely affect gait performance with age, but the neural correlates underlying this interaction during stair climbing remains unclear. Twenty older adults (72.7 ± 6.9 years) completed single tasks: standing and responding to a response time task (SC), ascending or descending stairs (SMup, SMdown); and a dual-task: responding while ascending or descending stairs (DTup, DTdown). Prefrontal hemodynamic response changes (∆HbO2, ∆HbR) were examined using functional near-infrared spectroscopy (fNIRS), gait speed was measured using in-shoe smart insoles, and vocal response time and accuracy were recorded. Findings revealed increased ∆HbO2 (p = 0.020) and slower response times (p < 0.001) during dual-versus single tasks. ∆HbR (p = 0.549), accuracy (p = 0.135) and gait speed (p = 0.475) were not significantly different between tasks or stair climbing conditions. ∆HbO2 and response time findings suggest that executive processes are less efficient during dual-tasks. These findings, in addition to gait speed and accuracy maintenance, may provide insights into the neural changes that precede performance declines. To capture the subtle differences between stair ascent and descent and extend our understanding of the neural correlates of stair climbing in older adults, future studies should examine more difficult cognitive tasks. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.