People With Parkinson’s Disease Exhibit Reduced Cognitive and Motor Cortical Activity When Undertaking Complex Stepping Tasks Requiring Inhibitory Control

2020 ◽  
Vol 34 (12) ◽  
pp. 1088-1098
Author(s):  
Paulo H. S. Pelicioni ◽  
Stephen R. Lord ◽  
Yoshiro Okubo ◽  
Daina L. Sturnieks ◽  
Jasmine C. Menant
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Inhibitory Control ◽  
Near Infrared ◽  
Premotor Cortex ◽  
Cortical Activity ◽  
Cortical Activation ◽  
Functional Near Infrared Spectroscopy ◽  
Dorsolateral Prefrontal ◽  
Motor Cortical

Background People with Parkinson’s disease (PD) have difficulties generating quick and accurate steps in anticipation of and/or in response to environmental hazards. However, neural mechanisms underlying performance in cognitively demanding stepping tasks are unclear. Objective This study compared activation patterns in cognitive and motor cortical regions using functional near-infrared spectroscopy (fNIRS) between people with PD and age-matched healthy older adults (HOA) during stepping tasks. Methods Fifty-two people with PD and 95 HOA performed a simple choice stepping reaction time test (CSRT) and 2 cognitively demanding stepping tests (inhibitory CSRT [iCSRT] and Stroop stepping test [SST]) on a computerized step mat. Cortical activation in the dorsolateral prefrontal cortex (DLPFC), Broca’s area, supplementary motor area (SMA), and premotor cortex (PMC) were recorded using fNIRS. Stepping performance and cortical activity were contrasted between groups and between the CSRT and the iCSRT and SST. Results The PD group performed worse than the HOA in all 3 stepping tests. A consistent pattern of interactions indicated differential hemodynamic responses between the groups. Compared with the CSRT, the PD group exhibited reduced DLPFC activity in the iCSRT and reduced SMA and PMC activity in the SST. The HOA exhibited increased DLPFC, SMA, and PMC activity when performing the SST in comparison with the CSRT task. Conclusions In contrast to the HOA, the PD group demonstrated reduced cortical activity in the DLPFC, SMA, and PMC during the more complex stepping tasks requiring inhibitory control. This may reflect subcortical and/or multiple pathway damage with subsequent deficient use of cognitive and motor resources.

scholarly journals Changes in Prefrontal Cortical Activity During Walking and Cognitive Functions Among Patients With Parkinson's Disease

2020 ◽  
Vol 11 ◽  
Author(s):  
Maud Ranchet ◽  
Isabelle Hoang ◽  
Maxime Cheminon ◽  
Romain Derollepot ◽  
Hannes Devos ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Near Infrared ◽  
Early Stage ◽  
Cortical Activity ◽  
Cognitive Outcomes ◽  
Clinical Population ◽  
Group Status ◽  
Functional Near Infrared Spectroscopy ◽  
Dorsolateral Prefrontal

Background: Walking becomes more and more degraded as Parkinson's Disease (PD) progresses. Previous research examined factors contributing to this deterioration. Among them, changes in brain cortical activity during walking have been less studied in this clinical population.Objectives: This study aimed to: (1) investigate changes in dorsolateral prefrontal cortex (DLPFC) activation during usual walking and dual-task walking conditions in patients with PD; (2) examine the association between cortical activity and behavioral/cognitive outcomes; and (3) explore which factors best predict increased activation of the DLPFC during usual walking.Methods: Eighteen patients with early stage PD and 18 controls performed 4 conditions: (1) standing while subtracting, (2) usual walking, (3) walking while counting forward, and (4) walking while subtracting. Cortical activity in DLPFC, assessed by changes in oxy-hemoglobin (ΔHbO2) and deoxy-hemoglobin (ΔHbR), was measured using functional near infrared spectroscopy (fNIRS). Gait performance was recorded using wearables sensors. Cognition was also assessed using neuropsychological tests, including the Trail Making Test (TMT).Results: DLPFC activity was higher in patients compared to controls during both usual walking and walking while subtracting conditions. Patients had impaired walking performance compared to controls only during walking while subtracting task. Moderate-to-strong correlations between ΔHbO2 and coefficients of variation of all gait parameters were found for usual walking and during walking while counting forward conditions. Part-B of TMT predicted 21% of the variance of ΔHbO2 during usual walking after adjustment for group status.Conclusions: The increased DLPFC activity in patients during usual walking suggests a potential compensation for executive deficits. Understanding changes in DLPFC activity during walking may have implications for rehabilitation of gait in patients with PD.

Cerebral Hemodynamic Responses to the Difficulty Level of Ambulatory Tasks in Patients With Parkinson’s Disease: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 154596832110285
Author(s):  
Jin P. Lin ◽  
Hong S. Feng ◽  
Hua Zhai ◽  
Xia Shen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Near Infrared ◽  
Cognitive Status ◽  
Cortical Activation ◽  
Difficulty Level ◽  
Hemodynamic Responses ◽  
Functional Near Infrared Spectroscopy ◽  
Cerebral Hemodynamic ◽  
Healthy Elderly

Background. Ambulatory tasks are the important components of balance training which effectively improve postural stability and functional activities in persons with Parkinson’s disease (PD). The difficulty level of an ambulatory task is usually set in the form of attention, direction, speed, or amplitude requirement. Objectives. This study aimed to explore the neural mechanisms of cerebral hemodynamic responses to the difficulty level of ambulatory tasks in persons with PD. Methods. We included ten studies that examined cerebral hemodynamic responses during ambulatory tasks at different difficulty levels in persons with PD. The change in hemodynamic responses was synthesized and meta-analyzed. Results. Patients during “ON” medication had higher relative change in oxygenated hemoglobin (ΔHBO2) in the prefrontal cortex in response to difficulty levels of ambulatory tasks, which is comparable to that in healthy elderly individuals. However, patients during “OFF” medication did not show cortical activation in response to difficulty levels. During the lower-difficulty tasks, patients during “ON” medication demonstrated higher ΔHBO2 than healthy elderly participants and patients during “OFF” medication. Factors found to significantly contribute to the heterogeneity across studies included subjects’ type and cognitive status, task duration, setting, and filter used for functional near-infrared spectroscopy (fNIRS) data pre-processing. Conclusions. The findings suggest that ambulatory task at a higher difficulty level could be necessary to train the cortical capacity of PD persons, which should be conducted during “ON” medication; meanwhile, the contributing factors to the heterogeneity of studies would be useful as a reference when designing comparable fNIRS studies.

Cognitive and Motor Dual Task on Multi-area Brain Activation and Gait Performance in Individuals with Parkinson’s Disease

2021 ◽  
Author(s):  
Yan-Ci Liu ◽  
Yea-Ru Yang ◽  
Nai-Chen Yeh ◽  
Pei-Hsin Ku ◽  
Chia-Feng Lu ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Near Infrared ◽  
Cognitive Task ◽  
Premotor Cortex ◽  
Brain Activation ◽  
Functional Near Infrared Spectroscopy ◽  
Gait Performance ◽  
Walking Performance

Abstract Background In people with Parkinson’s disease (PD), gait performance deteriorating during dual task walking compared to single-task walking has been noted in previous studies. However, the effects of different types of dual task on gait performance and brain activation were still unknown. Methods This study investigated the walking performance changes and multi-area brain activities during cognitive and motor dual task walking in people with PD. Twenty-eight participants with PD were recruited and performed single walking (SW), walking while performing a cognitive task (WCT), and walking while performing a motor task (WMT) at their self-selected speed. Gait performance including walking speed, cadence, stride length, stride time, swing cycle, temporal and spatial variability and dual task cost (DTC) were recorded. Brain activation of the prefrontal cortex (PFC), premotor cortex (PMC), and supplementary motor areas (SMA) were measured by functional near-infrared spectroscopy during walking. Results Results showed the walking performance deteriorated upon performing a secondary task, especially the cognitive task. Also, a higher and sustained activation in PMC and SMA during WCT as compared with WMT and SW in the late phase of walking was found. Moreover, gait performance was negatively correlated with PMC and SMA activity during different walking tasks. Conclusions Individuals with PD demonstrated gait deterioration during dual task walking, especially WCT. The SMA and PMC were further activated in people with PD when performing cognitive dual task walking. Trial registrationTCTR20190118010. Registered 18 January 2019, retrospectively registered.

Is Cortical Activation During Walking Different Between Parkinson’s Disease Motor Subtypes?

2020 ◽  
Author(s):  
Diego Orcioli-Silva ◽  
Rodrigo Vitório ◽  
Victor Spiandor Beretta ◽  
Núbia Ribeiro da Conceição ◽  
Priscila Nóbrega-Sousa ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Obstacle Avoidance ◽  
Primary Motor Cortex ◽  
Cortical Activity ◽  
Postural Instability ◽  
Cortical Activation ◽  
Motor Area ◽  
Gait Disorder ◽  
Beta Power

Abstract Parkinson’s disease (PD) is often classified into tremor dominant (TD) and postural instability gait disorder (PIGD) subtypes. Degeneration of subcortical/cortical pathways is different between PD subtypes, which leads to differences in motor behavior. However, the influence of PD subtype on cortical activity during walking remains poorly understood. Therefore, we aimed to investigate the influence of PD motor subtypes on cortical activity during unobstructed walking and obstacle avoidance. Seventeen PIGD and 19 TD patients performed unobstructed walking and obstacle avoidance conditions. Brain activity was measured using a mobile functional near-infrared spectroscopy–electroencephalography (EEG) systems, and gait parameters were analyzed using an electronic carpet. Concentrations of oxygenated hemoglobin (HbO2) of the prefrontal cortex (PFC) and EEG absolute power from alpha, beta, and gamma bands in FCz, Cz, CPz, and Oz channels were calculated. These EEG channels correspond to supplementary motor area, primary motor cortex, posterior parietal cortex, and visual cortex, respectively. Postural instability gait disorder patients presented higher PFC activity than TD patients, regardless of the walking condition. Tremor dominant patients presented reduced beta power in the Cz channel during obstacle avoidance compared to unobstructed walking. Both TD and PIGD patients decreased alpha and beta power in the FCz and CPz channels. In conclusion, PIGD patients need to recruit additional cognitive resources from the PFC for walking. Both TD and PIGD patients presented changes in the activation of brain areas related to motor/sensorimotor areas in order to maintain balance control during obstacle avoidance, being that TD patients presented further changes in the motor area (Cz channel) to avoid obstacles.

scholarly journals Disruption of cortical dopaminergic modulation impairs preparatory activity and delays licking initiation

2018 ◽  
Author(s):  
Ke Chen ◽  
Roberto Vincis ◽  
Alfredo Fontanini
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Cortex ◽  
Neural Activity ◽  
Cortical Activity ◽  
Motor Deficits ◽  
Receptor Modulation ◽  
Dopaminergic Modulation ◽  
Preparatory Activity ◽  
Motor Cortical

ABSTRACTDysfunction of motor cortices is thought to contribute to motor disorders such as Parkinson’s disease (PD). However, little is known on the link between cortical dopaminergic loss, abnormalities in motor cortex neural activity and motor deficits. We address the role of dopamine in modulating motor cortical activity by focusing on the anterior lateral motor cortex (ALM) of mice performing a cued-licking task. We first demonstrate licking deficits and concurrent alterations of spiking activity in ALM of mice with unilateral depletion of dopaminergic neurons (i.e., mice injected with 6-OHDA into the medial forebrain bundle). Hemi-lesioned mice displayed delayed licking initiation, shorter duration of licking bouts, and lateral deviation of tongue protrusions. In parallel with these motor deficits, we observed a reduction in the prevalence of cue responsive neurons and altered preparatory activity. Acute and local blockade of D1 receptors in ALM recapitulated some of the key behavioral and neural deficits observed in hemi-lesioned mice. Altogether, our data show a direct relationship between cortical D1 receptor modulation, cue-evoked and preparatory activity in ALM, and licking initiation.SIGNIFICANCE STATEMENTThe link between dopaminergic signaling, motor cortical activity and motor deficits is not fully understood. This manuscript describes alterations in neural activity of the anterior lateral motor cortex (ALM) that correlate with licking deficits in mice with unilateral dopamine depletion or with intra-ALM infusion of dopamine antagonist. The findings emphasize the importance of cortical dopaminergic modulation in motor initiation. These results will appeal not only to researchers interested in cortical control of licking, but also to a broader audience interested in motor control and dopaminergic modulation in physiological and pathological conditions. Specifically, our data suggest that dopamine deficiency in motor cortex could play a role in the pathogenesis of the motor symptoms of Parkinson’s disease.

scholarly journals 161 Brain Activation Assessed with Functional Near-Infrared Spectroscopy (FNIRS) During Stepping and Gait in Older People and Those with PD

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv34-iv39
Author(s):  
Jasmine Menant ◽  
Paulo Pelicioni ◽  
Yoshiro Okubo ◽  
Colleen Canning ◽  
Daina Sturnieks ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Premotor Cortex ◽  
Brain Activation ◽  
Healthy Adults ◽  
Cortical Activation ◽  
Neural Basis ◽  
Functional Near Infrared Spectroscopy ◽  
Yahr Stage

Abstract Background and Aim Past research has shown that compared with healthy peers, people with Parkinson’s Disease (PD) generate poorer stepping responses and display reduced ability to adapt gait to unexpected targets and obstacles. However, the neural basis of these impairments in PD is unclear. Here, we aimed to investigate cortical activation in pre-frontal and motor areas using functional near-infrared spectroscopy (fNIRS) during stepping and gait adaptability in people with PD, compared with healthy adults. Methods Forty-four people with PD (>40 years, Hoen & Yahr stage 1-3) and 44 healthy age and sex-matched healthy adults performed three cognitively-demanding stepping tasks and a test of gait adaptability. We recorded relative changes in oxy-haemoglobin (HbO) and deoxy-haemoglobin (HbR) concentrations in the dorsolateral prefrontal cortex, supplementary motor area, premotor cortex and primary cortex using fNIRS. Results Data collection is ongoing with >75% participants already assessed. We will conduct between group-comparisons to compare HbO and HbR concentrations in the selected regions of interest in the stepping and the gait adaptability tests. Physical and cognitive predictors of brain activation in each task in each group will also be computed using regression models. Conclusion Based on the results of our recent systematic review of fNIRS-recorded brain activation during walking tasks (1), we hypothesise that compared with healthy-aged matched peers, people with PD will show increased prefrontal and motor cortices activation during stepping and gait adaptability tests. This would suggest that people with PD require more attentional resources for safe walking. Reference (1) Pelicioni et al. Prefrontal cortical activation measured by fNIRS during walking: effects of age, disease and secondary task. Peer J 2019; 7: e6833.

scholarly journals Changes in Cortical Activity during Preferred and Fast Speed Walking under Single- and Dual-Tasks in the Young-Old and Old-Old Elderly

2021 ◽  
Vol 11 (12) ◽  
pp. 1551
Author(s):  
Jinuk Kim ◽  
Gihyoun Lee ◽  
Jungsoo Lee ◽  
Yun-Hee Kim
Keyword(s):  
Dual Task ◽  
Near Infrared ◽  
Walking Speed ◽  
The Elderly ◽  
Cortical Activity ◽  
Cortical Activation ◽  
Adaptive Plasticity ◽  
Functional Near Infrared Spectroscopy ◽  
Concentration Changes ◽  
Young Old

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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