scholarly journals Modifications in Prefrontal Cortex Oxygenation in Linear and Curvilinear Dual Task Walking: A Combined fNIRS and IMUs Study

Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6159
Author(s):  
Valeria Belluscio ◽  
Gabriele Casti ◽  
Marco Ferrari ◽  
Valentina Quaresima ◽  
Maria Sofia Sappia ◽  
...  

Increased oxygenated hemoglobin concentration of the prefrontal cortex (PFC) has been observed during linear walking, particularly when there is a high attention demand on the task, like in dual-task (DT) paradigms. Despite the knowledge that cognitive and motor demands depend on the complexity of the motor task, most studies have only focused on usual walking, while little is known for more challenging tasks, such as curved paths. To explore the relationship between cortical activation and gait biomechanics, 20 healthy young adults were asked to perform linear and curvilinear walking trajectories in single-task and DT conditions. PFC activation was assessed using functional near-infrared spectroscopy, while gait quality with four inertial measurement units. The Figure-of-8-Walk-Test was adopted as the curvilinear trajectory, with the “Serial 7s” test as concurrent cognitive task. Results show that walking along curvilinear trajectories in DT led to increased PFC activation and decreased motor performance. Under DT walking, the neural correlates of executive function and gait control tend to be modified in response to the cognitive resources imposed by the motor task. Being more representative of real-life situations, this approach to curved walking has the potential to reveal crucial information and to improve people’ s balance, safety, and life’s quality.

2021 ◽  
Vol 36 (6) ◽  
pp. 1048-1048
Author(s):  
Daliah Ross ◽  
Mark E Wagshul ◽  
Meltem Izzetoglu ◽  
Roee Holtzer

Abstract Objective Greater intraindividual variability (IIV) in behavioral and cognitive performance is a risk factor for adverse outcomes but research concerning IIV in neural signal is scarce. Using functional near-infrared spectroscopy (fNIRS), we showed that IIV in oxygenated hemoglobin (HbO2) levels in the prefrontal cortex increased from single task (Single-Task-Walk–STW; Single-Task-Alpha–STA) to Dual-Task-Walk (DTW) conditions in older adults. Herein, we predicted that, consistent with the neural inefficiency hypothesis, reduced cortical thickness would be associated with greater increases in IIV in fNIRS-derived HbO2 from single tasks to DTW when adjusting for behavioral performance. Method Participants were right-handed older adults without dementia recruited from the community (N = 55; M(SD) age = 74.84(4.97); %female = 49.1). Neuroimaging included fNIRS for HbO2 levels in the prefrontal cortex during tasks and MRI for cortical thickness. IIV was operationalized using the SD of fNIRS-derived HbO2 observations assessed during a 30-s interval in each experimental condition. Results Moderation analyses, assessed through linear mixed effects models, revealed that in several frontal (p < 0.02), parietal (p < 0.02), temporal (p < 0.01), and occipital (p < 0.01) regions, thinner cortex was associated with greater increases in HbO2 IIV from the single tasks to DTW. Conclusion Reduced cortical thickness was associated with inefficient increases in IIV in fNIRS-derived HbO2 from single tasks to dual-task walking. Worse IIV in gait performance under DTW predicts adverse mobility outcomes. Reduced cortical thickness and worse IIV of fNIRS-derived HbO2 during DTW are possible brain mechanisms that explain the risk of developing mobility impairments in aging and disease populations.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S793-S794
Author(s):  
Manuel E Hernandez

Abstract Mobility impairments are prevalent in older adults. Whereas walking had traditionally been viewed as an autonomous process, evidence over the last decade has shown that cognitive processes such as attention and executive function have a significant impact on gait function in older adults. However, the exact neural mechanisms underlying difficulties in the control of mobility in older adults remains an open question. We examine the changes in the executive control of mobility in older adults with mobility impairments using functional near-infrared spectroscopy, as operationalized by performance in the community balance and mobility scale (CB&M). We hypothesized that prefrontal cortical (PFC) activity increases would be higher in older adults with mobility impairments, compared with older adults without mobility impairment, as dual-task walking difficulty increased. Older adults with (n=10, mean±SD age: 77±8 years, 8 females, CB&M= 58±12) and without mobility impairment (n=14, mean±SD age: 63±9 years, 11 females, CB&M= 87±6) were recruited from the local community. Dual-task walking was performed at a comfortable pace, while the difficulty of the concurrent cognitive task was increased using the modified Stroop test. PFC activity was measured using measures of oxygenated hemoglobin across the PFC. Older adults with mobility impairments demonstrated disproportionate increases in PFC activity, in comparison to those without mobility impairments, as the difficulty of the concurrent cognitive task increased (P<.001), even after controlling for age. In conclusion, these data suggest that older adults with mobility impairments may require greater attentional resources than those without mobility impairments when concurrently performing thinking and walking tasks.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 162-162
Author(s):  
Subashan Perera ◽  
Theodore Huppert ◽  
Jennifer Brach ◽  
Andrea Rosso ◽  
Nemin Chen

Abstract We aimed to test the effects of motor skill training (MST) on gait automaticity measured by changes in prefrontal cortex (PFC) activation during actual walking. We used data from a 12-week trial of older adults (mean age=75.5, 60.5% women) randomized to standard physical therapy and standard+MST in a 1:1 ratio. Functional near infrared spectroscopy (fNIRS) measured PFC activation during simple and dual task walking. We will apply linear mixed models to assess effects of task, time, and MST on PFC activation. We will compare the PFC activation 1) during dual task walking compared to simple walking; 2) across visits after intervention; and 3) between participants receiving MST compared to standard physical therapy. These results will demonstrate whether gait automaticity, as evidenced by PFC activation during walking, is affected by MST.


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Wei-Peng Teo ◽  
Timo Rantalainen ◽  
Helen Macpherson

Abstract In this study, we investigated the effects of walking during single-task and dual-task gait (STG and DTG) conditions, on left prefrontal cortex (LPFC) activation in older adults with subjective memory complaints (SMC) and Dementia. A total of 72 older adults (aged 65-94 yrs; 33 Healthy; 28 SMC; 11 Dementia) were recruited from the community and assisted living facilities. A portable 7m zeno walkway gait analysis mat was used to measure stride, velocity, length and duration during 4 passes of STG and DTG each. A portable single-channel functional near-infrared spectroscopy (fNIRS) device (Portalite, Artinis Medical Systems) was placed over the LPFC to measure changes in oxyhaemoglobin response (O2Hb) during STG and DTG. One-way analysis of variance (ANOVA) with bonferroni post-hoc t-test for multiple comparisons was used to determine differences between groups. Our results showed that stride velocity, duration and length during STG (all p<0.05) and DTG (all p<0.000) were significantly impaired in the Dementia group compared to Healthy and SMC groups, while no significant differences were observed between Healthy and SMC groups. For STG, a greater increase in O2Hb (p<0.05) was observed in the Dementia group compared to the Healthy and SMC groups, while no differences were observed between Healthy and SMC. However, a significant increase and decline in O2Hb was observed during DTG in the SMC and Dementia groups respectively, compared to Healthy. Our findings indicate an altered pattern of cerebral haemodynamic response of the PFC in people with SMC and Dementia that may be indicative of cognitive demands of gait. Our findings may have implications for the use of DTG and fNIRS as a potential early biomarker for cognitive declines in older adults.


Author(s):  
Kazuki Hirao

Purpose: Although flow experience is positively associated with motivation to learn, the biological basis of flow experience is poorly understood. Accumulation of evidence on the underlying brain mechanisms related to flow is necessary for a deeper understanding of the motivation to learn. The purpose of this study is to investigate the relationship between flow experience and brain function using near-infrared spectroscopy (NIRS) during the performance of a cognitive task. Methods: Sixty right-handed occupational therapy (OT) students participated in this study. These students performed a verbal fluency test (VFT) while 2-channel NIRS was used to assess changes in oxygenated hemoglobin concentration (oxygenated hemoglobin [oxy-Hb]) in the prefrontal cortex. Soon after that, the OT students answered the flow questionnaire (FQ) to assess the degree of flow experience during the VFT. Results: Average oxy-Hb in the prefrontal cortex had a significant negative correlation with the satisfaction scores on the FQ. Conclusion: Satisfaction during the flow experience correlated with prefrontal hemodynamic suppression. This finding may assist in understanding motivation to learn and related flow experience.


2021 ◽  
Vol 11 (12) ◽  
pp. 1551
Author(s):  
Jinuk Kim ◽  
Gihyoun Lee ◽  
Jungsoo Lee ◽  
Yun-Hee Kim

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.


2013 ◽  
Vol 19 (3) ◽  
pp. 627-632 ◽  
Author(s):  
Thiago F. Dias Kanthack ◽  
Marcelo Bigliassi ◽  
Leandro Ricardo Altimari

The purpose of this study was to compare the prefrontal cortex (PFC) blood flow variation and time on in males and females while performing a motor task and imagery perspectives. Eighteen right handed subjects (11 males and 7 females) were volunteers to this study. All subjects went through three randomly conditions, a motor task condition (MT) in which they had to do a simple finger tap. The other conditions included practicing imagery in first and third views. During all the conditions, the fNIRS device was attached to the subject forehead to obtain the blood flow; the total time in each task which was measured with a chronometer. No difference had been found in any condition for both sexes in the PFC and time, nor for all subjects integrated in the PFC. Therefore, we conclu-de that both imageries can be used to mentally train a motor task, and probably both sexes can be benefited.


2021 ◽  
Vol 21 (1) ◽  
pp. 36-42
Author(s):  
Shweta Shenoy ◽  
Prachi Khandekar ◽  
Abhinav Sathe

Several neuroimaging studies have examined the effect of different types and combinations of exercises on activation of brain associated with cognitive testing but none of these studies have examined the role of high intensity intermittent exercise (HIIE) in altering cortical activation from simple to complex cognitive tasks.  The purpose of this study was to find if HIIE has a role in modulating executive functions related to inhibitory control as expressed by changes in prefrontal cortex (PFC) activation.  Materials and methods. 40 healthy adults aged between 18-30 years volunteered for the study. They were randomly divided into HIIE a (n = 20) group and a control (n = 20) group. The HIIE group performed 4*4 min of high intensity exercise on a cycle ergometer with 3 minutes of active recovery at lower intensities between the bouts, whereas the control group performed no exercise. Prefrontal hemodynamics (oxy and deoxy haemoglobin) were assessed using functional near infrared spectroscopy (fNIRS) during the Colour Word Stroop test (CWST) on two sessions: pre-session and post-session (1 week after pre-session). Results. The results indicate a significant difference in CWST scores which coincided with a significant difference in hemodynamics of PFC between a congruent and a complex incongruent task in the HIIE group. There was a greater activation of the right frontopolar area, the left ventrolateral prefrontal cortex, and the left frontopolar area during the incongruent task in response to acute HIIE.  Conclusion. HIIE plays a role in changing brain activation during more complex interference related tasks.


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