Open AccessBehavioral and neural correlates of imagined walking and walking‐while‐talking in the elderly
Author(s) -
Blumen Helena M.,
Holtzer Roee,
Brown Lucy L.,
Gazes Yunglin,
Verghese Joe
Publication year - 2014
Publication title -
human brain mapping
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.005
H-Index - 191
eISSN - 1097-0193
pISSN - 1065-9471
DOI - 10.1002/hbm.22461
Subject(s) - gait , neural correlates of consciousness , psychology , precuneus , cognition , motor imagery , neuroimaging , functional magnetic resonance imaging , kinesthetic learning , physical medicine and rehabilitation , cognitive psychology , developmental psychology , neuroscience , electroencephalography , medicine , brain–computer interface
Cognition is important for locomotion and gait decline increases the risk for morbidity, mortality, cognitive decline, and dementia. Yet, the neural correlates of gait are not well established, because most neuroimaging methods cannot image the brain during locomotion. Imagined gait protocols overcome this limitation. This study examined the behavioral and neural correlates of a new imagined gait protocol that involved imagined walking (iW), imagined talking (iT), and imagined walking‐while‐talking (iWWT). In Experiment 1, 82 cognitively‐healthy older adults ( M = 80.45) walked (W), iW, walked while talking (WWT) and iWWT. Real and imagined walking task times were strongly correlated, particularly real and imagined dual‐task times (WWT and iWWT). In Experiment 2, 33 cognitively‐healthy older adults ( M = 73.03) iW, iT, and iWWT during functional magnetic resonance imaging. A multivariate Ordinal Trend (OrT) Covariance analysis identified a pattern of brain regions that: (1) varied as a function of imagery task difficulty (iW, iT and iWWT), (2) involved cerebellar, precuneus, supplementary motor and other prefrontal regions, and (3) were associated with kinesthetic imagery ratings and behavioral performance during actual WWT. This is the first study to compare the behavioral and neural correlates of imagined gait in single and dual‐task situations, an issue that is particularly relevant to elderly populations. These initial findings encourage further research and development of this imagined gait protocol as a tool for improving gait and cognition among the elderly. Hum Brain Mapp 35:4090–4104, 2014 . © 2014 Wiley Periodicals, Inc.