Motor-Cognitive Neural Network Communication Underlies Walking Speed in Community-Dwelling Older Adults

Published on July 17, 2019

While walking was once thought to be a highly automated process, it requires higher-level cognition with older age. Like other cognitive tasks, it also becomes further challenged with increased cognitive load (e.g., the addition of an unrelated dual task) and often results in poorer performance (e.g., slower speed). It is not well known, however, how intrinsic neural network communication relates to walking speed, nor to this “cost” to gait performance; i.e., “dual-task cost”. The current study investigates the relationship between network connectivity, using resting-state functional MRI (fMRI), and individual differences in older adult walking speed. Fifty participants (35 female; 84±4.5 years) from the MOBILIZE Boston Study cohort underwent an MRI protocol and completed a gait assessment during two conditions: walking quietly at a preferred pace and while concurrently performing a serial subtraction task. Within and between neural network connectivity measures were calculated from resting-state fMRI and were correlated with walking speeds and the dual-task cost (i.e., the percent change in speed between conditions). Among the fMRI correlates, faster walking was associated with increased connectivity between motor and cognitive networks and decreased connectivity between limbic and cognitive networks. Smaller dual-task cost was associated with increased connectivity within the motor network and increased connectivity between the ventral attention and executive networks. These findings support the importance of both motor network integrity as well as inter-network connectivity amongst higher-level cognitive networks in older adults’ ability to maintain mobility, particularly under dual-task conditions.

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