Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan.
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Gerontol B Psychol Sci Soc Sci. 2019 Oct 4;74(8):1326-1334. doi: 10.1093/geronb/gby073.
Restricted central processing in older adults prevents optimization of a dual task with a flexible prioritization strategy. This study investigated the neural mechanisms of task-priority in young and older adults when performing a posture-motor dual-task.
Sixteen healthy young and 16 older adults performed a force-matching task on a mobile-platform under posture-focus (PF) and supraposture-focus (SF) conditions. The platform movement, force-matching performance, and event-related potentials in the preparatory period were recorded.
For the elders, the postural stability and force-matching accuracy using the PF strategy were inferior to those using the SF strategy; whereas, the dual-task performances of the young adults were less affected by the prioritization. Only the elders exhibited the P1 wave, with the PF strategy associated with a smaller P1 and larger P1 than the SF strategy in the sensorimotor-parietal and right frontotemporal areas, respectively. The PF strategy also led to a larger P2 wave in the right frontotemporal area of elders, but a greater P2 wave in the sensorimotor-parietal area of young adults.
For both prioritization strategies, older adults entailed a longer preparatory process than younger adults. Dual-task performance of older adults was more vulnerable to PF strategy, underlying compensatory resource allocation in the preparatory period for resolution of dual-task interference due to degenerated frontal function.
老年人中枢处理受限会妨碍采用灵活的优先级策略对双重任务进行优化。本研究旨在探究在执行姿势-运动双重任务时,年轻和老年成年人的任务优先级的神经机制。
16 名健康的年轻成年人和 16 名老年成年人在姿势聚焦(PF)和超姿势聚焦(SF)条件下在移动平台上进行力量匹配任务。记录平台运动、姿势稳定性和预备期内的力匹配性能及事件相关电位。
对于老年人,PF 策略下的姿势稳定性和力匹配精度均劣于 SF 策略;而年轻成年人的双重任务表现受优先级的影响较小。仅老年人在感觉运动顶叶和右侧额颞叶区表现出 P1 波,PF 策略下的 P1 波小于 SF 策略,P1 波大于 SF 策略。PF 策略还导致老年人右侧额颞叶区的 P2 波增大,但年轻成年人感觉运动顶叶区的 P2 波增大。
对于两种优先级策略,老年人的预备过程均长于年轻人。老年人的双重任务表现更容易受到 PF 策略的影响,这表明由于额前功能退化,老年人在预备期内为解决双重任务干扰而进行了代偿性资源分配。