Cortical activity during walking and balance tasks in older adults and in people with Parkinson's disease: A structured review.
Cortical activity during walking and balance tasks in older adults and in people with Parkinson's disease: A structured review.
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DOI：
10.1016/j.maturitas.2018.04.011
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发表时间：
2018-07
期刊：
影响因子：
4.9
通讯作者：
Mancini M
中科院分区：
文献类型：
--
作者：
Stuart S;Vitorio R;Morris R;Martini DN;Fino PC;Mancini M
一个新兴的文学机构研究了在老年人和帕金森氏病（PD）参与者的行走和平衡任务过程中的皮质活动，特别是使用功能性近红外光谱（fNIRS）或脑电图（EEG）设备。本综述旨在概述这一发展中领域，以告知行走或平衡缺陷的疾病特异性机制。检索Medline、PubMed、PsychInfo和Scopus数据库。综述者筛选了描述老年人和PD患者在行走和平衡任务期间皮质活动的文章。在初始产出566项研究后，纳入了37篇全文文章进行综述。这篇综述总结了研究结果，增加皮质活动似乎需要老年人和进一步PD参与者执行行走和平衡任务，但具体的激活模式取决于任务的需求。研究将皮质激活归因于自动运动控制中潜在的年龄或PD相关缺陷的补偿机制。然而，从报告的广泛的研究方案、工具、感兴趣区域、结局和结局解释来看，所审查的研究缺乏标准化。不标准的数据收集、处理和报告限制了研究结果的临床相关性和解释。未来的工作，以标准化的方法，在步行和平衡任务中的老年人和PD人群与fNIRS和EEG系统的皮质活动测量是必要的，这将允许直接的结果比较，并确保强大的数据收集/报告。基于这些综述文章，我们提供了临床和未来研究的建议。
An emerging body of literature has examined cortical activity during walking and balance tasks in older adult and Parkinson’s disease (PD) participants, specifically using functional near infrared spectroscopy (fNIRS) or electroencephalography (EEG) devices. This review aimed to provide an overview of this developing area, in order to inform disease-specific mechanisms underlying walking or balance deficits. Medline, PubMed, PsychInfo and Scopus databases were searched. Articles that described cortical activity during walking and balance tasks in older adults and those with PD were screened by the reviewers. Thirty-seven full-text articles were included for review, following an initial yield of 566 studies. This review summarizes study findings, where increased cortical activity appears to be required for older adults and further for PD participants to perform walking and balance tasks, but specific activation patterns vary depending upon task-demands. Studies attributed cortical activation to compensatory mechanisms for underlying age-or PD-related deficits in automatic movement control. However, a lack of standardization within the reviewed studies was evident from the wide range of study protocols, instruments, regions of interest, outcomes and interpretation of outcomes that were reported. Unstandardized data collection, processing and reporting limited the clinical relevance and interpretation of study findings. Future work to standardize approaches to cortical activity measurement during walking and balance tasks in older adult and PD populations with fNIRS and EEG systems is needed, which will allow direct results comparison and ensure robust data collection/reporting. Based on the reviewed articles we provide clinical and future research recommendations.
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