Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop

Manuel Montero-Odasso¹, Louis Bherer², Stephanie Studenski³, Karen Gopaul⁴, Afua Oteng-Amoako⁴, Sarah Woolmore-Goodwin⁵, Paul Stoole⁶, Jennie Wells⁵, Timothy Doherty⁶, Aleksandra A Zecevic⁷, David Galinsky⁸, R Jane Rylett⁹, Jeffrey Jutai¹⁰, Susan Muir-Hunter¹¹, Mark Speechley¹², Richard Camicioli¹³

Affiliations

¹ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON; ; Division of Geriatric Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON; ; Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON;
² Department of Psychology and PERFORM Center, Concordia University, Montreal, QC;
³ Translational Gerontology Branch Longitudinal Studies Section, National Institute on Aging, Bethesda, MA, USA;
⁴ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON;
⁵ Division of Geriatric Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON;
⁶ Department of Physical Medicine and Rehabilitation, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON;
⁷ School of Health Studies, University of Western Ontario, London, ON;
⁸ Ben-Gurion University of the Negev, Beer-Sheva, Israel;
⁹ Department of Physiology and Pharmacology, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON;
¹⁰ Faculty of Health Sciences, Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON;
¹¹ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON; ; School of Health Studies, University of Western Ontario, London, ON;
¹² Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON;
¹³ Faculty of Medicine and Dentistry, Department of Medicine, Division of Neurology, University of Alberta, Edmonton, AB.

PMID: 26495050
PMCID: PMC4597816
DOI: 10.5770/cgj.18.188

Review

Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop

Manuel Montero-Odasso et al. Can Geriatr J. 2015.

. 2015 Sep 30;18(3):159-67.

doi: 10.5770/cgj.18.188. eCollection 2015 Sep.

Authors

Affiliations

¹ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON; ; Division of Geriatric Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON; ; Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON;
² Department of Psychology and PERFORM Center, Concordia University, Montreal, QC;
³ Translational Gerontology Branch Longitudinal Studies Section, National Institute on Aging, Bethesda, MA, USA;
⁴ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON;
⁵ Division of Geriatric Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON;
⁶ Department of Physical Medicine and Rehabilitation, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON;
⁷ School of Health Studies, University of Western Ontario, London, ON;
⁸ Ben-Gurion University of the Negev, Beer-Sheva, Israel;
⁹ Department of Physiology and Pharmacology, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON;
¹⁰ Faculty of Health Sciences, Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON;
¹¹ Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, University of Western Ontario, London, ON; ; School of Health Studies, University of Western Ontario, London, ON;
¹² Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON;
¹³ Faculty of Medicine and Dentistry, Department of Medicine, Division of Neurology, University of Alberta, Edmonton, AB.

PMID: 26495050
PMCID: PMC4597816
DOI: 10.5770/cgj.18.188

Abstract

Background: The annual Scientific Meeting of the Canadian Association on Gerontology was held on October 24 and 25, 2008 in London, Ontario. Prior to the annual meeting, mobility and cognition experts met on October 23, 2008 to engage in a pre-conference workshop.

Methods: Discussions during the workshop addressed novel areas of research and knowledge and research gaps pertaining to the interaction between mobility and cognition in seniors.

Results: Workshop presenters moved from the neuromuscular, biomechanics, and neurology of gait impairments, and falls through the role of cognition and mood on mobility regulation to the whole person in the environment. Research gaps were identified.

Conclusions: Despite a consensus that mobility and cognition are increasingly correlated as people age, several gaps in our understanding of mechanisms and how to assess the interaction were recognized. The gaps originally identified in 2008 are still pertinent today. Common and standardized assessments for "mobility and cognition" are still not in place in current practice. Interventions that target mobility and cognitive decline as a single entity are still lacking.

Keywords: MCI; Parkinson’s disease; dual-task gait; executive function; exercises; falls; gait variability; mobility.

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Figures

**FIGURE 1.**
Key points, gaps encountered, and future actions discussed in the workshop

See this image and copyright information in PMC

References

1. Lewin R, Foley R. Principles of human evolution. 2nd ed. Malden, MA: Blackwell Publishing Inc.; 2003.
1. Montero-Odasso M, Hachinski V. Preludes to brain failure: executive dysfunction and gait disturbances. Neurol.Sci. 2014;35(4):601–04. - PubMed
1. A Profile of Disability in Canada, 2001. Ottawa: Statistic Canada; 2007. Available from: http://www.statcan.gc.ca/pub/89-577-x/index-eng.htm.
1. Montero-Odasso M, Verghese J, Beauchet O, et al. Gait and cognition: a complementary approach to understanding brain function and the risk of falling. J Am Geriatr Soc. 2012;60(11):2127–36. - PMC - PubMed
1. Boyle PA, Wilson RS, Aggarwal NT, et al. Mild cognitive impairment: risk of Alzheimer disease and rate of cognitive decline. Neurology. 2006;67(3):441–45. doi: 10.1212/01.wnl.0000228244.10416.20. - DOI - PubMed

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Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop

Affiliations

Mobility and Cognition in Seniors. Report from the 2008 Institute of Aging (CIHR) Mobility and Cognition Workshop

Authors

Affiliations

Abstract

Figures

References

Publication types

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

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