Aging Clinical and Experimental Research

, Volume 25, Issue 5, pp 539–544 | Cite as

Brain activation during dual-task walking and executive function among older adults with mild cognitive impairment: a fNIRS study

  • Takehiko Doi
  • Hyuma Makizako
  • Hiroyuki Shimada
  • Hyuntae Park
  • Kota Tsutsumimoto
  • Kazuki Uemura
  • Takao Suzuki
Original Article


Background and aims

Dual-task walking (DTW) is thought to involve activation of the prefrontal cortex in healthy adults and to be affected by cognitive impairment. However, it is unclear whether prefrontal cortex activation is involved in DTW in older adults with mild cognitive impairment. This study examined brain activation during DTW among older adults with mild cognitive impairment using functional near-infrared spectroscopy.


Sixteen older adults (aged 75.4 ± 7.2 years, women n = 6) performed gait experiments under normal walking and DTW conditions. We used a design with 60-s blocks consisting of a 10-s rest standing as pre-resting period, a 20-s walking task period, and a 30-s rest standing as post-resting period. Walking speed was measured during a 20-s walking task. Changes in oxy-hemoglobin were measured in the prefrontal area during gait experiments.


Walking speed was slower during DTW compared with normal walking (p < 0.001). The oxy-hemoglobin level during DTW was higher than during normal walking (p < 0.001) and was correlated with executive function, as measured by Stroop interference (p < 0.05).


Our findings indicate that DTW is associated with prefrontal activation among older adults with mild cognitive impairment. The brain activation during DTW was correlated with executive function. Additional studies are necessary to elucidate the effects of cognitive impairment on the association between prefrontal activity and walking under various conditions.


Dual-task walking Mild cognitive impairment Functional near-infrared spectroscopy Older adults 


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Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  • Takehiko Doi
    • 1
  • Hyuma Makizako
    • 1
  • Hiroyuki Shimada
    • 1
  • Hyuntae Park
    • 2
  • Kota Tsutsumimoto
    • 1
    • 3
  • Kazuki Uemura
    • 1
  • Takao Suzuki
    • 4
  1. 1.Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social ScienceNational Center for Geriatrics and GerontologyObuJapan
  2. 2.Section for Physical Functioning Activation, Department of Functioning Activation, Center for Gerontology and Social ScienceNational Center for Geriatrics and GerontologyObuJapan
  3. 3.Department of Rehabilitation ScienceKobe University Graduate School of Health SciencesKobeJapan
  4. 4.Research Institute, National Center for Geriatrics and GerontologyObuJapan

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