Electric brain stimulation may prevent falls in the elderly – study

Non-invasive, mild stimulation of a specific brain region in older adults improves their ability to maintain balance and walk safely while performing other cognitively demanding tasks, according to a new study. Study by researchers from Tel Aviv University.
The researchers, led by Professor Jeffrey Hausdorff from the Sackler Faculty of Medicine, the Sagol School of Neuroscience and Tel Aviv Sourasky Medical Center, and Dr Brad Manor of Harvard Medical School, tested 57 people around the world. 70. the age of.

Each of them was tested with four different treatments: sham, to elicit no effect, but to cancel out any placebo effect, stimulation of a cognitive region of the brain (DLPFC) that Attention is responsible for splitting, the stimulation of the sensory-motor area of ​​the brain that contributes to the regulation of walking and the simultaneous stimulation of both areas – motor and cognitive – simultaneously. Each treatment consisted of non-invasive stimulation using a very low-intensity electric current for 20 min. Immediately after cessation of treatment, each subject’s walking and standing sway was assessed, with and without a request to perform a cognitive task.

The results showed that stimulation of the cognitive area, whether alone or in conjunction with stimulation of the motor area, reduced the negative effects of cognitive function on walking and standing stability by about 50%. On the other hand, sensory-motor area stimulation and sham stimulation alone did not improve subjects’ performance. The investigators explained that, since the stimulation is gentle, it does not activate the brain’s neurons, but only increases their excitability, which then facilitates the patient’s ability to activate those neurons in their brain.

Professor Hausdorf explained, “Dual tasks that involve walking while simultaneously performing a cognitive task, such as on a cellphone or talking with a partner, occur frequently throughout the day.” “The ability to divide attention is required for the concurrent performance of two tasks. We know that in older people, difficulty performing one task while walking or standing may be related to an existing and/or potential problem related to both tasks.” There are several serious and undesirable consequences of falls for older adults. We sought to examine the benefits of very low-intensity, non-invasive electrical stimulation of different parts of the brain, Hoping that this may improve their ability to perform both tasks simultaneously in a safe way.”

Image of the results of an experiment conducted by TAU researchers.  (credit: Courtesy/Tel Aviv University)Image of the results of an experiment conducted by TAU researchers. (credit: Courtesy/Tel Aviv University)

“This treatment is safe, and we hope that, over time, people will be able to self-treat in their homes,” he said. “Additionally, we see the possibility of combining this type of therapy with exercise and other methods of intervention Which can help improve walking, enhance thinking, and reduce the risk of falls. There is evidence that combined therapy may prove to be the most effective solution, but further research is needed to investigate this.”

The study team included investigators from Harvard University, the Institute for Research and Medicine in the US and Spain, and the Tel Aviv Sorasky Medical Center (Ichilov). The study was published in history of neurology, Journal of the American Neurological Association. The research was funded by a grant from the US-Israel Binational Science Foundation.