Covid-19 and Priorities for Research in Aging.

This article describes priority areas for research on the impact of the Covid-19 pandemic on older adults that have been identified by the CIHR Institute of Aging (CIHR-IA). The process used by CIHR-IA consists of several iterative phases and thus far has resulted in identification of three key areas for Covid-19 research needs and four cross-cutting thematic areas. The key research priority areas are as follows: response of older adults to disease, vaccination, and therapeutics; mental health and isolation; and supportive care environments. The four cross-cutting themes are equity, diversity, and inclusion (EDI); ethical/moral considerations; evidence-informed practices; and digital health technologies. The priorities outlined in this article will inform CIHR-IA's responses to Covid-19 research needs.

La COVID-19 et les priorités de recherche sur le vieillissement.

Cet article présente les domaines prioritaires de recherche sur les impacts de la pandémie de COVID-19 chez les personnes âgées telles qu'ils ont été identifiés par l'Institut du vieillissement des IRSC (IV-IRSC). Le processus utilisé par l'IV-IRSC a comporté plusieurs phases itératives qui ont permis d'identifier trois secteurs prioritaires parmi les besoins de la recherche relative à la COVID-19, et quatre axes thématiques transversaux. Les secteurs de recherche prioritaires sont : 1) la réponse des personnes âgées à la maladie, à la vaccination et aux traitements, 2) la santé mentale et l'isolement, et 3) les milieux de soins soutenants. Les quatre thèmes transversaux sont : a) l'Équité, la diversité et l'inclusion (EDI), b) les considérations éthiques et morales, c) les pratiques fondées sur les données probantes, et d) les technologies numériques de la santé. Les priorités décrites dans cet article guideront les réponses de l'IV-IRSC aux besoins de la recherche sur la COVID-19.

Crossmodal Processing of Haptic Inputs in Sighted and Blind Individuals.

In a previous behavioral study, it was shown that early blind individuals were superior to sighted ones in discriminating two-dimensional (2D) tactile angle stimuli. The present study was designed to assess the neural substrate associated with a haptic 2D angle discrimination task in both sighted and blind individuals. Subjects performed tactile angle size discriminations in order to investigate whether the pattern of crossmodal occipital recruitment was lateralized as a function of the stimulated hand. Task-elicited activations were also compared across different difficulty levels to ascertain the potential modulatory role of task difficulty on crossmodal processing within occipital areas. We show that blind subjects had more widespread activation within the right lateral and superior occipital gyri when performing the haptic discrimination task. In contrast, the sighted activated the left cuneus and lingual gyrus more so than the blind when performing the task. Furthermore, activity within visual areas was shown to be predictive of tactile discrimination thresholds in the blind, but not in the sighted. Activity within parietal and occipital areas was modulated by task difficulty, where the easier angle comparison elicited more focal occipital activity along with bilateral posterior parietal activity, whereas the more difficult comparison produced more widespread occipital activity combined with reduced parietal activation. Finally, we show that crossmodal reorganization within the occipital cortex of blind individuals was primarily right lateralized, regardless of the stimulated hand, supporting previous evidence for a right-sided hemispheric specialization of the occipital cortex of blind individuals for the processing of tactile and haptic inputs.

A study of brain white matter plasticity in early blinds using tract-based spatial statistics and tract statistical analysis.

Early blind individuals are known to exhibit structural brain reorganization. Particularly, early-onset blindness may trigger profound brain alterations that affect not only the visual system but also the remaining sensory systems. Diffusion tensor imaging (DTI) allows in-vivo visualization of brain white matter connectivity, and has been extensively used to study brain white matter structure. Among statistical approaches based on DTI, tract-based spatial statistics (TBSS) is widely used because of its ability to automatically perform whole brain white matter studies. Tract specific analysis (TSA) is a more recent method that localizes changes in specific white matter bundles. In the present study, we compare TBSS and TSA results of DTI scans from 12 early blind individuals and 13 age-matched sighted controls, with two aims: (a) to investigate white matter alterations associated with early visual deprivation; (b) to examine the relative sensitivity of TSA when compared with TBSS, for both deficit and hypertrophy of white matter microstructures. Both methods give consistent results for broad white matter regions of deficits. However, TBSS does not detect hypertrophy of white matter, whereas TSA shows a higher sensitivity in detecting subtle differences in white matter colocalized to the posterior parietal lobe.

The adaptive aging brain: evidence from the preservation of communication abilities with age.

Neurofunctional reorganization with age is suspected to occur for many cognitive components including communication abilities. Several functional neuroimaging studies of elderly individuals have reported the occurrence of an interhemispheric neurofunctional reorganization characterized by more bilateral activation patterns. Other studies have indicated that the preservation of some other cognitive abilities is associated with some intrahemispheric reorganization following either a posterior-anterior or an anterior-posterior shift in aging. Interestingly, other studies have shown that age-related neurofunctional reorganization is task-load-dependent. Taken together, these studies suggest that neurofunctional reorganization in aging is based on a more dynamic, flexible and adaptive neurofunctional process than previously proposed. This review summarizes the different factors that are thought to support the preservation of the semantic processing of words in aging, and highlights a multidetermined and complex set of processes such as the nature of the specific cognitive processes, task complexity and cognitive strategy, characterizing the neurofunctional reorganization in aging that allows for optimal cognitive abilities. In so doing, it provides the background for future study looking at the neurofunctional dimensions of the impact of neurodegenerative diseases on cognitive abilities.

Tactile acuity in the blind: a closer look reveals superiority over the sighted in some but not all cutaneous tasks.

Previous studies have shown that blind subjects may outperform the sighted on certain tactile discrimination tasks. We recently showed that blind subjects outperformed the sighted in a haptic 2D-angle discrimination task. The purpose of this study was to compare the performance of the same blind (n=16) and sighted (n=17, G1) subjects in three tactile discrimination tasks dependent solely on cutaneous inputs from the fingertip of the index finger, D2. A second group of sighted subjects (n=30, G2) were also tested. Texture discrimination thresholds were 0.62 (G1)-0.80 mm (G2) for the sighted subjects, and 0.64 mm for the blind (standard, 2mm spatial period). Grating orientation thresholds were 0.99 (G1)-1.12 mm (G2) for the sighted subjects, and 0.96 mm for the blind. Finally, vibrotactile frequency discrimination thresholds (100 Hz standard) were 19.5 (G2) and 20.0 Hz (G1) for the sighted, and 16.5 Hz for the blind subjects. There were no significant differences in performance between the blind and the sighted subjects for the grating orientation or vibrotactile frequency discrimination tasks. In contrast, blind subjects outperformed the sighted for the texture discrimination task (G2 only), possibly reflecting the fact that the raised dot surfaces were similar to the dots forming Braille characters (all were fluent Braille readers).

Ipsilateral cortical representation of tactile and painful information in acallosal and callosotomized subjects.

Previous studies have shown that unilateral painful but not tactile stimulation produces ipsilateral cortical activation in callosotomized patients. Here, we used functional magnetic resonance imaging (fMRI) to compare activation evoked by tactile and thermal pain stimulation in two individuals with callosal agenesis, one callosotomized patient, and six control subjects. Bilateral tactile activation was found in S1 and/or S2 of both hemispheres in control and acallosal subjects whereas no ipsilateral activation was detected in these structures in the callosotomized participant. In contrast, although there was some inter-individual variability in the pattern of responses to pain, all subjects including the callosotomized patient showed ipsilateral responses in at least two of the target pain-related areas (S1, S2, insula and/or cingulate cortex). These findings are consistent with the plasticity of the touch system in callosal agenesis and further confirm that ipsilateral activation of pain-related regions does not require the integrity of the corpus callosum.

Tactile acuity in the blind: a psychophysical study using a two-dimensional angle discrimination task.

Growing evidence suggests that blind subjects outperform the sighted on certain tactile discrimination tasks depending on cutaneous inputs. The purpose of this study was to compare the performance of blind (n = 14) and sighted (n = 15) subjects in a haptic angle discrimination task, depending on both cutaneous and proprioceptive feedback. Subjects actively scanned their right index finger over pairs of two-dimensional (2-D) angles (standard 90 degrees ; comparison 91-103 degrees ), identifying the larger one. Two exploratory strategies were tested: arm straight or arm flexed at the elbow so that joint movement was, respectively, mainly proximal (shoulder) or distal (wrist, finger). The mean discrimination thresholds for the sighted subjects (vision occluded) were similar for both exploratory strategies (5.7 and 5.8 degrees , respectively). Exploratory strategy likewise did not modify threshold in the blind subjects (proximal 4.3 degrees ; distal 4.9 degrees ), but thresholds were on average lower than for the sighted subjects. A between-group comparison indicated that blind subjects had significantly lower thresholds than did the sighted subjects, but only for the proximal condition. The superior performance of the blind subjects likely represents heightened sensitivity to haptic inputs in response to visual deprivation, which, in these subjects, occurred prior to 14 years of age.

Brain Differences Visualized in the Blind using Tensor Manifold Statistics and Diffusion Tensor Imaging.

Diffusion tensor magnetic resonance imaging (DTI) reveals the local orientation and integrity of white matter fiber structure based on imaging multidirectional water diffusion. Group differences in DTI images are often computed from single scalar measures, e.g., the Fractional Anisotropy (FA), discarding much of the information in the 6-parameter symmetric diffusion tensor. Here, we compute multivariate 6D tensor statistics to detect brain morphological changes in 12 blind subjects versus 14 sighted controls. After Log-Euclidean tensor denoising, images were fluidly registered to a common template. Fluidly-convected tensor signals were re-oriented by applying the local rotational and translational component of the deformation. Since symmetric, positive-definite matrices form a non-Euclidean manifold, we applied a Riemannian manifold version of the Hotelling's T2 test to the logarithms of the tensors, using a log-Euclidean metric. Statistics on the full 6D tensor-valued images outperformed univariate analysis of scalar images, such as the FA and the geodesic anisotropy (GA).

Left-hemisphere-dominant SII activation after bilateral median nerve stimulation.

We used bilateral median nerve stimuli to find out possible hemispheric dominance in the activation of the second somatosensory cortex, SII. Somatosensory evoked fields (SEFs) were recorded from 14 healthy adults (7 right-handed, 7 left-handed) with a 306-channel neuromagnetometer. Electrical stimuli were applied once every 3 s simultaneously either to the left and right median nerves at the wrists or to the palmar skin of both thumbs. Sources of SEFs were modeled with four current dipoles, located in the SI and SII cortices of both hemispheres. The SI activation strengths did not differ between the hemispheres, whereas the SII responses were significantly stronger in the left than in the right hemisphere. In right-handers, the left/right SII ratios were 1.9 and 1.8 for wrist and thumb stimuli, respectively. The corresponding values were 1.5 and 1.7 in left-handers. The results indicate handedness-independent functional specialization of the human SII cortices.