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Updated: Nov 28, 2025

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Is impaired dopaminergic function associated with mobility capacity in older adults?
Simon Moskowitz1, David W Russ1,2,3, Leatha A Clark1,4,5
1Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, 250 Irvine Hall, Athens, OH, 45701, USA.
Aging impacts mobility, with the nervous system playing a key role. Research suggests the basal ganglia and dopamine function are linked to age-related movement slowness in older adults.
Area of Science:
- Neuroscience
- Gerontology
- Movement Science
Background:
- Mobility is crucial for independence and declines with age, often linked to negative health outcomes.
- While musculoskeletal factors were traditionally studied, the nervous system's role in age-related mobility decline is increasingly recognized.
Purpose of the Study:
- To investigate the contribution of the basal ganglia and dopaminergic function to age-related reductions in mobility.
- To explore behavioral, genetic, and neuroimaging evidence supporting this link.
Main Methods:
- Analysis of an existing dataset using four complementary approaches.
- Examined central activation of ballistic force, catecholamine-O-methyl-transferase (COMT) genotype, movement speed as a trait, and functional connectivity within the medial orbitofrontal (mOFC) cortico-striatal network.
Main Results:
- Slower central activation of ballistic force correlated with worse mobility in older adults.
- An intermediate COMT genotype (Val/Met), affecting dopamine degradation, was associated with better mobility.
- Movement speed across tasks was a stable attribute in older adults.
- Functional connectivity in the mOFC cortico-striatal network related to mobility measures.
Conclusions:
- The basal ganglia and its dopaminergic function are implicated in age-related mobility decline.
- Deterioration in the mOFC cortico-striatal network may be a neural mechanism underlying impaired mobility in aging.
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