The role of cognitivo-motor interaction in landmark reliance and navigational deficits in older adults

Abstract

Declining spatial navigation abilities are a critical hallmark of aging, where the loss of spatial abilities precedes global cognitive impairment. While navigational decline is traditionally attributed to deficits in higher-order cognitive functions, emerging cognitive-motor frameworks suggest that age-related sensorimotor alterations play a significant, yet previously overlooked, role. Here, we investigate the coupling between locomotor integrity and navigation by combining an immersive virtual-reality path-integration paradigm with systematic manipulations of landmark availability and reliability, while recording gait kinematics alongside neural dynamics using high-density mobile-EEG from 30 young and 32 older adults. We demonstrate that older adults accumulate angular homing error more rapidly than younger adults, a deficit linked to altered gait dynamics. These age-dependent differences are reflected in increased mid-frontal theta activity, highlighting a robust coupling between gait-related sensorimotor alterations and decline in navigation. Older adults also exhibited increased reliance on visual landmarks, and particularly those with degraded gait, yet this compensatory reweighting of navigational cues remained less efficient and less precise than in younger adults. These findings highlight sensorimotor gait alterations as a central determinant of age-related navigation deficits, challenging the traditional separation of motor and cognitive domains and identifying locomotor integrity as a critical target for preserving spatial navigation abilities.