Evidence map›Paper›PMID 40043550›Full record

ReviewCortex; a journal devoted to the study of the nervous system and behavior2025

A cognitive-motor framework for spatial navigation in aging and early-stage Alzheimer's disease.

Paul F Hill, Arne D Ekstrom

Abstract readReview
In one paragraph

Review in Cortex; a journal devoted to the study of the nervous system and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Paul F HillPsychology Department, University of Arizona, USA. Electronic address: paulhill@arizona.edu.
Arne D EkstromPsychology Department, University of Arizona, USA; McKnight Brain Institute, University of Arizona, USA.

Funding

NEUROBEHAVIORAL RELATIONS IN SENESCENT HIPPOCAMPUSR01AG003376 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI BARNES, CAROL A. · 1985 to 2025
$16.4M
Representation of spatiotemporal information in human episodic memory and navigationR01NS076856 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI ARNE D EKSTROM · 2012 to 2026
$4.8M
A neurocomputational model of age-related differences in navigation.R21AG081558 · NIA · UNIVERSITY OF ARIZONA · PI EKSTROM, ARNE D · 2023 to 2024
$422k
NIA NIH HHS R01 AG003376NIA NIH HHS R21 AG081558NINDS NIH HHS R01 NS076856
6 · The paper itself

Abstract

Spatial navigation is essential for wellbeing and independence and shows significant declines as part of age-related neurodegenerative disorders, such as Alzheimer's disease. Navigation is also one of the earliest behaviors impacted by this devastating disease. Neurobiological models of aging and spatial navigation have focused primarily on the cognitive factors that account for impaired navigation abilities during the course of healthy aging and early stages of preclinical and prodromal Alzheimer's disease. The contributions of physical factors that are essential to planning and executing movements during successful navigation, such as gait and dynamic balance, are often overlooked despite also being vulnerable to early stages of neurodegenerative disease. We review emerging evidence that spatial navigation and functional mobility each draw on highly overlapping sensory systems, cognitive processes, and brain structures that are susceptible to healthy and pathological aging processes. Based on this evidence, we provide an alternative to models that have focused primarily on spatial navigation as a higher order cognitive function dependent on brain areas such as the hippocampus and entorhinal cortex. Instead, we argue that spatial navigation may offer an ecologically valid cognitive-motor phenotype of age-related cognitive dysfunction. We propose that dual cognitive-motor deficits in spatial navigation may arise from early changes in neuromodulatory and peripheral sensory systems that precede changes in regions such as the entorhinal cortex.

Indexed as

AgingAlzheimer DiseaseCognitionSpatial NavigationBrainCognitive DysfunctionHippocampusHumansAgingAlzheimer's diseaseBalanceCognitive–motor interactionsGaitMobilityPath integrationSpatial navigation

Identifiers

PMID40043550
PMCPMC13034162

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.