Age-Related Changes in Functional Balance Ability Predict Alpha Activity During Multisensory Integration

The increased multisensory integration and weaker attentional control experienced by older adults during audiovisual processing can result in inaccurate perceptions of their dynamic, everyday environment. These inaccurate representations of our environment can contribute to increased fall risk in older adults. A neural correlate of the attentional difference between younger and older adults could be oscillatory alpha activity (8-12Hz), indexing inhibitory processes during multisensory integration. The current study investigated whether age-related changes in alpha activity underlie weaker attentional control in older adults during a multisensory task, and if alpha associates with fall risk. Thirty-six younger (18-35 years old) and thirty-six older (60-80 years old) adults completed a cued-spatial-attention stream-bounce task, assessing audiovisual integration when attending to validly-cued or invalidly-cued locations, at 0ms or 300ms stimulus-onset asynchronies. Oscillatory alpha activity was recorded throughout using EEG to index participants inhibitory abilities. Functional ability and balance were measured to index fall risk. Multiple linear regression models revealed that even when attending to the validly-cued location, less accurate multisensory integration was exhibited by older adults compared to younger adults, suggesting that older adults demonstrate weaker top-down modulation of multisensory integration through failing to inhibit task-irrelevant information. However, alpha power across the trials did not predict the extent of multisensory integration within the task. A significant interaction between age and functional ability scores predicted alpha power, suggesting that older adults may rely on attentional mechanisms for functional ability more than younger adults do. Potential implications in the design of clinical treatments to reduce falls are discussed.