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. Author manuscript; available in PMC: 2019 Mar 11.
Published in final edited form as: J Am Geriatr Soc. 2018 Sep 24;66(11):2052–2058. doi: 10.1111/jgs.15506

Table 2.

Sensory Loss and the Aging Brain: Current Knowledge and Gaps

What we know:
  • Age-related changes in the central nervous system can drive cognitive decline directly or by weakening the potential for plasticity.

  • Cognitive training in healthy older adults might be able to reverse some of the functional and structural brain changes associated with age.

  • Animal models are valuable for understanding fundamental principles of the aging brain and cognition and the underlying neuronal mechanisms of age-related changes in perception in humans.

  • Impaired vision compromises visual cognition, and cognitive deficits might impair visual perceptual processes.

  • Vision is particularly important to adults with hearing impairment, who depend more than those without hearing loss on visual cues.


Knowledge gaps:
  • How can we enhance neuroplasticity after sensory loss using pharmacological approaches or other interventions?

  • How can we establish causality between structural or functional changes and cognitive decline?

  • Are the sensory and cognitive functions in different animals similar or are they served by the same neural machinery?

  • How do age-related changes in the central sensory system affect cognition in aging animal models?

  • Can visual brain training exercises mitigate or postpone aging-related cognitive declines? How generalizable are brain training outcomes? Is brain training most effective during a particular window of time?

  • How does dual sensory impairment, or concurrent vision and hearing impairment, relate to brain and cognitive changes, as well as efforts to rehabilitate them?

  • How do individual differences relate to the topics above?