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@ARTICLE{Bock:1046827,
author = {Bock, Otmar and Huang, Ju-Yi and Wigge, Maike and Bieche,
Chiara and Kehm, Christina and Richter, Nils and Fink,
Gereon Rudolf and Onur, Oezguer A},
title = {{R}oute-following deficits in amnestic mild cognitive
impairment: {I}s the dual encoding of route-following
strategies impaired?},
journal = {Journal of Alzheimer's disease},
volume = {108(2)},
number = {108(2)},
issn = {1387-2877},
address = {Amsterdam},
publisher = {IOS Press},
reportid = {FZJ-2025-03982},
pages = {13872877251378658},
year = {2025},
note = {post print upload 09.10.25 2025 Nov;108(2):606-615. Epub
2025 Sep 19. This research was funded by the Marga und
Walter Boll Foundation (OB: grant number 210-05.01-21; OAO
and GRF: grant number 210-08-13).},
abstract = {BackgroundOne of the earliest signs of amnestic mild
cognitive impairment (MCI) and neurodegenerative dementia
(ND) is spatial disorientation, e.g., getting lost on
previously familiar routes. Healthy individuals often follow
routes by combining two strategies, serial recall of
directions and cue-direction associations, but the
integration of these two strategies may be degraded in
amnestic MCI and ND.ObjectiveTo evaluate whether impaired
integration of the two strategies (dual encoding)
contributes to the route-following deficits in amnestic
MCI.MethodsTwenty-five patients with amnestic MCI and 25
age-matched healthy controls (HC) followed routes through
virtual mazes that allowed the use of the serial order
strategy only (maze S), the associative cue strategy only
(maze A), or both strategies (maze SA).ResultsFor longer
routes, accuracy in maze SA exceeded that in mazes S and A,
confirming the existence of a dual encoding benefit. The
magnitude of this benefit was comparable in both groups. In
contrast, performance on an additional dual-task test was
poorer in MCI than in HC.ConclusionsWe attribute the
dissociation between preserved dual encoding and impaired
dual-tasking in amnestic MCI not to fundamental differences
in the underlying mechanisms, but rather to the different
ecological validity of the two experimental paradigms. Our
findings suggest that spatial orientation training in
amnestic MCI need not target dual encoding.Keywords:
cognitive strategies; decision-making; spatial navigation;
wayfinding.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525)},
pid = {G:(DE-HGF)POF4-5251},
typ = {PUB:(DE-HGF)16},
doi = {10.1177/13872877251378658},
url = {https://juser.fz-juelich.de/record/1046827},
}