Motor imagery (MI) is the mental simulation of an action without its actual execution. It has been successfully used through mental practice--the repetition of imagined movements--to optimize motor function either in sport or rehabilitation settings. Healthy elderly individuals facing age-related impairments in motor function could also benefit from this method of training-retraining. The authors review studies that have investigated MI in physically and mentally healthy adults aged 55 years and older. First, they provide an overview of the psychophysical data on MI in the elderly, which show no changes with aging in the ability to imagine simple-usual movements but reveal some age-related alterations in the mental simulation of difficult-unusual movements. Second, they present emerging neuroimaging and neurostimulation data revealing that the sensorimotor system is engaged during MI in older adults. Finally, the authors emphasize the potential of using mental practice as a safe and easy way to help preserving/improving motor function in the elderly and provide some recommendations for future research in this direction.

The Quebec Pain Registry (QPR) is a large research database of patients suffering from various chronic pain (CP) syndromes who were referred to one of five tertiary care centres in the province of Quebec (Canada). Patients were monitored using common demographics, identical clinical descriptors, and uniform validated outcomes. This paper describes the development, implementation, and research potential of the QPR. Between 2008 and 2013, 6902 patients were enrolled in the QPR, and data were collected prior to their first visit at the pain clinic and six months later. More than 90% of them (mean age ± SD: 52.76 ± 4.60, females: 59.1%) consented that their QPR data be used for research purposes. The results suggest that, compared to patients with serious chronic medical disorders, CP patients referred to tertiary care clinics are more severely impaired in multiple domains including emotional and physical functioning. The QPR is also a powerful and comprehensive tool for conducting research in a “real-world” context with 27 observational studies and satellite research projects which have been completed or are underway. It contains data on the clinical evolution of thousands of patients and provides the opportunity of answering important research questions on various aspects of CP (or specific pain syndromes) and its management.

While empathy has been widely studied in philosophical and psychological literatures, recent advances in social neuroscience have shed light on the neural correlates of this complex interpersonal phenomenon. In this review, we provide an overview of brain imaging studies that have investigated the neural substrates of human empathy. Based on existing models of the functional architecture of empathy, we review evidence of the neural underpinnings of each main component, as well as their development from infancy. Although early precursors of affective sharing and self-other distinction appear to be present from birth, recent findings also suggest that even higher-order components of empathy such as perspective-taking and emotion regulation demonstrate signs of development during infancy. This merging of developmental and social neuroscience literature thus supports the view that ontogenic development of empathy is rooted in early infancy, well before the emergence of verbal abilities. With age, the refinement of top-down mechanisms may foster more appropriate empathic responses, thus promoting greater altruistic motivation and prosocial behaviors.