On admet aujourd'hui que les tests psychométriques traditionnels paraissent insuffisants pour détecter précocement des troubles cognitifs. Parallèlement, des cliniciens observent une perte de l'automaticité de la marche lors du vieillissement normal ou de pathologies neurodégénératives qui peut être directement imputée au déclin des fonctions exécutives (FE) et aggravé lors des situations de double-tâche (DT). Plusieurs auteurs ont montré que la présence prématurée d'une atteinte motrice pouvait prédire une évolution défavorable vers une démence de type Alzheimer. Dans ce contexte, il devient évident que l'évaluation de la marche doit faire l'objet d'une investigation spécifique lors d'un bilan cognitif. Les travaux de cette thèse s'articulent autour du concept de troubles cognitifs légers, des FE et de l'évaluation motrice lors de diverses situations de marche.L'objectif principal est de déterminer si l'évaluation de la marche spontanée et/ou en DT constitue un outil de détection précoce des troubles cognitifs. Un objectif secondaire est de préciser les FE qui affectent la performance motrice dans les situations de DT. L'originalité de ce travail de thèse réside dans le développement de nouveaux exercices de DT de navigation spatiale basés sur l'adaptation de tests neuropsychologiques (test de Corsi, de Stroop et Trail Making Test) à la marche. Finalement, nous avons aussi proposé un « stroop écologique » qui s'intéresse à la prise de décision de traverser de rue au feu piéton.Les résultats révèlent que les interférences provoquées par les situations de DT entrainent une modification spécifique du schéma de marche du sujet âgé ayant des troubles cognitifs même lorsqu'ils sont infracliniques. De plus, la résolution des tests de DT nécessite la participation commune de plusieurs FE.En conclusion, la batterie de test que nous proposons présente un intérêt potentiel dans la détection précoce des troubles cognitifs chez les sujets âgés, mais aussi dans la compréhension des mécanismes régulant les FE. / Traditional psychometric and/or neuropsychologic tests alone, are not powerful enough to detect cognitive disturbances in aging subjects and therefore new criteria and tests should be developed to get relevant screening tools. Since walking is not anymore considered as a pure automatic motor task but as a task depending both on cognitive and executive functions (EF), clinicians became interested in studying walking disturbances in the course of neurodegenerative pathology development. Walking tasks can be complex and could be assimilated as a double-task (DT) when individuals have to simultaneously proceed with cognitive and motor tasks. Several authors have suggested that disturbances in walking abilities could predict cognitive disorders (e.g. Alzheimer Disease, Mild Cognitive Impairment (MCI)). Therefore, walking abilities should specifically be evaluated during cognitive clinical investigation.The main goal of our work is to evaluate whether a walking task alone and/or walking tasks in the context of DT could be of interest in detecting early stages of cognitive disorders in the elderly. A secondary goal is to investigate what are the executive functions that can influence walking during a DT. The originality of our approach also stems from the new motor ability tests we have developed. They are based on validated neuropsychological tests (Corsi, Stroop and Trail Making Tests) and are adapted to the context of walking. Moreover, we also present an adaptation of the Stroop test in the situation of a pedestrian at the cross light intending to cross a street ("ecological Stroop test").Our results show that DT situations induce specific changes in walking scheme in the elderly with established cognitive disorders and also -and this is one of our most important result- with borderline patients. We also show that the DT we tested required the involment of several EF.In conclusion, the new tests we present could be of interest in detecting early stages of cognitive disorders in elderly subjects and moreover can give clues to the mechanisms involved in the regulation of executive functions.

Following a stroke, normal usage of the impaired limb guides spontaneous recovery across many months or even years; however, recovery is rarely complete. Pre-clinical tools are needed to investigate stroke-induced cortical reorganization over long periods. This thesis aims to characterize stroke impairment and spontaneous recovery in parallel with a battery of behaviour tasks in a mouse model of focal stroke. Young adult Thy1-ChR2 mice were implanted with a transcranial window over the intact skull permitting cortex visualization and enabling longitudinal assessments with light-based motor mapping and intrinsic signal optical imaging. Furthermore, mice were tested on sensorimotor behavioural tasks in parallel to the mapping experiments. These experiments allowed for the quantification of impairments in the sensorimotor cortex and forelimb function while identifying regions within the sensorimotor cortex that show re-mapping associated with behavioural recovery. Following primary motor cortex-stroke induction, both sensory and motor map impairments occurred. Sensory map transient impairments recovered within the same atlas-defined regions two weeks after a primary motor cortex stroke as identified by intrinsic signal optical imaging. In contrast, motor forelimb recovery was observed four weeks after the stroke in the peri-infarct region, the supplemental motor cortex, and the contralesional motor cortex. This recovery was identified through a combination of analyses, including changes in the mapped area and the amplitude of evoked forelimb movements using light-based motor mapping. Behavioural recovery occurred four to six weeks post-stroke, depending on the sensitivity of the task in forelimb impairment. Additionally, the contralesional hemisphere and forelimb did not show impairment acutely but evoked forelimb amplitude was significantly increased by post-stroke week four for both forelimbs. As the first study to conduct within-animal longitudinal spontaneous recovery sensory and motor map experiments using bilateral forelimb and hemispheric representations, we show that 1) photothrombotic stroke impacts both forelimb representations pertained within the ipsilesional hemisphere in LBMM experiments, 2) recovery of the impaired forelimb occurs ipsilesionally and contralesionally and, 3) impairments from stroke observed through motor mapping are functionally relevant and precede behavioural recovery ranging from zero to two or more weeks depending on the motor cortex's involvement in the behavioural task.