scholarly journals Motor dual-task effect on gait and task of upper limbs in older adults under specific task prioritization: pilot study

2013 ◽  
Vol 25 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Mooyeon Oh-Park ◽  
Roee Holtzer ◽  
Jeannette Mahoney ◽  
Cuiling Wang ◽  
Preeti Raghavan ◽  
...  
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Maayan Agmon ◽  
Einat Kodesh ◽  
Rachel Kizony

Background. The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization).Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to different motor task demands.Design. A cross-sectional study.Subjects. Thirty-two (22 female) community-dwelling older adults (aged72.7±5.7years).Methods. Subjects randomly conducted single and dual task: walking to three directions separately, cognitive tasks separately, and combination of the two.Results. Walking forward was the least demanding task, during single (FW < BW, SW) (P<.001) and dual tasks (FW < BW < SW) (P<.001). The calculation of DTC revealed the same pattern (P<.001). DTC of the cognitive tasks was not significantly different among the three walking types.Conclusions. The decline mainly in the motor performance during dual task indicates that participants prioritized the cognitive task. These findings challenge the “posture first” paradigm for task prioritization.


Aging ◽  
2020 ◽  
Vol 12 (19) ◽  
pp. 18957-18969
Author(s):  
Jieun Yoon ◽  
Hiroko Isoda ◽  
Tomohiro Okura

2019 ◽  
Author(s):  
James Graeme Wrightson ◽  
Nicholas J Smeeton ◽  
lisa Schäfer

AbstractBackgroundThe dual-task effect on walking performance is different during treadmill and overground walking, though the cause of this difference is unknown. This study examined the effects of task prioritization on overground and treadmill dual-task walking. MethodTwenty-two adults walked overground and on a treadmill under three dual-task conditions: prioritization of walking performance, prioritization of cognitive performance, or no prioritization. ResultsCompared to single-task walking, stride velocity was reduced and stride time variability was increased during dual-task overground walking. During treadmill walking, there was no dual-task effect on walking performance, but cognitive task performance was improved. Prioritization of the cognitive task reduced the dual-task effect on stride velocity during overground walking only, whilst prioritization of the walking task reduced cognitive task performance in both walking modalities. SignificanceThese results corroborate recent findings that the dual-task effects on treadmill walking are not equivalent to those on overground walking. Healthy adults appear to prioritize cognitive task performance during dual-task walking. However, the effects of this prioritization on dual-task performance depend on the walking modality.


2009 ◽  
Vol 90 (3) ◽  
pp. 525-529 ◽  
Author(s):  
Courtney D. Hall ◽  
Tanya Miszko ◽  
Steven L. Wolf
Keyword(s):  

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Celine Timmermans ◽  
Melvyn Roerdink ◽  
Thomas W. J. Janssen ◽  
Carel G. M. Meskers ◽  
Peter J. Beek

Cognitive-motor interference may contribute to the risk of falling in people with stroke, as may be the associated phenomenon of inappropriate task prioritization. Examining dual-task walking could provide valuable insights as to how to best evaluate and treat walking in people with stroke. This study aimed to examine the effect of different walking environments on cognitive-motor interference and task prioritization in dual-task walking in people with stroke. Using a repeated-measures design, cognitive-motor interference and task prioritization were assessed in 30 stroke survivors, while walking in a plain environment and in two challenging environments that were enriched with either stationary physical context or suddenly appearing projector-augmented context. All three walking environment conditions were performed with and without a concurrent serial-3 subtraction task. We found stronger cognitive-motor interference for the two challenging environments than for the plain walking environment. Cognitive-motor interference did not differ between challenging walking environments, but task prioritization did: motor performance was prioritized more in the environment with physical context than in the environment with projector-augmented context and vice versa for cognitive-task performance. In conclusion, walking environment strongly influenced cognitive-motor interference and task prioritization during dual-task walking in people with stroke.


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