Associations between clinical characteristics and dual task performance in Multiple Sclerosis depend on the cognitive and motor dual tasks used.

Author(s):  
Veldkamp R ◽  
Baert I ◽  
Kalron A ◽  
Romberg A ◽  
Tacchino A ◽  
...  
Author(s):  
Harald Ewolds ◽  
Laura Broeker ◽  
Rita F. de Oliveira ◽  
Markus Raab ◽  
Stefan Künzell

Abstract This study examined the effect of instructions and feedback on the integration of two tasks. Task-integration of covarying tasks are thought to help dual-task performance. With complete task integration of covarying dual tasks, a dual task becomes more like a single task and dual-task costs should be reduced as it is no longer conceptualized as a dual task. In the current study we tried to manipulate the extent to which tasks are integrated. We covaried a tracking task with an auditory go/no-go task and tried to manipulate the extent of task-integration by using two different sets of instructions and feedback. A group receiving task-integration promoting instructions and feedback (N = 18) and a group receiving task-separation instructions and feedback (N = 20) trained on a continuous tracking task. The tracking task covaried with the auditory go/no-go reaction time task because high-pitch sounds always occurred 250 ms before turns, which has been demonstrated to foster task integration. The tracking task further contained a repeating segment to investigate implicit learning. Results showed that instructions, feedback, or participants’ conceptualization of performing a single task versus a dual task did not significantly affect task integration. However, the covariation manipulation improved performance in both the tracking and the go/no-go task, exceeding performance in non-covarying and single tasks. We concluded that task integration between covarying motor tasks is a robust phenomenon that is not influenced by instructions or feedback.


2019 ◽  
Vol 51 (Supplement) ◽  
pp. 346
Author(s):  
Samantha Everett ◽  
Chelsea Comeau ◽  
Virginia Thomas ◽  
Srikant Vallabhajosula

2019 ◽  
Author(s):  
Pierfilippo De Sanctis ◽  
Brenda R. Malcolm ◽  
Peter C. Mabie ◽  
Ana A. Francisco ◽  
Wenzhu B. Mowrey ◽  
...  

ABSTRACTIndividuals with a diagnosis of multiple sclerosis (MS) often present with deficits in the cognitive as well as the motor domain. The ability to perform tasks that rely on both domains may therefore be particularly impaired. Yet, behavioral studies designed to measure costs associated with performing two tasks at the same time such as dual-task walking have yielded mixed results. Patients may mobilize additional brain resources to sustain good levels of performance. To test this hypothesis, we acquired event-related potentials (ERP) in thirteen individuals with MS and fifteen healthy control (HC) participants performing a Go/NoGo response inhibition task while sitting (i.e., single task) or walking on a treadmill (i.e., dual-task). In previous work, we showed that the nogo-N2 elicited by the cognitive task was reduced when healthy adults are also asked to walk, and that nogo-N2 reduction was accompanied by sustained dual-task performance. We predicted that some MS patients, similar to their healthy peers, may mobilize N2-indexed brain resources and thereby reduce costs. Somewhat to our surprise, the HC group performed the Go/NoGo task more accurately while walking, thus showing a dual-task benefit, whereas, in line with expectation, the MS group showed a trend towards dual-task costs. The expected nogo-N2 reduction during dual-task walking was found in the HC group, but was not present at the group level in the MS group, suggesting that this group did not modulate the nogo-N2 process in response to higher task load. Regression analysis for the pooled sample revealed a robust link between nogo-N2 reduction and better dual-task performance. We conclude that impaired nogo-N2 adaptation reflects a neurophysiological marker of cognitive-motor dysfunction in MS.


2019 ◽  
Vol 3 ◽  
pp. 205970021987829
Author(s):  
Marie-Ève Gagné ◽  
Bradford J McFadyen ◽  
Isabelle Cossette ◽  
Philippe Fait ◽  
Isabelle Gagnon ◽  
...  

Objectives To compare dual-task performance involving different cognitive-locomotor combinations between healthy controls and participants with sub-acute mild traumatic brain injury (mTBI) and to correlate dual-task performances to history of prior head injuries. Methods Eighteen participants having recently sustained mTBI and 15 controls performed nine dual-tasks combining locomotor (level-walking, narrow obstacle, deep obstacle) and cognitive (Stroop task, Verbal fluency, Counting backwards) tasks. Previous history of concussion was also investigated. Results Slower gait speeds were observed in the mTBI group compared to controls during both single and dual-tasks. Longer response times to cognitive tasks in the mTBI group further suggested the presence of residual impairments two months following injury. No combination of dual-task was more sensitive. Correlations were observed between history of mTBI and several measures of dual-task performance, underlying the need to further consider the effects of multiple injuries in relation to dual-task walking. Conclusion Dual-tasks using simultaneously locomotor and cognitive functions represent an ecological way for clinicians to detect residual, but subtle, alterations post-mTBI. History of previous mTBI needs to be considered as a personal characteristic which may influence dual-task walking performance.


2011 ◽  
Vol 2 (2) ◽  
pp. 63-68
Author(s):  
Genevieve Pinto Zipp

In today’s society, doing two things at once is the norm. As educators, especially in the area of physical education and special education, we assist students in performing multiple motor tasks successfully at one time. Understanding how the performance of multiple tasks affects the success of the overall performance may provide educators with knowledge regarding the most effective and efficient learning strategies to be used when teaching dual task performance. Therefore, this study was designed to provide insight by comparing the effects of performing dual tasks requiring different attentional demands on walking parameters in 6- and 7-year old children. It was hypothesized that a task, which requires a higher degree of attentional demands, would cause a disturbance of the children’s gait, with greater changes noted in the younger children. The subject population comprised of 13 boys, six 7-year olds (mean age=7 yrs, 4 mos) and seven 6-year olds (mean age=6 yrs, 6 mos) with no known medical problems. The subjects in both age groups walked at self-selected velocities over the Gait Rite Gold mat which is a 4 meter by 0.5 meter computerized walkway designed to capture spatial and temporal parameters of gait. Each subject walked under four conditions, with four trials per condition. The conditions were: 1) self-paced walking, 2) self-paced walking holding a 3/4 full, open plastic pitcher of water, 3) self-paced walking carrying a knapsack containing weights totaling 15 lbs., and 4) self-paced walking while performing a cognitive task requiring a color/action association verbal response. Conditions 2 and 4 were considered the high attentional demand tasks. The order of the conditions were randomized and counterbalanced across the subjects. Data collection started as the subject stepped onto the mat and ended when the subject stepped off the mat. Multi-factorial ANOVAs on the dependent variables of velocity and cadence, with leg length as the covariant were performed (p < .05). Scheffe post hoc analyses were used to compare individual means. The SPSS program - 11.5 for Windows - was used to perform all the calculations. When looking at conditions, a main effect was noted for velocity p<.001 and cadence p<.049. However, there was no main effect observed for age or age-by-condition interaction. Scheffe post hoc analysis revealed a significant difference in cadence when walking with the water versus self- paced walking only p<.001; for velocity when walking with water versus walking with the knapsack, a trend was noted, p<.07. The findings of this study support the hypothesis that performing a secondary dual task that requires a high degree of attention (walking with water) will have a greater effect on the primary task of gait as noted by gait parameter changes. Interestingly, age did not significantly influence gait changes in these healthy young children. In today’s fast-paced world, doing several things at once is common. For example, walking while talking on a cell phone and crossing a busy street is a common occurrence, even for young children. The issue of how safe is one when doing multiple things at once frequently emerges in the news. Educators must begin to examine the effects of dual task performance on the safety and quality of the performance so that they can begin to help students focus their attention on the relevant features in the environment, which must be monitored. The findings of this study, as well as others, suggest that incorporating a dual task requirement during walking may provide an individual the opportunity to develop and practice movement strategies required in performing everyday activities regardless of age, and it affords insight into learning strategies that educators may use. 


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