scholarly journals Quantification of Dual-task Performance in Healthy Young Adults Suitable for Military Use

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 58-64
Author(s):  
Amanda L Penko ◽  
Susan M Linder ◽  
Mandy Miller Koop ◽  
Tanujit Dey ◽  
Jay L Alberts
Keyword(s):  
Young Adults ◽  
Task Performance ◽  
Dual Task ◽  
Postural Stability ◽  
Stimulus Presentation ◽  
Eyes Closed ◽  
Number Discrimination ◽  
Dual Task Performance ◽  
Eyes Open ◽  
Task Conditions

ABSTRACT Introduction Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of military members, a portable dual-task assessment was developed incorporating an auditory dual-task task as a novel assessment module utilizing mobile-device technology. The aim of this study was to develop and validate a dual-task mobile device-based application that accurately quantifies cognitive and motor function. Materials and Methods Fifty, healthy, military-age civilians completed three cognitive tasks in single- and dual-task conditions with eyes open and closed: visual Stroop, auditory Stroop at 1.5- and 2.5-second stimulus presentation, and number discrimination. All dual-task conditions required the maintenance of postural stability while simultaneously completing a cognitive task. Results There were no differences between single- and dual-task conditions for cognitive performance on any of the tests, and a ceiling effect was observed for the visual Stroop and auditory Stroop 1.5-second stimulus presentation (P > .05). Significant differences in postural stability were observed between the eyes-open and eyes-closed conditions in all single- and dual-task conditions (P < .01). Significant differences in postural stability were observed between the eyes-open single-task condition and all dual-task conditions (P < .01). Conclusions Based on the performance of healthy young adults, the number discrimination task may be optimal for detecting subtle changes in dual-task performance. The detected differences found between the eyes-open and eyes-closed conditions provide discriminatory value and insight into the reliance of vision of postural stability performance. While dual-task cognitive performance was not observed in this healthy population, individuals with mTBI may exhibit decreased dual-task performance. The independent evaluation of cognitive and motor function under dual-task conditions has the potential to transform the management and treatment of mTBI.

scholarly journals A Mobile Device Dual-Task Paradigm for the Assessment of mTBI

2019 ◽  
Vol 184 (Supplement_1) ◽  
pp. 174-180 ◽  
Author(s):  
Susan M Linder ◽  
Mandy Miller Koop ◽  
Sarah Ozinga ◽  
Zachary Goldfarb ◽  
Jay L Alberts
Keyword(s):  
Mobile Device ◽  
Dual Task ◽  
Postural Stability ◽  
Cognitive Task ◽  
Eyes Closed ◽  
Number Discrimination ◽  
Significant Difference ◽  
Dual Task Paradigm ◽  
Using Data ◽  
Task Conditions

Abstract Research Objective Dual-task performance, in which individuals complete two or more activities simultaneously, is impaired following mild traumatic brain injury. The aim of this project was to develop a dual-task paradigm that may be conducive to military utilization in evaluating cognitive-motor function in a standardized and scalable manner by leveraging mobile device technology. Methods Fifty healthy young adult civilians (18–24 years) completed four balance stances and a number discrimination task under single- and dual-task conditions. Postural stability was quantified using data gathered from iPad’s native accelerometer and gyroscope. Cognitive task difficulty was manipulated by presenting stimuli at 30, 60, or 90 per minute. Performance of cognitive and balance tasks was compared between single- and dual-task trials. Results Cognitive performance from single- to dual-task paradigms showed no significant main effect of balance condition or the interaction of condition by frequency. From single- to dual-task conditions, a significant difference in postural control was revealed in only one stance: tandem with eyes closed, in which a slight improvement in postural stability was observed under dual-task conditions. Conclusion The optimal dual-task paradigm to evaluate cognitive-motor performance with minimal floor and ceiling effects consists of tandem stance with eyes closed while stimuli are presented at a rate of one per second.

Does Dual Motor Tasks Provokes Posture Adaptations in Healthy Young Adults? A Cross-sectional Study

2021 ◽  
Author(s):  
Carley Bowman ◽  
Aleena Jose ◽  
Martin G Rosario
Keyword(s):  
Young Adults ◽  
Postural Stability ◽  
Cross Sectional Study ◽  
P Value ◽  
Motor Tasks ◽  
Anova Analysis ◽  
Dual Tasks ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Eyes Open

Introduction: Most studies on postural deviations during single and dual tasks have been extensively studied in neuromuscular and older adult populations. Nevertheless, further research is warranted to identify whether such tasks can impose postural adaptations in young, healthy adults without sensory impairments. Aim: To assess postural stability modifications in young adults during single tasks and dual motor tasks (holding a cup filled with water) while concomitantly challenging the sensory systems. Materials and Methods: This was the cross-sectional study on 82 young adults (18-45 years old) from Texas Woman’s University (TWU) Health Science Center in Dallas, Texas, and surrounding areas. Standing postural control was measured by collecting total sway, direction of sway and velocity in the Anterior-Posterior (AP) and Medial-Lateral (ML) directions during different balance tasks. For single and dual tasks, the tests were performed with a bipedal stance on foam involving challenging the sensory input via Eyes Open (EO), Eyes Closed (EC), and head movements with eyes open (EO HUD) and closed (EC HUD). The dual motor tasks were similar to the single tasks with the addition of holding a cup full of water to split attention. Data were placed into the Statistical Package for Social Sciences (SPSS) Data Analysis 25.0 system and were analysed for repeated measures Analysis of Variance (ANOVA) analysis. Results: Eighty-two healthy young adults participated in this study (mean age of 24.6±2.7 years, 13 males and 69 females). An ANOVA analysis revealed that postural stability was considerably altered during motor tasks. Sway in the Antero-Posterior (AP) direction, and velocity of sway increased as the complexity of the tasks intensified. A substantial difference in total sway during single tasks when eyes were closed compared to eyes open (p-value <0.01) was noted. There was a significant difference in total sway (AP and ML) during eyes open (EOM) to eyes closed (ECM) and during eyes open with head moving up and down (EOM HUD) (p-value 0.001). There were significant differences in mean AP velocity during EO (0.11±0.12) compared to EC HUD (0.19±0.15), and when comparing EOM (0.07±0.04) to ECM HUD (0.13±0.08) (p=0.01) Conclusion: This study identified postural changes when comparing single and dual tasks in healthy young adults, and the outcomes of this study showed definite distinctions in postural responses during single and dual motor tasks.

Effect of Dual-Task Performance Among Young Adults

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 849-850
Author(s):  
Yeonhak Jung ◽  
Brett Baker ◽  
Preeti Chopra ◽  
Darla M. Castelli
Keyword(s):  
Young Adults ◽  
Task Performance ◽  
Dual Task ◽  
Dual Task Performance

Can Taekwondo Footwear Affect Postural Stability in Young Adults?

2013 ◽  
Vol 103 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Shirley S. M. Fong ◽  
Shamay S. M. Ng
Keyword(s):  
Young Adults ◽  
Postural Stability ◽  
Control Strategies ◽  
Balance Performance ◽  
Eyes Closed ◽  
Sensory Organization ◽  
Two Factors ◽  
Eyes Open ◽  
Strategy Score ◽  
Visual Conditions

Background: This study aims to investigate the effect of taekwondo footwear on unilateral stance stability and use of postural control strategies and to determine whether taekwondo footwear influences the somatosensory inputs for postural stability and postural strategies in young adults. Methods: A quasi-randomized crossover trial was conducted on 33 healthy young adults at a university research laboratory. Independent variables, including shoe conditions (shoes on and shoes off) and visual conditions (eyes open and eyes closed), were taken into account. The center of gravity (COG) sway velocity in unilateral stance and the strategy scores in the sensory organization test were measured. No intervention was given to the participants. Results: There was no significant interaction between the two factors (the shoe and visual conditions) for COG sway velocities (P = .447) and strategy scores (P = .320). The shoe condition was not significant in either COG sway velocity (P = .484) or strategy score (P = .126). The visual condition was significant for COG sway velocity (P &lt; .001) but not for strategy score (P = .573). The mean ± SD COG sway velocity with eyes open was 0.7° ± 0.2°/sec and with eyes closed was 1.7° ± 0.6°/sec (P &lt; .001). Conclusions: Taekwondo footwear is unlikely to affect somatosensory inputs and balance performance in young adults. (J Am Podiatr Med Assoc 103(4): 291–296, 2013)

Division of Attention: The Single-Channel Hypothesis Revisited

1989 ◽  
Vol 41 (1) ◽  
pp. 1-17 ◽  
Author(s):  
William H. Gladstones ◽  
Michael A. Regan ◽  
Robert B. Lee
Keyword(s):  
Task Performance ◽  
Dual Task ◽  
Single Channel ◽  
Strong Support ◽  
Information Load ◽  
Dual Task Performance ◽  
Serial Reaction ◽  
Task Conditions ◽  
Relationship Of ◽  
The Relationship

Two experiments are reported in which subjects performed two forced-paced serial reaction time tasks separately and together at their maximum sustainable rates of information processing. Experiment 1 investigated the effects on the relationship between single- and dual-task performance of using tasks with the same or different input and output modality characteristics; an additional condition tested the effects on this relationship of using tasks with higher S–R compatibility. Experiment 2 investigated the effects on the relationship between single- and dual-task performance of varying information load (number of S–R alternatives). No significant differences were found in subjects’ capacities to process information in single- and dual-task conditions. This finding was unaffected by: (a) the absolute information levels of the tasks, (b) whether inputs and/or outputs involved the same or different modalities, or (c) the level of S–R compatibility. The data from both experiments provide strong support for the single-channel hypothesis.

scholarly journals Localization of Executive Functions in Dual-Task Performance with fMRI

2002 ◽  
Vol 14 (8) ◽  
pp. 1184-1199 ◽  
Author(s):  
André J. Szameitat ◽  
Torsten Schubert ◽  
Karsten Müller ◽  
D. Yves von Cramon
Keyword(s):  
Executive Functions ◽  
Task Performance ◽  
Dual Task ◽  
Task Difficulty ◽  
Task Condition ◽  
Subtraction Method ◽  
Dual Task Condition ◽  
Single Task ◽  
Dual Task Performance ◽  
Task Conditions

We report a study that investigated the neuroanatomical correlates of executive functions in dual-task performance with functional magnetic resonance imaging. Participants performed an auditory and a visual three-choice reaction task either separately as single tasks or concurrently as dual tasks. In the dual-task condition, two stimuli were presented in rapid succession to ensure interference between the component tasks (psychological refractory period). The behavioral data showed considerable performance decrements in the dual-task compared to the single-task condition. Dual-task-related activation was detected with two different neuroimaging methods. First, we determined dual-task-related activation according to the method of cognitive subtraction. For that purpose, activation in the dual-task was compared directly with activation in the single-task conditions. This analysis revealed that cortical areas along the inferior frontal sulcus (IFS), the middle frontal gyrus (MFG), and the intraparietal sulcus (IPS) are involved in dual-task performance. The results of the subtraction method were validated with the method of parametric manipulation. For this purpose, a second dual-task condition was introduced, where the difficulty of the dual-task coordination was increased compared with the first dual-task condition. As expected, behavioral dual-task performance decreased with increased dual-task difficulty. Furthermore, the increased dual-task difficulty led to an increase of activation in those cortical regions that proved to be dual-task related with the subtraction method, that is, the IFS, the MFG, and the IPS. These results support the conclusion that dorsolateral prefrontal and superior parietal cortices are involved in the coordination of concurrent and interfering task processing.

Dual Task Performance in Children With Tourette Syndrome: Controlling for Comorbid ADHD

2007 ◽  
Vol 8 (1) ◽  
pp. 10-21 ◽  
Author(s):  
Veronica E. De Monte ◽  
Gina Geffen ◽  
Annemaree Carroll ◽  
Maggie Bailey ◽  
Naomi Campling
Keyword(s):  
Task Performance ◽  
Tourette Syndrome ◽  
Dual Task ◽  
Digit Span ◽  
Verbal Ability ◽  
Hyperactivity Disorder ◽  
Dual Task Performance ◽  
Comorbid Adhd ◽  
Task Conditions ◽  
And Control

AbstractDual task performance in children with Tourette Syndrome (TS) was studied. The participants were children with TS (N = 48, 40 male, 8 female), Attention Deficit Hyperactivity Disorder (ADHD; mixed types N = 44, 34 male, 10 female) and unaffected controls (N = 48, 34 male, 14 female). Eleven of the TS participants had no comorbidities (TS only) and they were compared to matched groups of participants with TS plus comorbidities (TS+), ADHD, and controls. Each participant was administered screening measures of behaviour, intelligence and verbal ability, as well as specific tests of dual task performance. Children with TS-only correctly recalled fewer digit span forward trials, and identified fewer spaceship pairs than controls under single task conditions in the SkySearch subtest of the Test of Everyday Attention for Children. However, the TS-only and control groups showed better counting performance while simultaneously searching for targets, than the TS+ and ADHD groups. Taken together, these results suggest that some previously reported cognitive deficits in children with TS are due to comorbidities, rather than to the syndrome itself.

The Immediate Effects of Tai Chi via a Video Platform Delivery on the Postural Stability of Healthy Young Adults

2021 ◽  
Vol 3 (1) ◽  
pp. 30-38
Author(s):  
Zachary A. M. Cordingley ◽  
Paolo Sanzo ◽  
Carlos Zerpa
Keyword(s):  
Young Adults ◽  
Postural Stability ◽  
Tai Chi ◽  
Center Of Pressure ◽  
Instructional Video ◽  
Surface Conditions ◽  
Eyes Closed ◽  
Adult Participants ◽  
Post Test ◽  
Eyes Open

Tai chi is effective for improving the postural stability of older adults, but the effects on healthy young adults has yet to be investigated. Currently, the use of virtual delivery platforms for various exercise prescriptions to patients has had to be quickly introduced related to the onset of the COVID-19 pandemic and physical distancing requirements. This study attempted to explore the pre-/post-test measures of postural stability from 15 healthy young adult participants under eyes open (EO) and eyes closed (EC) and firm/foam surface conditions after learning a battery of tai chi exercises and forms delivered by instructional video. Center of pressure-based measures of mean sway velocity (MSV) and 95% elliptical sway area (EA) were assessed. Three-way ANOVAs were conducted to determine if MSV and EA were significantly different across the eye conditions, surface conditions, and time. Both EA and MSV were found to significantly increase from EO to EC on a foam surface; however, only MSV under EC conditions was found to decrease significantly following the intervention.

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