The Influence of Cognitive Dual Tasks on Concussion Balance Test Performance

Motor Control ◽  
2020 ◽  
pp. 1-12
Author(s):  
Nathan Morelli ◽  
Nicholas R. Heebner ◽  
Courtney J. DeFeo ◽  
Matthew C. Hoch
Keyword(s):  
Dual Task ◽  
Test Performance ◽  
Sensory Integration ◽  
Postural Sway ◽  
Clinical Tool ◽  
Dual Tasks ◽  
Balance Test ◽  
Concussion Recovery ◽  
Task Conditions ◽  
Head Rotations

Objective: To determine the influence of a cognitive dual task on postural sway and balance errors during the Concussion Balance Test (COBALT). Methods: Twenty healthy adults (12 females, eight males; aged 21.95 ± 3.77 years; height = 169.95 ± 9.95 cm; weight = 69.58 ± 15.03 kg) partook in this study and completed single- and dual-task versions of a reduced COBALT. Results: Sway velocity decreased during dual-task head rotations on foam condition (p = .021, ES = −0.57). A greater number of movement errors occurred during dual-task head rotations on firm surface (p = .005, ES = 0.71), visual field flow on firm surface (p = .008, ES = 0.68), and head rotations on foam surface (p < .001, ES = 1.61) compared with single-task conditions. Cognitive performance was preserved throughout different sensory conditions of the COBALT (p = .985). Discussion: Cognitive dual tasks influenced postural control and destabilized movements during conditions requiring advanced sensory integration and reweighting demands. Dual-task versions of the COBALT should be explored as a clinical tool to identify residual deficits past the acute stages of concussion recovery.

scholarly journals Behavioral and Neural Correlates of Cognitive-Motor Interference during Multitasking in Young and Old Adults

2019 ◽  
Vol 2019 ◽  
pp. 1-19 ◽  
Author(s):  
Hannah Bohle ◽  
Jérôme Rimpel ◽  
Gesche Schauenburg ◽  
Arnd Gebel ◽  
Christine Stelzel ◽  
...  
Keyword(s):  
Dual Task ◽  
Task Difficulty ◽  
Postural Sway ◽  
Task Condition ◽  
Dual Tasks ◽  
Old Adults ◽  
Age Related ◽  
Dual Task Performance ◽  
Task Conditions ◽  
Postural Task

The concurrent performance of cognitive and postural tasks is particularly impaired in old adults and associated with an increased risk of falls. Biological aging of the cognitive and postural control system appears to be responsible for increased cognitive-motor interference effects. We examined neural and behavioral markers of motor-cognitive dual-task performance in young and old adults performing spatial one-back working memory single and dual tasks during semitandem stance. On the neural level, we used EEG to test for age-related modulations in the frequency domain related to cognitive-postural task load. Twenty-eight healthy young and 30 old adults participated in this study. The tasks included a postural single task, a cognitive-postural dual task, and a cognitive-postural triple task (cognitive dual-task with postural demands). Postural sway (i.e., total center of pressure displacements) was recorded in semistance position on an unstable surface that was placed on top of a force plate while performing cognitive tasks. Neural activation was recorded using a 64-channel mobile EEG system. EEG frequencies were attenuated by the baseline postural single-task condition and demarcated in nine Regions-of-Interest (ROIs), i.e., anterior, central, posterior, over the cortical midline, and both hemispheres. Our findings revealed impaired cognitive dual-task performance in old compared to young participants in the form of significantly lower cognitive performance in the triple-task condition. Furthermore, old adults compared with young adults showed significantly larger postural sway, especially in cognitive-postural task conditions. With respect to EEG frequencies, young compared to old participants showed significantly lower alpha-band activity in cognitive-cognitive-postural triple-task conditions compared with cognitive-postural dual tasks. In addition, with increasing task difficulty, we observed synchronized theta and delta frequencies, irrespective of age. Task-dependent alterations of the alpha frequency band were most pronounced over frontal and central ROIs, while alterations of the theta and delta frequency bands were found in frontal, central, and posterior ROIs. Theta and delta synchronization exhibited a decrease from anterior to posterior regions. For old adults, task difficulty was reflected by theta synchronization in the posterior ROI. For young adults, it was reflected by alpha desynchronization in bilateral anterior ROIs. In addition, we could not identify any effects of task difficulty and age on the beta frequency band. Our results shed light on age-related cognitive and postural declines and how they interact. Modulated alpha frequencies during high cognitive-postural task demands in young but not old adults might be reflective of a constrained neural adaptive potential in old adults. Future studies are needed to elucidate associations between the identified age-related performance decrements with task difficulty and changes in brain activity.

scholarly journals Effects of dual task demanding manual dexterity and sit-to-stand in Parkinson disease individuals

2021 ◽  
Vol 15 (2) ◽  
pp. 137-148
Author(s):  
Tatiana B. Freitas ◽  
José Eduardo Pompeu ◽  
Briana R. B. Moraes ◽  
Sandra M. A. A. Pompeu ◽  
Keyte G. Silva ◽  
...  
Keyword(s):  
Dual Task ◽  
Verbal Fluency ◽  
Manual Dexterity ◽  
Dual Tasks ◽  
Verbal Fluency Task ◽  
Sit To Stand ◽  
Yahr Scale ◽  
Task Conditions ◽  
The Cost ◽  
Fluency Task

BACKGROUND: Parkinson's disease (PD) causes loss of automaticity and impairment in dual task (DT) performance. AIM: To investigate the performance and pattern of prioritization of individuals with PD in motor and cognitive DT. METHOD: An observational, transversal, comparative study assessed 20 individuals with PD between stages 1.5 to 3 of the modified Hoehn and Yahr scale. Performance was assessed during the execution of manual dexterity and sit-to-stand tasks, in a single task or in association with a verbal fluency task. RESULTS: There was a loss of performance in both dual task conditions. The cost of verbal fluency was higher than the cost of manual dexterity function. CONCLUSION: Individuals with PD showed worse DT performance and prioritized the manual dexterity task. There was no prioritization between sit-to-stand and verbal fluency. These findings suggest that the nature of tasks can influence the prioritization of dual tasks.

scholarly journals Digital Natives and Dual Task: Handling It But Not Immune Against Cognitive-Locomotor Interferences

2019 ◽  
Author(s):  
Dierick Frédéric ◽  
Buisseret Fabien ◽  
Renson Mathieu ◽  
Luta Adèle Mae
Keyword(s):  
Long Range ◽  
Dual Task ◽  
Digital Natives ◽  
Safety Index ◽  
Dual Tasks ◽  
Dual Tasking ◽  
Stride Interval ◽  
Task Conditions ◽  
Relative Change ◽  
Raven’S Matrices

AbstractDigital natives developed in an electronic dual tasking world. This paper addresses two questions. Do digital natives respond differently under a cognitive load realized during a locomotor task in a dual-tasking paradigm and how does this address the concept of safety? We investigate the interplay between cognitive (talking and solving Raven’s matrices) and locomotor (walking on a treadmill) tasks in a sample of 17 graduate level participants. The costs of dual-tasking on gait were assessed by studying changes in stride interval time and its variability at long-range. A safety index was designed and computed from total relative change between the variability indices in the single walking and dual-task conditions. As expected, results indicate high Raven’s scores with gait changes found between the dual task conditions compared to the single walking task. Greater changes are observed in the talking condition compared to solving Raven’s matrices, resulting in high safety index values observed in 5 participants. We conclude that, although digital natives are efficient in performing the dual tasks when they are not emotional-based, modification of gait are observable. Due to the variation within participants and the observation of high safety index values in several of them, individuals that responded poorly to low cognitive loads should be encouraged to not perform dual task when executing a primate task of safety to themselves or others.

scholarly journals Reduced Sway During Dual Task Balance Performance Among People With Stroke at 6 and 12 Months After Discharge From Hospital

2009 ◽  
Vol 23 (8) ◽  
pp. 847-854 ◽  
Author(s):  
Dorit Hyndman ◽  
Ruth M. Pickering ◽  
Ann Ashburn
Keyword(s):  
Dual Task ◽  
Postural Sway ◽  
Force Plate ◽  
Balance Performance ◽  
Dual Task Condition ◽  
Eyes Closed ◽  
Balance Task ◽  
Balance Ability ◽  
Task Conditions ◽  
Discharge From Hospital

Background. Cognitive motor interference has been linked to poor recovery and falls. Little is known about recovery of dual-task balance ability poststroke. Methods. In this experimental study, postural sway was examined while standing on a force plate in preferred stance, with feet together, and with eyes closed, at 6 and 12 months postdischarge from hospital. Sway was assessed in isolation and while participants performed a cognitive (shopping list) task. Results . Seventy-six people with stroke (mean age 67 years; range, 21-91 years) took part. Fifty-four completed both assessments. When compared with the single task, sway during the dual-task condition was significantly lower in both the medial lateral (ML) and anterior posterior (AP) directions (both P < .0001). Sway in both directions was influenced by the difficulty of the balance task (both P < .0001). There was a trend of reduced sway at the 12-month assessment compared with the 6-month assessment: significant only in the ML direction ( P = .0056). Repeat fallers swayed more than non—repeat fallers, with increases of 48% and 44% in the ML ( P = .0262) and AP ( P = .0134) directions, respectively. No significant variation in the dual-task reduction in sway was found: the dual-task effect was remarkably consistent over all the conditions tested, particularly in the AP direction. Conclusions. Sway decreased under dual-task conditions and changed as the difficulty of the balance task changed. Stroke fallers swayed more than nonfallers and there was evidence of a reduction in sway over time, particularly in the ML direction.

scholarly journals A-25 The Effect of Cognitive Dual-Tasks on Dynamic Postural Sway During Sub-Maximal Gait on a Treadmill

2020 ◽  
Vol 35 (5) ◽  
pp. 621-621
Author(s):  
M A Kelly ◽  
N Morelli ◽  
H L Clayton ◽  
A M Parks ◽  
N R Heebner ◽  
...  
Keyword(s):  
Dual Task ◽  
Gait Speed ◽  
Postural Sway ◽  
Cognitive Task ◽  
Cross Sectional Study ◽  
Measurement Unit ◽  
Dual Tasks ◽  
Cross Sectional ◽  
Dual Task Condition ◽  
Anterior Posterior

Abstract Objective To investigate the effect of a cognitive task on postural control during treadmill walking. We hypothesized that postural sway acceleration would decrease during dual-task compared to single-task gait. Method Ten (5 females, 5 males) physically active, healthy young adults (Age: 22.50 ± 3.01) with no history of cognitive deficits or head injury were recruited from a University campus for this cross-sectional study. Participants reported to a biomechanics laboratory for a single testing session and completed two, 5-minute walking trials on a treadmill at 90% of maximal gait-speed under single and dual-task conditions while instrumented with a single inertial measurement unit (IMU) on the lower-back. During dual-task gait, participants concurrently performed a Stroop Test displayed on a mounted screen in front of the treadmill during the entire trial. Root mean square (RMS) of acceleration was analyzed in the medial-lateral, anterior-posterior, superior-inferior, and resultant planes during the dual-task trial. Paired t-tests and effect sizes (ES) were calculated for each sway plane between single and dual-tasks. Results No differences were identified between single and dual-task RMS acceleration in the medial-lateral (p = 0.98, ES = 0.01), anterior-posterior (p = 0.49, ES = 0.23) or superior-inferior (p = 0.98, ES = 0.01) planes. However, the RMS acceleration in the resultant plane was lower in the dual-task condition (Mean Difference: 0.031 ± 0.037; p = 0.02, ES = 0.85). Conclusions This novel dual-task gait paradigm utilized constant sub-maximal gait speed to investigate the influence of a sustained cognitive dual-task on postural sway using a single IMU. These preliminary results indicate that this dual-task gait paradigm may affect gross postural sway in healthy adults.

scholarly journals Validity of the GAITRite Walkway Compared to Functional Balance Tests for Fall Risk Assessment in Geriatric Outpatients

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 77
Author(s):  
Johannes Riis ◽  
Stephanie M. Byrgesen ◽  
Kristian H. Kragholm ◽  
Marianne M. Mørch ◽  
Dorte Melgaard
Keyword(s):  
Risk Assessment ◽  
Dual Task ◽  
Fall Risk ◽  
Timed Up And Go ◽  
Balance Test ◽  
Fall Risk Assessment ◽  
Functional Balance ◽  
Balance Tests ◽  
Gait Parameters ◽  
Task Conditions

This study examined the concurrent validity between gait parameters from the GAITRite walkway and functional balance test commonly used in fall risk assessment. Patients were sampled from one geriatric outpatient clinic. One physiotherapist evaluated the patients on the GAITRite walkway with three repetitions in both single- and dual-task conditions. Patients were further evaluated with Bergs Balance scale (BBS), Dynamic Gait index (DGI), Timed Up and Go (TUG), and Sit To Stand test (STS). Correlations between quantitative gait parameters and functional balance test were analyzed with Spearman’s rank correlations. Correlations strength was considered as follows: negligible <0.1, weak 0.10–0.39, moderate 0.40–0.69, and strong ≥0.70. We included 24 geriatric outpatients in the study with a mean age of 80.6 years (SD: 5.9). Patients received eight (SD: 4.5) different medications on average, and seven (29.2%) patients used walkers during ambulation. Correlations between quantitative gait parameters and functional balance test ranged from weak to moderate in both single- and dual-task conditions. Moderate correlations were observed for DGI, TUG, and BBS, while STS showed weak correlations with all GAITRite parameters. For outpatients analyzed on the GAITRite while using walkers, correlations showed no clear pattern across parameters with large variation within balance tests.

scholarly journals Influence of age on postural sway during different dual-task conditions

2014 ◽  
Vol 6 ◽  
Author(s):  
Marco Bergamin ◽  
Stefano Gobbo ◽  
Tobia Zanotto ◽  
John C. Sieverdes ◽  
Cristine L. Alberton ◽  
...  
Keyword(s):  
Dual Task ◽  
Postural Sway ◽  
Task Conditions

The Effect of Sex, Sport Participation, and Concussion History on Baseline Concussion Balance Test Performance in Division-I Collegiate Athletes

Neurology ◽  
2021 ◽  
Vol 98 (1 Supplement 1) ◽  
pp. S19.1-S19
Author(s):  
Carolina Quintana ◽  
Nathan Morelli ◽  
Morgan L. Andrews ◽  
Madison Kelly ◽  
Nicholas Heebner ◽  
...  
Keyword(s):  
Test Performance ◽  
Sport Participation ◽  
Postural Sway ◽  
Collegiate Athletes ◽  
Sports Participation ◽  
Division I ◽  
Balance Performance ◽  
Balance Test ◽  
Eyes Closed ◽  
Concussion History

ObjectiveExplore the effect of baseline characteristics such as sex, sport, and concussion history on the Concussion Balance Test (COBALT) performance in collegiate athletes.BackgroundThe COBALT is a recently developed clinical balance assessment specifically for athletic populations following concussion. The task conditions of the COBALT are designed to challenge sensory integration and reweighting processing underlying postural control. It has been documented that balance performance is influenced by factors such as sex and sport in collegiate athletes.Design/MethodsOne-hundred twenty seven collegiate athletes (77 male, 50 female; age: 19.81 ± 1.39; height: 68.77 ± 5.57 in; mass: 80.98 ± 26.15 kg), who participated in Division-I football, soccer, or cheerleading were included. Participants completed the 4 baseline conditions (Condition 3, 4, 7, 8) of the COBALT. Condition 3 (C3) included a side-to-side headshake with eyes closed. For Condition 4 (C4) the participant stood with hands clasped, elbows extended, and thumbs up while rotating their trunk side-to-side, visually focusing on their thumbs. Conditions 7 (C7) and 8 (C8) repeated C3 and C4 on a foam surface. Two 20-second trials of each condition were completed on a forceplate and the mean angular sway velocity (°/s) were calculated and number of errors were counted. ANOVAs and ANCOVAs were used to assess the potential effects on COBALT performance.ResultsThere were no significant differences in postural sway for any COBALT condition based on sex (p > 0.05). Females demonstrated more errors than males on C7 (p < 0.001). Cheerleaders had more balance errors compared to football athletes for C3 and C7 (p < 0.05) and soccer athletes for C7 (p < 0.05). Concussion history did not have an effect on COBALT performance (p > 0.05).ConclusionsUnderstanding factors that may influence COBALT performance at baseline may enhance concussion evaluation in collegiate athletes with suspected balance deficits following concussion. While concussion history had no effect, sex and sports participation may influence performance and should be considered when interpreting COBALT results post-concussion.

Effects of Concurrent Manual Task Performance on Connected Speech Acoustics in Individuals With Parkinson Disease

2019 ◽  
Vol 62 (7) ◽  
pp. 2099-2117 ◽  
Author(s):  
Jason A. Whitfield ◽  
Zoe Kriegel ◽  
Adam M. Fullenkamp ◽  
Daryush D. Mehta
Keyword(s):  
Task Performance ◽  
Speech Production ◽  
Dual Task ◽  
Motor Task ◽  
Task Condition ◽  
Connected Speech ◽  
Speech Acoustics ◽  
Single Task ◽  
Manual Task ◽  
Task Conditions

Purpose Prior investigations suggest that simultaneous performance of more than 1 motor-oriented task may exacerbate speech motor deficits in individuals with Parkinson disease (PD). The purpose of the current investigation was to examine the extent to which performing a low-demand manual task affected the connected speech in individuals with and without PD. Method Individuals with PD and neurologically healthy controls performed speech tasks (reading and extemporaneous speech tasks) and an oscillatory manual task (a counterclockwise circle-drawing task) in isolation (single-task condition) and concurrently (dual-task condition). Results Relative to speech task performance, no changes in speech acoustics were observed for either group when the low-demand motor task was performed with the concurrent reading tasks. Speakers with PD exhibited a significant decrease in pause duration between the single-task (speech only) and dual-task conditions for the extemporaneous speech task, whereas control participants did not exhibit changes in any speech production variable between the single- and dual-task conditions. Conclusions Overall, there were little to no changes in speech production when a low-demand oscillatory motor task was performed with concurrent reading. For the extemporaneous task, however, individuals with PD exhibited significant changes when the speech and manual tasks were performed concurrently, a pattern that was not observed for control speakers. Supplemental Material https://doi.org/10.23641/asha.8637008

Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Véronique Cornu ◽  
Jean-Paul Steinmetz ◽  
Carine Federspiel
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Selective Attention ◽  
Dual Task ◽  
Nursing Home Residents ◽  
Gait Rehabilitation ◽  
Rehabilitation Programs ◽  
Gait Parameters ◽  
Growing Body ◽  
Task Conditions

Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait parameters in frail institutionalized older adults as a function of selective attention. Gait analysis under single- and dual-task conditions as well as selective attention measures were collected from a total of 33 nursing-home residents. We found that differences in selective attention performances were related to the investigated gait parameters. Poorer selective attention performances were associated with higher stride-to-stride variabilities and a slowing of gait speed under dual-task conditions. The present findings suggest a contribution of selective attention to a safe gait. Implications for gait rehabilitation programs are discussed.

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