Effects of Dual-Task Conditions on Cervical Spine Movement Variability

Two experiments examined the roles of the dimensions of movement-specific reinvestment (movement selfconsciousness and conscious motor processing) on performance under demanding conditions. In Experiment 1, novice golfers practiced a golf putting task and were tested under low- and high-anxiety conditions. Conscious motor processing was not associated with putting proficiency or movement variability; however, movement self-consciousness was positively associated with putting proficiency and appeared to be negatively associated with variability of impact velocity in low-anxiety conditions, but not in high-anxiety conditions. Increased anxiety and effort possibly left few attention resources for movement self-consciousness under high anxiety. In Experiment 2, participants performed a quiet standing task in single- and dual-task conditions. Movement self-consciousness was positively associated with performance when attention demands were low (single task) but not when attention demands were high (dual task). The findings provide insight into the differential influence of the two dimensions of movement-specific reinvestment under demanding conditions.

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

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-s-msc18-18-0190 ◽

2019 ◽

Vol 62 (7) ◽

pp. 2099-2117 ◽

Cited By ~ 2

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

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Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽

10.1024/1662-9647/a000137 ◽

2016 ◽

Vol 29 (1) ◽

pp. 29-36 ◽

Cited By ~ 2

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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Performance Enhancements Under Dual-Task Conditions

PsycEXTRA Dataset ◽

10.1037/e506172009-003 ◽

1984 ◽

Cited By ~ 1

Author(s):

Arthur F. Kramer ◽

Christopher D. Wickens ◽

Emanuel Donchin

Keyword(s):

Dual Task ◽

Task Conditions

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Spatial location priming under single and dual-task conditions

PsycEXTRA Dataset ◽

10.1037/e536982012-634 ◽

1997 ◽

Author(s):

Gail Musen ◽

Sumanas Siripant ◽

Lori Boncher

Keyword(s):

Dual Task ◽

Spatial Location ◽

Task Conditions

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Association of Affect and Gait Performance in Dual-Task Walking in Non-Demented Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.920 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 287-287

Author(s):

Deepan Guharajan ◽

Roee Holtzer

Keyword(s):

Older Adults ◽

Negative Affect ◽

Positive Affect ◽

Dual Task ◽

Task Demands ◽

Gait Velocity ◽

Positive And Negative Affect ◽

Increased Risk ◽

Aging Populations ◽

Task Conditions

Abstract Aging populations are at increased risk to experience mobility disability, which is associated with falls, frailty, and mortality. Previous studies have not examined the concurrent associations of both positive and negative affect with gait velocity. We examined whether individual differences in positive and negative affect predicted dual-task performance decrements in velocity in a dual-task (DT) paradigm in non-demented older adults. We hypothesize that positive affect would be associated with lower DT costs, and negative affect would be associated with higher DT costs. Participants (N = 403; mean age, = 76.22 (6.55); females = 56%) completed the Positive and Negative Affect Schedule (PANAS) and a DT paradigm that involved three task conditions: Single-Task-Walk (STW), Alpha (cognitive interference requiring participants to recite alternate letters of the alphabet), and Dual-Task-Walk (DTW) requiring participant to perform the two single tasks concurrently. Gait velocity was assessed via an instrumented walkway. As expected, results of a linear mixed effects model (LME) showed a significant decline in gait velocity (cm/s) from STW to DTW (estimate = -11.79; 95%CI = -12.82 to -10.77). LME results further revealed that negative affect was associated with greater decline in gait velocity from STW to DTW (ie., worse DT cost) (estimate = -0.38; 95%CI = -0.73 to -0.03). Positive affect did not, however, predict DT costs in gait velocity (estimate = -0.09; 95%CI = -0.23 to 0.05). These findings suggest that increased negative affect interferes with the allocation of attentional resources to competing task demands inherent in the DT paradigm.

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Cervical spine movement during orotracheal intubation: comparison of the Belscope and Macintosh blades

Anaesthesia ◽

10.1111/j.1365-2044.1994.tb04448.x ◽

2007 ◽

Vol 49 (9) ◽

pp. 772-774 ◽

Cited By ~ 7

Author(s):

N. M. GAJRAJ ◽

D. P. CHASON ◽

V. E. SHEARER

Keyword(s):

Cervical Spine ◽

Orotracheal Intubation ◽

Spine Movement

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Spatio-temporal gait parameters obtained from foot-worn inertial sensors are reliable in healthy adults in single- and dual-task conditions

Scientific Reports ◽

10.1038/s41598-021-88794-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

J. Soulard ◽

J. Vaillant ◽

R. Balaguier ◽

N. Vuillerme

Keyword(s):

Dual Task ◽

Inertial Sensors ◽

Healthy Adults ◽

Gait Symmetry ◽

Symmetry Index ◽

Task Effects ◽

Gait Parameters ◽

Task Conditions ◽

Healthy Participants ◽

Absolute Reliability

AbstractInertial measurement units (IMUs) are increasingly popular and may be usable in clinical routine to assess gait. However, assessing their intra-session reliability is crucial and has not been tested with foot-worn sensors in healthy participants. The aim of this study was to assess the intra-session reliability of foot-worn IMUs for measuring gait parameters in healthy adults. Twenty healthy participants were enrolled in the study and performed the 10-m walk test in single- and dual-task ('carrying a full cup of water') conditions, three trials per condition. IMUs were used to assess spatiotemporal gait parameters, gait symmetry parameters (symmetry index (SI) and symmetry ratio (SR)), and dual task effects parameters. The relative and the absolute reliability were calculated for each gait parameter. Results showed that spatiotemporal gait parameters measured with foot-worn inertial sensors were reliable; symmetry gait parameters relative reliability was low, and SR showed better absolute reliability than SI; dual task effects were poorly reliable, and taking the mean of the second and the third trials was the most reliable. Foot-worn IMUs are reliable to assess spatiotemporal and symmetry ratio gait parameters but symmetry index and DTE gait parameters reliabilities were low and need to be interpreted with cautious by clinicians and researchers.

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Comparison of the Bullard and Macintosh Laryngoscopes for Endotracheal Intubation of Patients with a Potential Cervical Spine Injury

Anesthesiology ◽

10.1097/00000542-199712000-00012 ◽

1997 ◽

Vol 87 (6) ◽

pp. 1335-1342 ◽

Cited By ~ 97

Author(s):

Andrew D. J. Watts ◽

Adrian W. Gelb ◽

David B. Bach ◽

David M. Pelz

Keyword(s):

Cervical Spine ◽

General Anesthesia ◽

Endotracheal Intubation ◽

Cervical Spine Injury ◽

Cricoid Pressure ◽

Macintosh Laryngoscope ◽

Spine Injury ◽

Neck Extension ◽

Bullard Laryngoscope ◽

Spine Movement

Background In the emergency trauma situation, in-line stabilization (ILS) of the cervical spine is used to reduce head and neck extension during laryngoscopy. The Bullard laryngoscope may result in less cervical spine movement than the Macintosh laryngoscope. The aim of this study was to compare cervical spine extension (measured radiographically) and time to intubation with the Bullard and Macintosh laryngoscopes during a simulated emergency with cervical spine precautions taken. Methods Twenty-nine patients requiring general anesthesia and endotracheal intubation were studied. Patients were placed on a rigid board and anesthesia was induced. Laryngoscopy was performed on four occasions: with the Bullard and Macintosh laryngoscopes both with and without manual ILS. Cricoid pressure was applied with ILS. To determine cervical spine extension, radiographs were exposed before and during laryngoscopy. Times to intubation and grade view of the larynx were also compared. Results Cervical spine extension (occiput-C5) was greatest with the Macintosh laryngoscope (25.9 degrees +/- 2.8 degrees). Extension was reduced when using the Macintosh laryngoscope with ILS (12.9 +/- 2.1 degrees) and the Bullard laryngoscope without stabilization (12.6 +/- 1.8 degrees; P < 0.05). Times to intubation were similar for the Macintosh laryngoscope with ILS (20.3 +/- 12.8 s) and for the Bullard without ILS (25.6 +/- 10.4 s). Manual ILS with the Bullard laryngoscope results in further reduction in cervical spine extension (5.6 +/- 1.5 degrees) but prolongs time to intubation (40.3 +/- 19.5 s; P < 0.05). Conclusions Cervical spine extension and time to intubation are similar for the Macintosh laryngoscope with ILS and the Bullard laryngoscope without ILS. However, time to intubation is significantly prolonged when the Bullard laryngoscope is used in a simulated emergency with cervical spine precautions taken. This suggests that the Bullard laryngoscope may be a useful adjunct to intubation of patients with potential cervical spine injury when time to intubation is not critical.

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