scholarly journals Effect of a Concurrent Cognitive Task, with Stabilizing Visual Information and Withdrawal, on Body Sway Adaptation of Parkinsonian’s Patients in an Off-Medication State: A Controlled Study

Sensors ◽  
2020 ◽  
Vol 20 (18) ◽  
pp. 5059
Author(s):  
Arnaud Delafontaine ◽  
Clint Hansen ◽  
Iris Marolleau ◽  
Stefan Kratzenstein ◽  
Arnaud Gouelle
Keyword(s):  
Root Mean Square ◽  
Dual Task ◽  
Cognitive Task ◽  
Emg Activity ◽  
Static Balance ◽  
Mean Square ◽  
Single Task ◽  
Eyes Closed ◽  
Pathway Length ◽  
Ellipse Area

Background: In persons with Parkinson’s disease (pwPD) any additional somatosensory or distractor interference can influence the posture. When deprivation of vision and dual-task are associated, the effect on biomechanical performance is less consistent. The aim of this study was to evaluate the role of the visual deprivation and a cognitive task on the static balance in earlier stage PD subjects. Methods: Fifteen off-medication state pwPD (9 women and 6 men), 67.7 ± 7.3 years old, diagnosed PD since 5.4 ± 3.4 years, only Hoehn and Yahr state 2 and fifteen young control adults (7 women and 8 men) aged 24.9 ± 4.9 years, performed semi-tandem task under four randomized experimental conditions: eyes opened single-task, eyes closed single-task, eyes opened dual-task and eyes closed dual-task. The center of pressure (COP) was measured using a force plate and electromyography signals (EMG) of the ankle/hip muscles were recorded. Traditional parameters, including COP pathway length, ellipse area, mediolateral/anteroposterior root-mean-square and non-linear measurements were computed. The effect of vision privation, cognitive task, and vision X cognitive was investigated by a 2 (eyes opened/eyes closed) × 2 (postural task alone/with cognitive task) repeated-measures ANOVA after application of a Bonferroni pairwise correction for multiple comparisons. Significant interactions were further analyzed using post-hoc tests. Results: In pwPD, both COP pathway length (p < 0.01), ellipse area (p < 0.01) and mediolateral/anteroposterior root-mean-square (p < 0.01) were increased with the eyes closed, while the dual-task had no significant effect when compared to the single-task condition. Comparable results were observed in the control group for who COP pathway was longer in all conditions compared to eyes opened single-task (p < 0.01) and longer in conditions with eyes closed compared to eyes opened dual-task (p < 0.01). Similarly, all differences in EMG activity of pwPD were exclusively observed between eyes opened vs. eyes closed conditions, and especially for the forward leg’s soleus (p < 0.01) and backward tibialis anterior (p < 0.01). Conclusions: These results in pwPD without noticeable impairment of static balance encourage the assessment of both visual occlusion and dual-task conditions when the appearance of significant alteration during the dual-task could reveal the subtle worsening onset of the balance control.

scholarly journals Concussion History and Balance Performance in Adolescent Rugby Union Players

2021 ◽  
pp. 036354652199870
Author(s):  
Mark Matthews ◽  
William Johnston ◽  
Chris M. Bleakley ◽  
Richard J. Davies ◽  
Alan T. Rankin ◽  
...  
Keyword(s):  
Dual Task ◽  
Inertial Sensor ◽  
Dynamic Balance ◽  
Rugby Union ◽  
Static Balance ◽  
Balance Performance ◽  
Eyes Closed ◽  
History Of ◽  
Concussion History ◽  
Rugby Players

Background: Sports-related concussion is a worldwide problem. There is a concern that an initial concussion can cause prolonged subclinical disturbances to sensorimotor function that increase the risk of subsequent injury. The primary aim of this study was to examine whether a history of sports-related concussion has effects on static and dynamic balance performance in adolescent rugby players. Hypothesis: Dynamic balance would be worse in players with a history of concussion compared with those with no history of concussion. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Male adolescent rugby players aged 14 to 18 years from 5 schools were recruited before the start of the 2018-2019 playing season. Participants completed questionnaires and physical tests, including dynamic Y balance and single-leg static balance (eyes closed) tests, while performing single and dual tasks. Dynamic balance was assessed using inertial sensor instrumentation. Dependent variables were normalized reach distance and the sample entropy (SEn) of the 3 axes ( x, y, and z). Results: Of the 195 participants, 100 reported a history of concussion. Those with a history of concussion demonstrated higher SEn in all directions, with highest values during anterior (standardized mean difference [SMD], 0.4; 95% CI, 0.0-0.7; P = .027) and posteromedial (SMD, 0.5; 95% CI, 0.2-0.9; P = .004) reach directions compared with those with no history. There was no difference between groups (concussion history vs control) in traditional Y balance reach distances in the anterior or posteromedial directions or single-leg static balance during both single- ( P = .47) and dual-task ( P = .67) conditions. Conclusion: Adolescent rugby union athletes with a history of concussion had poorer dynamic balance during performance tasks compared with healthy controls. Static single-leg balance tests, either single or dual task, may not be sensitive enough to detect sensorimotor deficits in those with a history of concussion.

Effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions

2019 ◽  
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Dynamic Balance ◽  
The Elderly ◽  
Static Balance ◽  
Timed Up And Go ◽  
Task Conditions ◽  
And Control ◽  
Single Versus

Abstract Background: The aim of this study was to evaluate the effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions. Methods: The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1kg, 2kg and 3kg in each hand) loads on dynamic and static balance of 42 older adults (21 males and 21 females), aged ≥ 60 years were studied. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results: The TUG speed of female participants was generally slower than that of male participants. Cognitive task influenced the participants’ dynamic balance during the dual-task conditions, while the static balance was not affected in this phase. The dynamic and static balance measures were more influenced when performing the multi-tasks than when doing the dual-tasks. The effects of various levels of physical demand on the dynamic balance varied greatly under dual- and multi-task conditions. Conclusions: The findings add to the understanding of the factors influencing the elderly balance and control under cognitive and physical functioning.

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.

scholarly journals The effects of a concurrent task on walking in persons with transfemoral amputation compared to persons without limb loss

2015 ◽  
Vol 40 (4) ◽  
pp. 490-496 ◽  
Author(s):  
Sara J Morgan ◽  
Brian J Hafner ◽  
Valerie E Kelly
Keyword(s):  
Dual Task ◽  
Repeated Measures ◽  
Cognitive Task ◽  
Cross Sectional Study ◽  
Concurrent Task ◽  
Limb Loss ◽  
Transfemoral Amputation ◽  
Cross Sectional ◽  
Time Asymmetry ◽  
Single Task

Background:Many people with lower limb loss report the need to concentrate on walking. This may indicate increased reliance on cognitive resources when walking compared to individuals without limb loss.Objective:This study quantified changes in walking associated with addition of a concurrent cognitive task in persons with transfemoral amputation using microprocessor knees compared to age- and sex-matched controls.Study design:Observational, cross-sectional study.Methods:Quantitative motion analysis was used to assess walking under both single-task (walking alone) and dual-task (walking while performing a cognitive task) conditions. Primary outcomes were walking speed, step width, step time asymmetry, and cognitive task response latency and accuracy. Repeated-measures analysis of variance was used to examine the effects of task (single-task and dual-task) and group (transfemoral amputation and control) for each outcome.Results:No significant interactions between task and group were observed (all p > 0.11) indicating that a cognitive task did not differentially affect walking between groups. However, walking was slower with wider steps and more asymmetry in people with transfemoral amputation compared to controls under both conditions.Conclusion:Although there were significant differences in walking between people with transfemoral amputation and matched controls, the effects of a concurrent cognitive task on walking were similar between groups.Clinical relevanceThe addition of a concurrent task did not differentially affect walking outcomes in people with and without transfemoral amputation. However, compared to people without limb loss, people with transfemoral amputation adopted a conservative walking strategy. This strategy may reduce the need to concentrate on walking but also contributed to notable gait deviations.

scholarly journals The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

2015 ◽  
Vol 73 (11) ◽  
pp. 906-912 ◽  
Author(s):  
Alessandra Ferreira Barbosa ◽  
Carolina de Oliveira Souza ◽  
Janini Chen ◽  
Débora Valente Francato ◽  
Fátima Aparecida Caromano ◽  
...  
Keyword(s):  
Parkinson Disease ◽  
Dual Task ◽  
Cognitive Task ◽  
Berg Balance Scale ◽  
Functional Balance ◽  
Eyes Closed ◽  
Static Posturography ◽  
Eyes Open ◽  
The Impact ◽  
General Balance

ABSTRACTObjectives To estimate the impact of a sensory-motor- cognitive task on postural balance, in Parkinson disease patients (Hoehn and Yahr 2-3) and to investigate possible relationships between posturography and functional balance clinical scales.Method Parkinson disease patients (n = 40) and healthy controls (n = 27) were evaluated with fluency tests, Berg Balance scale, Mini Best test and static posturography on the conditions eyes open, eyes closed and dual-task (simultaneous balance and fluency tasks).Results Posturographic data showed that Parkinson disease patients performed worse than controls in all evaluations. In general, balance on dual-task was significantly poorer than balance with eyes closed. Posturographic data were weakly correlated to clinical balance scales.Conclusion In clinical practice, Parkinson disease patients are commonly assessed with eyes closed, to sensitize balance. Our study showed that adding a cognitive task is even more effective. Static posturographic data should be carefully overgeneralized to infer functional balance impairments.

Single-Task and Dual-Task Gait Among Collegiate Athletes of Different Sport Classifications: Implications for Concussion Management

2017 ◽  
Vol 33 (1) ◽  
pp. 24-31 ◽  
Author(s):  
David R. Howell ◽  
Jessie R. Oldham ◽  
Melissa DiFabio ◽  
Srikant Vallabhajosula ◽  
Eric E. Hall ◽  
...  
Keyword(s):  
Task Performance ◽  
Dual Task ◽  
Inertial Sensors ◽  
Cognitive Task ◽  
Collegiate Athletes ◽  
Gait Pattern ◽  
Cognitive Test ◽  
Single Task ◽  
Gait Performance ◽  
Cognitive Task Performance

Gait impairments have been documented following sport-related concussion. Whether preexisting gait pattern differences exist among athletes who participate in different sport classifications, however, remains unclear. Dual-task gait examinations probe the simultaneous performance of everyday tasks (ie, walking and thinking), and can quantify gait performance using inertial sensors. The purpose of this study was to compare the single-task and dual-task gait performance of collision/contact and noncontact athletes. A group of collegiate athletes (n = 265) were tested before their season at 3 institutions (mean age= 19.1 ± 1.1 years). All participants stood still (single-task standing) and walked while simultaneously completing a cognitive test (dual-task gait), and completed walking trials without the cognitive test (single-task gait). Spatial-temporal gait parameters were compared between collision/contact and noncontact athletes using MANCOVAs; cognitive task performance was compared using ANCOVAs. No significant single-task or dual-task gait differences were found between collision/contact and noncontact athletes. Noncontact athletes demonstrated higher cognitive task accuracy during single-task standing (P = .001) and dual-task gait conditions (P = .02) than collision/contact athletes. These data demonstrate the utility of a dual-task gait assessment outside of a laboratory and suggest that preinjury cognitive task performance during dual-tasks may differ between athletes of different sport classifications.

scholarly journals Reduction of Dual-task Costs by Noninvasive Modulation of Prefrontal Activity in Healthy Elders

2016 ◽  
Vol 28 (2) ◽  
pp. 275-281 ◽  
Author(s):  
Brad Manor ◽  
Junhong Zhou ◽  
Azizah Jor'dan ◽  
Jue Zhang ◽  
Jing Fang ◽  
...  
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Brain Regions ◽  
Dual Tasking ◽  
Single Task ◽  
Novel Approach ◽  
Before And After ◽  
Improved Performance ◽  
Task Conditions

Dual tasking (e.g., walking or standing while performing a cognitive task) disrupts performance in one or both tasks, and such dual-task costs increase with aging into senescence. Dual tasking activates a network of brain regions including pFC. We therefore hypothesized that facilitation of prefrontal cortical activity via transcranial direct current stimulation (tDCS) would reduce dual-task costs in older adults. Thirty-seven healthy older adults completed two visits during which dual tasking was assessed before and after 20 min of real or sham tDCS targeting the left pFC. Trials of single-task standing, walking, and verbalized serial subtractions were completed, along with dual-task trials of standing or walking while performing serial subtractions. Dual-task costs were calculated as the percent change in markers of gait and postural control and serial subtraction performance, from single to dual tasking. Significant dual-task costs to standing, walking, and serial subtraction performance were observed before tDCS (p < .01). These dual-task costs were less after real tDCS as compared with sham tDCS as well as compared with either pre-tDCS condition (p < .03). Further analyses indicated that tDCS did not alter single task performance but instead improved performance solely within dual-task conditions (p < .02). These results demonstrate that dual tasking can be improved by modulating prefrontal activity, thus indicating that dual-task decrements are modifiable and may not necessarily reflect an obligatory consequence of aging. Moreover, tDCS may ultimately serve as a novel approach to preserving dual-task capacity into senescence.

Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Chang Yoon Baek ◽  
Woo Nam Chang ◽  
Beom Yeol Park ◽  
Kyoung Bo Lee ◽  
Kyoung Yee Kang ◽  
...  
Keyword(s):  
Dual Task ◽  
Cognitive Task ◽  
Gait Training ◽  
Control Group ◽  
Task Condition ◽  
Dual Task Condition ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Task Conditions

Abstract Objective This study aimed to investigate the effects of dual-task gait training using a treadmill on gait ability, dual-task interference, and fall efficacy in people with stroke. Methods Patients with chronic stroke (N = 34) were recruited and randomly allocated to the experimental or control group. Both groups underwent gait training on a treadmill and a cognitive task. In the experimental group, gait training was conducted in conjunction with the cognitive task, whereas in the control group, the training and the cognitive task were conducted separately. Each intervention was provided for 60 minutes, twice a week, for a period of 6 weeks for both groups. The primary outcomes were as follows: gait parameters (speed, stride, variability, and cadence) under single-task and dual-task conditions, correct response rate (CRR) under single-task and dual-task conditions, and dual-task cost (DTC) in gait parameters and CRR. The secondary outcome was the fall efficacy scale. Results Dual-task gait training using a treadmill improved all gait parameters in the dual-task condition, speed, stride, and variability in the single-task condition, and CRR in both conditions. Difference between the groups was observed in speed, stride, and variability in the dual-task condition. Furthermore, dual-task gait training on a treadmill improved DTC in speed, variability, and cadence along with that in CRR, indicating true improvement of DTC, which led to significant improvement in DTC in speed and variability compared with single-task training. Conclusions Dual-task gait treadmill training was more effective in improving gait ability in dual-task training and DTI than single-task training involving gait and cognitive task separately in people with chronic stroke.

scholarly journals Do Task Complexity Demands Influence the Learners’ Perception of Task Difficulty?

2017 ◽  
Vol 6 (6) ◽  
pp. 71
Author(s):  
Nasrin Sanajou ◽  
Leila Zohali ◽  
Fateme Zabihi
Keyword(s):  
Dual Task ◽  
Task Difficulty ◽  
Task Complexity ◽  
Cognitive Task ◽  
The Other ◽  
Complex Task ◽  
Teaching Materials ◽  
Simple Task ◽  
Single Task ◽  
Efl Learners

This study investigates the effects of cognitive task complexity on EFL learners’ perception of task difficulty. Learners’ perception of task difficulty is measured by a five-item task difficulty questionnaire (as in Robinson, 2001a). The participants were 76 intermediate learners which were divided into two groups. One group performed a simple task (single task) and the other group performed a complex task (dual task). Having performed the tasks, the participants completed the task difficulty questionnaire. In order to see how the participants evaluated task difficulty, their ratings for each question of the questionnaire in the simple and complex tasks was compared using Mann-Whitney U. The results indicate that the complex task significantly affected learners’ perception of task difficulty in three items of difficulty, stress and interest. The results of task difficulty studies can help language educators in designing and employing more effective language teaching materials. 

Cognitive Reserve Moderates the Efficiency of Prefrontal Cortex Activation Patterns of Gait in Older Adults

2021 ◽  
Author(s):  
Roee Holtzer ◽  
Daliah Ross ◽  
Catherine O’Brien ◽  
Meltem Izzetoglu ◽  
Mark E Wagshul
Keyword(s):  
Older Adults ◽  
Prefrontal Cortex ◽  
Dual Task ◽  
Cognitive Functions ◽  
Cognitive Reserve ◽  
Word Reading ◽  
Cognitive Task ◽  
Functional Near Infrared Spectroscopy ◽  
Activation Patterns ◽  
Single Task

Abstract Background Cognitive Reserve (CR) protects against cognitive decline, but whether CR influences the efficiency of cortical control of gait has not been reported. The current study addressed this important gap in the literature. Specifically, we determined the role of CR in moderating the efficiency of functional Near-Infrared-Spectroscopy (fNIRS)-derived HbO2 in the prefrontal cortex (PFC) assessed during active walking. We hypothesized that higher CR would be associated with more efficient brain activation patterns. Methods Participants were 55 (mean age=74.84; %female=49.1) older adults who underwent the combined walking/fNIRS protocol and had MRI data. We used an established dual-task walking paradigm that consisted of three task conditions: Single-Task-Walk (STW), Single-Task-Alpha (STA, cognitive task) and Dual-Task-Walk (DTW). Using the residuals approach, CR was derived from a word-reading test score by removing variance accounted for by socio-demographic variables, tests of current cognitive functions and a measure of structural brain integrity. Results CR moderated the change in fNIRS-derived HbO2 in the PFC across tasks. Higher CR was associated with smaller increases in fNIRS-derived HbO2 from the single tasks to dual task walking (CR x DTW compared to STW: estimate = .183; p &lt; .001; CR x DTW compared to STA: estimate =.257; p &lt; .001). The moderation effect of CR remained significant when adjusting for multiple covariates and concurrent moderation effects of measures of gait performance, current cognitive functions and structural integrity of the brain. Conclusion The current study provided first evidence that higher CR was associated with better neural efficiency of walking in older adults.

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