Abstract

Most conventional measures of information processing speed require motor responses to facilitate performance. However, although not often addressed clinically, motor impairment, whether due to age or acquired brain injury, would be expected to confound the outcome measure of such tasks. The current study recruited 29 patients (20 stroke and 9 transient ischemic attack) with documented reduction in dexterity of the dominant hand, and 29 controls, to investigate the extent to which 3 commonly used processing speed measures with varying motor demands (a Visuo-Motor Reaction Time task, and the Wechsler Adult Intelligence Scale-IV Symbol Search and Coding subtests) may be measuring motor-related speed more so than cognitive speed. Analyses include correlations between indices of cognitive and motor speed obtained from two other tasks (Inspection Time and Pegboard task, respectively) with the three speed measures, followed by hierarchical regressions to determine the relative contribution of cognitive and motor speed indices toward task performance. Results revealed that speed outcomes on tasks with relatively high motor demands, such as Coding, were largely reflecting motor speed in individuals with reduced dominant hand dexterity. Thus, findings indicate the importance of employing measures with minimal motor requirements, especially when the assessment of speed is aimed at understanding cognitive rather than physical function.

Highlights

  • Information processing speed is defined as the efficiency or rate of processing information, and is known to be intrinsically related to an individual’s cognitive ability [1]

  • Patients presented with slower right-hand motor speed, which has been confirmed by planned contrast analysis demonstrating significantly lower right-hand dexterity in patients compared with controls

  • On the general speed measures, patients’ reaction times on the Visuo-Motor Reaction Time (VMRT) task were longer, and they obtained lower scores on the Symbol Search (SS) and Cod compared with controls, all of which indicate slower general speed of processing

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Summary

Introduction

Information processing speed is defined as the efficiency or rate of processing information, and is known to be intrinsically related to an individual’s cognitive ability [1]. Chiaravalloti et al [10], for example, have suggested that speed domains should include simple and complex processing speed, while Roberts and Stankov [12] emphasized the importance of perceptual, inductive reasoning, decision and movement, and visual scanning speed. We propose that at the most basic level, rate of information processing should include at least two major domains, the first being a speed domain for any initial non-motor or cognitive activity (e.g., perceptual speed for attentional activation, auditory learning or auditory processing speed), and the second for the subsequent motor or physical activity that follows (e.g., psychomotor speed, reaction time, and eye movement or saccadic latency)

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