Concurrent Cognitive Load Research Articles

Effect of a Simultaneous Mental Arithmetic Task to a MMH Lifting Task on Muscle Activity in the Trunk and Shoulders

Introduction: This study investigated the effects of concurrent mental demands on material handling tasks. Methods: Eleven subjects performed a material handling task with and without cognitive loads while lifting a 5 kg box to three different destination heights. The cognitive load was created by having participants perform a concurrent math task while lifting the box. The study measured the muscle activity in trunk and shoulder muscles. Results: The study found that, in select muscles, the cognitive load conditions led to longer lift times and increased cumulative muscle activity, but lower peak muscle activity. Conclusion: These findings suggest that lifting tasks with a concurrent cognitive load could lead to greater cumulative muscle activity, increasing the risk of muscular fatigue during manual material handling tasks.

Multiple routes to help you roam: A comparison of training interventions to improve cognitive-motor dual-tasking in healthy older adults.

Cognitive-motor dual-tasking is a complex activity that predicts falls risk and cognitive impairment in older adults. Cognitive and physical training can both lead to improvements in dual-tasking; however, less is known about what mechanisms underlie these changes. To investigate this, 33 healthy older adults were randomized to one of three training arms: Executive function (EF; n = 10), Aerobic Exercise (AE; n = 10), Gross Motor Abilities (GMA; n = 13) over 12 weeks (1 h, 3×/week). Single and dual-task performance (gait speed, m/s; cognitive accuracy, %) was evaluated before and after training, using the 2-back as concurrent cognitive load. Training arms were designed to improve cognitive and motor functioning, through different mechanisms (i.e., executive functioning - EF, cardiorespiratory fitness - CRF, and energy cost of walking - ECW). Compared to baseline, we observed few changes in dual-task gait speed following training (small effect). However, dual-task cognitive accuracy improved significantly, becoming facilitated by walking (large effect). There were no differences in the magnitude of improvements across training arms. We also found that older adults with lower cognitive ability (i.e., MoCA score < 26; n = 14) improved more on the dual-task cognitive accuracy following training, compared to older adults with higher cognitive ability (i.e., MoCA ≥26; n = 18). Taken together, the results suggest that regardless of the type of intervention, training appears to strengthen cognitive efficiency during dual-tasking, particularly for older adults with lower baseline cognitive status. These gains appear to occur via different mechanisms depending on the form of intervention. Implications of this research are paramount, as we demonstrate multiple routes for improving cognitive-motor dual-tasking in older adults, which may help reduce risk of cognitive impairment.

Balance recovery stepping responses during walking were not affected by a concurrent cognitive task among older adults

BackgroundMost of older adults’ falls are related to inefficient balance recovery after an unexpected loss of balance, i.e., postural perturbation. Effective balance recovery responses are crucial to prevent falls. Due to the considerable consequences of lateral falls and the high incidence of falls when walking, this study aimed to examine the effect of a concurrent cognitive task on older adults’ balance recovery stepping abilities from unannounced lateral perturbations while walking. We also aimed to explore whether cognitive performance accuracy is affected by perturbed walking and between task trade-offs.MethodsIn a laboratory-based study, 20 older adults (> 70 years old) performed the following test conditions: (1) cognitive task while sitting; (2) perturbed walking; and (3) perturbed walking with a concurrent cognitive task. The cognitive task was serial numbers subtraction by seven. Single-step and multiple-step thresholds, highest perturbation achieved, 3D kinematic analysis of the first recovery step, and cognitive task performance accuracy were compared between single-task and dual-task conditions. Between task trade-offs were examined using dual-task cost (DTC).ResultsSingle-step and multiple-step thresholds, number of recovery step trials, number of foot collision, multiple-step events and kinematic recovery step parameters were all similar in single-task and dual-task conditions. Cognitive performance was not significantly affected by dual-task conditions, however, different possible trade-offs between cognitive and postural performances were identified using DTC.ConclusionsIn situations where postural threat is substantial, such as unexpected balance loss during walking, balance recovery reactions were unaffected by concurrent cognitive load in older adults (i.e., posture first strategy).The study was approved by the Helsinki Ethics Committee of Soroka University Medical Center in Beer-Sheva, Israel (ClinicalTrials.gov Registration number NCT04455607, ID Numbers: Sor 396–16 CTIL; 02/07/2020).

Age-related enhancement in visuomotor learning by a dual-task

Many daily activities require performance of multiple tasks integrating cognitive and motor processes. While the fact that both processes go through deterioration and changes with aging has been generally accepted, not much is known about how aging interacts with stages of motor skill acquisition under a cognitively demanding situation. To address this question, we combined a visuomotor adaptation task with a secondary cognitive task. We made two primary findings beyond the expected age-related performance deterioration. First, while young adults showed classical dual-task cost in the early motor learning phase dominated by explicit processes, older adults instead strikingly displayed enhanced performance in the later stage, dominated by implicit processes. For older adults, the secondary task may have facilitated a shift to their relatively intact implicit learning processes that reduced reliance on their already-deficient explicit processes during visuomotor adaptation. Second, we demonstrated that consistently performing the secondary task in learning and re-learning phases can operate as an internal task-context and facilitate visuomotor memory retrieval later regardless of age groups. Therefore, our study demonstrated age-related similarities and differences in integrating concurrent cognitive load with motor skill acquisition which, may in turn, contributes to the understanding of a shift in balance across multiple systems.

Is action understanding an automatic process? Both cognitive and perceptual processing are required for the identification of actions and intentions.

The ability to identify others' actions and intentions, "action understanding," is crucial for successful social interaction. Under direct accounts, action understanding takes place without the involvement of inferential processes, a claim that has yet to be tested using behavioural measures. Using a dual-task paradigm, the present study aimed to establish whether the identification of others' actions and intentions depends on automatic or inferential processing, by manipulating working memory load during performance of a task designed to target the identification of actions and intentions. Experiment 1 tested a novel action understanding task targeting action identification and intention identification. This task was then combined with two working memory manipulations (cognitive: Experiment 2; perceptual: Experiment 3) to determine whether action identification and intention identification are disrupted by concurrent cognitive or perceptual load. Both action identification and intention identification were impaired by concurrent cognitive and perceptual processing, indicating that action understanding requires additional perceptual and cognitive resources. These findings contradict a direct account of action understanding.

Aha! under pressure: The Aha! experience is not constrained by cognitive load

The Aha! moment– the sudden insight sometimes reached when solving a vexing problem– entails a different problem-solving experience than solution retrieval reached by an analytical, multistep strategy (i.e., non-insight). To date, the (un)conscious nature of insight remains debated. We addressed this by studying insight under cognitive load. If insight and non-insight problem solving rely on conscious, effortful processes, they should both be influenced by a concurrent cognitive load. However, if unconscious processes characterize insight, cognitive load might not affect it at all. Using a dual-task paradigm, young, healthy adults (N = 106) solved 70 word puzzles under different cognitive loads. We confirmed that insight solutions were more often correct and received higher solution confidence. Importantly, as cognitive load increased, non-insight solutions became less frequent and required more solution time, whereas insightful ones remained mostly unaffected. This implies that insight problem solving did not compete for limited cognitive resources.

Single-Task or Dual-Task? Gait Assessment as a Potential Diagnostic Tool for Alzheimer's Dementia.

Background:A person’s gait performance requires the integration of sensorimotor and cognitive systems. Therefore, a person’s gait may be influenced by concurrent cognitive load such as simultaneous talking. Although it has been known that gait performance of people with Alzheimer’s dementia (AD) is compromised when they attempt a dual-task walking task, it is unclear if using a dual-task gait performance during an AD assessment yields higher diagnostic accuracy.Objective:This study was designed to compare the predictive power for AD of dual-task gait performance in an AD assessment to that of single-task gait performance.Methods:Participants (14 with AD and 15 healthy controls) walked across the GAITRite© Portable Walkway mat under three different cognitive load conditions: no simultaneous cognitive load, walking while counting numbers by ones, and walking while completing category naming.Results:Multiple logistic regression revealed that the gait performance under a dual-task condition (i.e., concurrent counting or category naming) increased the proportion of variance explained by the FAP, SL, and DST, of the incidence of AD.Conclusion:Dual-task walking and talking may be a more effective diagnostic feature than single-task walking in a comprehensive AD diagnostic assessment.

Greater dependence on working memory and restricted familiarity in orangutans compared with rhesus monkeys.

The prefrontal cortex is larger than would be predicted by body size or visual cortex volume in great apes compared with monkeys. Because prefrontal cortex is critical for working memory, we hypothesized that recognition memory tests would engage working memory in orangutans more robustly than in rhesus monkeys. In contrast to working memory, the familiarity response that results from repetition of an image is less cognitively taxing and has been associated with nonfrontal brain regions. Across three experiments, we observed a striking species difference in the control of behavior by these two types of memory. First, we found that recognition memory performance in orangutans was controlled by working memory under conditions in which this memory system plays little role in rhesus monkeys. Second, we found that unlike the case in monkeys, familiarity was not involved in recognition memory performance in orangutans, shown by differences with monkeys across three different measures. Memory in orangutans was not improved by use of novel images, was always impaired by a concurrent cognitive load, and orangutans did not accurately identify images seen minutes ago. These results are surprising and puzzling, but do support the view that prefrontal expansion in great apes favored working memory. At least in orangutans, increased dependence on working memory may come at a cost in terms of the availability of familiarity.

Do different types of US produce similar evaluative conditioning? An examination with contingency-awareness and cognitive load

ABSTRACTEvaluative conditioning (EC) refers to a modulation in the liking of a neutral stimulus after it has been paired with an unconditioned stimulus (US). Previous studies have uncovered some of the mechanisms responsible for EC, but many parameters remain unknown. The study addresses two questions: Is the amplitude of EC and the impact of cognitive variables are the same for different types of US? We compared three types of US: shocks, single images and multiple semantically related images. This conditioning occurred while participants maintained a concurrent cognitive load, or not. Our results indicate that all types of US produced a significant EC of similar amplitude. Furthermore, the two cognitive variables had a similar impact across all types of US. Specifically, contingency-awareness was related to the amplitude of EC, particularly in the cognitive load group. Our results illustrate the importance of within study comparisons to assess different parameters on EC.

The effects of concurrent cognitive task load on recognising faces displaying emotion

Two independent experiments (N = 30 and N = 24) investigated the effects of concurrent task loads on the recognition of faces displaying emotions. The study aimed to explore a possible resolution for an apparently discrepant finding in the literature regarding the impact of such loads on recognition of facial emotions. Faces displaying different emotions were presented, with or without a concurrent load, until the facial stimuli were correctly labelled to criterion in terms of the displayed emotion. Participants were then presented with elements from the faces (i.e. eyebrows, eyes, and mouth). When participants had to complete the concurrent task as well as the facial recognition task, they did not respond equally to the separate facial elements, and over-selected to the mouth when recognising facial expressions of emotion. The findings relating to the impact of the concurrent load tasks on correct labelling of the facial elements with respect to the emotional faces are discussed in terms of the impact of cognitive load on the production of over-selectivity and the recognition of faces displaying emotions in complex situations, and the implications for those with a developmental disability.

Nonverbal Working Memory for Novel Images in Rhesus Monkeys

Human working memory is greatly facilitated by linguistic representations-for example, by verbal rehearsal and by verbal recoding of novel stimuli. The absence of language in nonhumans raises questions about the extent to which nonhuman working memory includes similar mechanisms. There is strong evidence for rehearsal-like active maintenance in working memory when monkeys are tested with highly familiar stimuli, but not when tested with novel stimuli, suggesting that working memory depends on the existence of previously encoded representations. This difference in working memory for familiar and novel images may exist because, lacking language, monkeys cannot recode novel stimuli in a way that permits active maintenance in working memory. Alternatively, working memory for novel images may have been present, but behaviorally silent, in earlier studies. In tests with novel images, the high familiarity of to-be-remembered stimuli compared to never-before-seen distractors may be such a strong determinant of recognition performance that evidence of working memory is obscured. In the current study, we developed a technique for attenuating the utility of relative familiarity as a mnemonic signal in recognition tests with novel stimuli. In tests with novel images, we observed impairments of memory by concurrent cognitive load and delay interval that indicate actively maintained working memory. This flexibility in monkey working memory suggests that monkeys may recode unfamiliar stimuli to facilitate working memory and establishes new parallels between verbal human working memory and nonverbal nonhuman primate working memory.

Planning sentences while doing other things at the same time: effects of concurrent verbal and visuospatial working memory load.

This study investigated to what extent advance planning during sentence production is affected by a concurrent cognitive load. In two picture-word interference experiments in which participants produced subject-verb-object sentences while ignoring auditory distractor words, we assessed advance planning at a phonological (lexeme) and at an abstract-lexical (lemma) level under visuospatial or verbal working memory (WM) load. At the phonological level, subject and object nouns were found to be activated before speech onset with concurrent visuospatial WM load, but only subject nouns were found to be activated with concurrent verbal WM load, indicating a reduced planning scope as a function of type of WM load (Experiment 1). By contrast, at the abstract-lexical level, subject and object nouns were found to be activated regardless of type of concurrent load (Experiment 2). In both experiments, sentence planning had a more detrimental effect on concurrent verbal WM task performance than on concurrent visuospatial WM task performance. Overall, our results suggest that advance planning at the phonological level is more affected by a concurrently performed verbal WM task than advance planning at the abstract-lexical level. Also, they indicate an overlap of resources allocated to phonological planning in speech production and verbal WM.

Surprise responses in the human brain demonstrate statistical learning under high concurrent cognitive demand.

The ability to learn about regularities in the environment and to make predictions about future events is fundamental for adaptive behaviour. We have previously shown that people can implicitly encode statistical regularities and detect violations therein, as reflected in neuronal responses to unpredictable events that carry a unique prediction error signature. In the real world, however, learning about regularities will often occur in the context of competing cognitive demands. Here we asked whether learning of statistical regularities is modulated by concurrent cognitive load. We compared electroencephalographic metrics associated with responses to pure-tone sounds with frequencies sampled from narrow or wide Gaussian distributions. We showed that outliers evoked a larger response than those in the centre of the stimulus distribution (i.e., an effect of surprise) and that this difference was greater for physically identical outliers in the narrow than in the broad distribution. These results demonstrate an early neurophysiological marker of the brain’s ability to implicitly encode complex statistical structure in the environment. Moreover, we manipulated concurrent cognitive load by having participants perform a visual working memory task while listening to these streams of sounds. We again observed greater prediction error responses in the narrower distribution under both low and high cognitive load. Furthermore, there was no reliable reduction in prediction error magnitude under high-relative to low-cognitive load. Our findings suggest that statistical learning is not a capacity limited process, and that it proceeds automatically even when cognitive resources are taxed by concurrent demands.

Effect Of Dual-task On Turning Characteristics While Walking Among Collegiate Athletes

Many sports require athletes to complete turns during competition. While many studies have examined spatio-temporal gait parameters both with and without a concurrent cognitive load, there is little information on the turning characteristics while walking and performing a concurrent cognitive task. Such information could help evaluate the effects of concussion on an activity of daily living like turning while walking. PURPOSE: To determine the effect of dual-task on turning characteristics while walking in collegiate athletes. METHODS: 53 subjects performed 5 trials of a 10m walk under single- and dual-task conditions at self-selected speed. Each trial consisted of one turn. The Mini Mental Status Exam (MMSE) was used as the concurrent dual-task. MMSE consists of spelling five-letter words in reverse, subtraction by sevens, and reciting the months of the year in reverse order. Participants were fitted with 6 OPAL sensors as part of the Mobility Lab system (APDM Inc., Portland, OR). The trunk or lumbar sensor and a mathematical model developed by APDM was used to detect the exact moment of beginning and end of turning. Absolute and variability measures of turning velocity and duration were calculated. Number of steps during turning were also obtained. A paired samples t-test and Wilcoxon Signed Rank test were used to compare turning performance under single and dual task conditions. RESULTS: See Table 1. CONCLUSION: Athletes turned significantly slower and took longer time to complete the turn while dual-tasking albeit taking similar number of steps to complete the turn. Whether these results hold true for post-concussion evaluation needs to be determined.Table: No title available.SD - Standard deviation; CV – Coefficient of variation; P<0.05 significant

Closing-in in Parkinson’s disease individuals with dementia: An experimental study

Introduction: The tendency to reproduce figures close to or superimposed on the model in copying tasks, the so-called Closing-in (CI) phenomenon, has been rarely reported in individuals affected by Parkinson’s disease and associated dementia (PD-D). We aimed to comprehend the genesis of CI in PD-D individuals by assessing whether reduction of attention/executive resources can increase the tendency to deviate toward the model. Method: Thirty PD-D individuals underwent a neuropsychological evaluation exploring visuo-spatial, visuo-constructional, executive and memory abilities. An experimental copying task was employed in single and in two dual task conditions to assess whether a (verbal) cognitive load can increase CI in these individuals, compared with a matched sample of healthy adults. Results: CI occurred in 19/30 (63.3%) PD-D individuals: 4 of them produced copies close to the model (near-CI), whereas 15 individuals also superimposed their copies on the model (adherent-CI) besides showing near-CI. Presence of CI in PD-D individuals was significantly correlated with executive dysfunction but not with general cognitive impairment. In the experimental copying task the tendency to deviate toward the model was strongly correlated with executive dysfunction, and significantly increased when PD-D individuals were engaged in dual-task compared with single task conditions. Some individuals attempted to counteract CI, but this trend significantly decreased in dual-task compared with the single task conditions. In healthy adults the drift toward the model was significantly smaller than in PD-D individuals; in dual-task conditions healthy adults only showed a significant decrease in their ability to compensate for this drift. Conclusions: In PD-D individuals the tendency to deviate toward a salient model is strongly enhanced by a concurrent cognitive load. Such preliminary findings would suggest a relationship between reduction of executive attentional resources and the genesis of CI in PD-D individuals.

Effects of age and cognitive load on response reprogramming.

A dual-task paradigm was used to examine the effect of cognitive load on motor reprogramming. We propose that in the face of conflict, both executive control and motor control mechanisms become more interconnected in the process of reprogramming motor behaviors. If so, one would expect a concurrent cognitive load to compromise younger adults' (YAs) motor reprogramming ability and further exacerbate the response reprogramming ability of older adults (OAs). Nineteen YAs and 14 OAs overlearned a sequence of key presses. Deviations of the practiced sequence were introduced to assess motor reprogramming ability. A Serial Sevens Test was used as the cognitive load. A 3D motion capture system was used to parse finger movements into planning and motor execution times. Global response time analysis revealed that under single-task conditions, during prepotent transitions, OAs responded as quickly as YAs, but they were disproportionately worse than YAs during conflict transitions. Under dual-task conditions, YAs performance became more similar to that of OAs. Movement data were decomposed into planning and movement time, revealing that under single-task conditions, when responding to conflicting stimuli YAs reduced their movement time in order to compensate for delayed planning time; however, additional cognitive load prevented them from exhibiting this compensatory hastening on conflict transitions. We propose that age-related declines in response reprogramming may be linked to reduced cognitive capacity. Current findings suggest that cognitive capacity, reduced in the case of OAs or YAs under divided attention conditions, influences the ability to flexibly adapt to conflicting conditions.

The influence of a working memory task on affective perception of facial expressions.

In a dual-task paradigm, participants performed a spatial location working memory task and a forced two-choice perceptual decision task (neutral vs. fearful) with gradually morphed emotional faces (neutral ∼ fearful). Task-irrelevant word distractors (negative, neutral, and control) were experimentally manipulated during spatial working memory encoding. We hypothesized that, if affective perception is influenced by concurrent cognitive load using a working memory task, task-irrelevant emotional distractors would bias subsequent perceptual decision-making on ambiguous facial expression. We found that when either neutral or negative emotional words were presented as task-irrelevant working-memory distractors, participants more frequently reported fearful face perception - but only at the higher emotional intensity levels of morphed faces. Also, the affective perception bias due to negative emotional distractors correlated with a decrease in working memory performance. Taken together, our findings suggest that concurrent working memory load by task-irrelevant distractors has an impact on affective perception of facial expressions.

Fuzzy Navigation Engine: Mitigating the Cognitive Demands of Semi-Natural Locomotion

Many interfaces exist for locomotion in virtual reality, although they are rarely considered fully natural. Past research has found that using such interfaces places cognitive demands on the user, with unnatural actions and concurrent tasks competing for finite cognitive resources. Notably, using semi-natural interfaces leads to poor performance on concurrent tasks requiring spatial working memory. This paper presents an adaptive system designed to track a user's concurrent cognitive task load and adjust interface parameters accordingly, varying the extent to which movement is fully natural. A fuzzy inference system is described and the results of an initial validation study are presented. Users of this adaptive interface demonstrated better performance than users of a baseline interface on several movement metrics, indicating that the adaptive interface helped users manage the demands of concurrent spatial tasks in a virtual environment. However, participants experienced some unexpected difficulties when faced with a concurrent verbal task.

Gait profile score and movement analysis profile in patients with Parkinson's disease during concurrent cognitive load.

Background: Gait disorders are common in individuals with Parkinson's Disease (PD) and the concurrent performance of motor and cognitive tasks can have marked effects on gait. The Gait Profile Score (GPS) and the Movement Analysis Profile (MAP) were developed in order to summarize the data of kinematics and facilitate understanding of the results of gait analysis. Objective: To investigate the effectiveness of the GPS and MAP in the quantification of changes in gait during a concurrent cognitive load while walking in adults with and without PD. Method: Fourteen patients with idiopathic PD and nine healthy subjects participated in the study. All subjects performed single and dual walking tasks. The GPS/MAP was computed from three-dimensional gait analysis data. Results: Differences were found between tasks for GPS (P<0.05) and Gait Variable Score (GVS) (pelvic rotation, knee flexion-extension and ankle dorsiflexion-plantarflexion) (P<0.05) in the PD group. An interaction between task and group was observed for GPS (P<0.01) for the right side (Cohen's ¯d=0.99), left side (Cohen's ¯d=0.91), and overall (Cohen's ¯d=0.88). No interaction was observed only for hip internal-external rotation and foot internal-external progression GVS variables in the PD group. Conclusions: The results showed gait impairment during the dual task and suggest that GPS/MAP may be used to evaluate the effects of concurrent cognitive load while walking in patients with PD.

Differential Neural Activation Patterns in Patients with Parkinson's Disease and Freezing of Gait in Response to Concurrent Cognitive and Motor Load

Freezing of gait is a devastating symptom of Parkinson's disease (PD) that is exacerbated by the processing of cognitive information whilst walking. To date, no studies have explored the neural correlates associated with increases in cognitive load whilst performing a motor task in patients with freezing. In this experiment, 14 PD patients with and 15 PD patients without freezing of gait underwent 3T fMRI while performing a virtual reality gait task. Directions to walk and stop were presented on the viewing screen as either direct cues or as more cognitively indirect pre-learned cues. Both groups showed a consistent pattern of BOLD response within the Cognitive Control Network during performance of the paradigm. However, a between group comparison revealed that those PD patients with freezing of gait were less able to recruit the bilateral anterior insula, ventral striatum and the pre-supplementary motor area, as well as the left subthalamic nucleus when responding to indirect cognitive cues whilst maintaining a motor output. These results suggest that PD patients with freezing of gait are unable to properly recruit specific cortical and subcortical regions within the Cognitive Control Network during the performance of simultaneous motor and cognitive functions.