Differences In Dual-task Performance Research Articles

Toplumda yaşayan yaşlılarda kognitif ve motor fonksiyonlar ile ikili görev performansı arasındaki ilişki: cinsiyet farkları

Dual-task performances may be impaired with the impairment in motor performance and cognitive functions due to aging. The aim of the present cross-sectional study is to investigate the gender differences in dual-task performance. A total of 82 community-dwelling older adults (41 males and 41 females) aged between 65 and 75 years were included. Motor performance was evaluated with the sit-to-stand test, the timed up and go test, 10 m walking test and cognitive functions were evaluated with Montreal Cognitive Assessment Test. Dual-task performances were evaluated as motor-motor and cognitive-motor performance. Mean age was 70.12±3.18 years for females and 69.80±3.21 years for males. Both groups were similar with regard to age, education status, exercise habits, and working status. In dual-task performances, females were found to complete motor-motor tasks in a shorter time as compared to males (p=0.001). Cognitive-motor task performances were found to be better in males (p=0.038). It is considered that gender differences in dual-task performances could be understood better in the light of the results of the present study and treatment may be arranged in accordance with these gender differences.

Cognitive-motor interference in people with mild to moderate multiple sclerosis, in comparison with healthy controls

BackgroundReduced motor and cognitive dual-task capacity is found to be more common among people with multiple sclerosis (MS), than among healthy populations. However, studies in larger samples of MS conducted using a more stringent methodology, which includes comparisons to healthy controls, are needed. Thus, the primary aim of this study was to explore the effects on motor and cognitive dual-tasking in people with mild to moderate overall MS-disability, in comparison to healthy controls. A second aim was to explore the differences in dual-task performance on a cognitive task between two motor tasks in people with mild to moderate MS and healthy controls. MethodsThis case-control study evaluated dual-task performance of the motor tasks standing with eyes closed (hereafter standing) and walking and a cognitive task assessing selective executive functions (auditory-Stroop test). Fifty-five people with MS (mild MS, n = 28; moderate MS, n = 27), and 30 healthy controls participated. Standing and walking were assessed using wireless inertial measurement unit sensors (APDM). Standing (three 30 s trials) was measured using sway area and root mean square sway, while walking (2 min) was measured using speed, stride length, and step time. Auditory-Stroop was measured using accuracy and response time. During dual-task assessments, each subject was instructed to pay equal attention to both tasks. Statistical significance was considered if p < .05. ResultsInstanding no significant within-group differences in the standing measures were found between single-task and dual-task performance. However, dual-task performance differed significantly between all groups (moderate MS > mild MS > healthy controls), except between mild and moderate MS in sway area. Inwalking, all groups slowed down speed and shortened stride length during dual-task condition compared to single-task condition. Moderate MS performed significantly poorer than mild MS and healthy controls in dual-task walking, but mild MS did not differ from healthy controls. In thecognitivetask only mild MS increased significantly in auditory-Stroop response time during walking. In healthy controls, the performance of auditory-Stroop was not affected by dual-tasking. Moderate MS had significantly longer response time in dual-task auditory-Stroop compared to the other groups, but no differences were observed between mild MS and healthy controls. Only mild MS had significantly longer response time during walking than during standing. ConclusionThis study showed that cognitive-motor interference in people with MS is present also in the early phases of the disease. This was shown during dual-tasking with slower walking and a longer response time in the cognitive task compared to healthy controls. Moderate MS performed poorer in almost every aspect of the motor and cognitive assessments in dual-task condition, compared to mild MS and healthy controls. Furthermore, during standing, people with MS performed poorer in standing measures compared to healthy controls. Additionally, healthy controls showed no cognitive interference during motor tasks.The results suggest that standardized regular assessment of dual-tasking in MS care might increase the individual's knowledge of dual-task capacity and contribute to understanding of possible related consequences. However, feasible assessment equipment and specific motor-cognitive dual-task training interventions for people with MS need to be developed.

Differences in Dual Task Performance After Robotic Upper Extremity Rehabilitation in Hemiplegic Stroke Patients

Background: Cognitive–motor interference is a phenomenon in which the concomitant performance of cognitive and motor tasks results in poorer performance than the isolated performance of these tasks. We aimed to evaluate changes in dual-task performance after robotic upper extremity rehabilitation in patients with stroke-induced hemiplegia.Methods: This prospective study included patients with left upper limb weakness secondary to middle cerebral artery stroke who visited a rehabilitation hospital. Participants performed a total of 640 robot-assisted planar reaching movements during a therapist-supervised robotic intervention that was conducted five times a week for 4 weeks. Cognitive and motor performance was separately evaluated in single- and dual-task conditions. The digit span test and Controlled Oral Word Association Test (COWAT) were used to assess cognitive performance, whereas motor performance was evaluated through kinematic assessment of the motor task.Results: In single-task conditions, motor performance showed significant improvement after robotic rehabilitation, as did the scores of the COWAT subdomains of animal naming (p < 0.001), supermarket item naming (p < 0.06), and phonemes (p < 0.05). In dual-task conditions, all motor task performance variables except mean velocity showed improvement after robotic rehabilitation. The type of cognitive task did not affect the dual-task effect, and there were no significant differences in the dual-task effects of motor, cognitive, or the sum of motor and cognitive performance after robotic rehabilitation.Conclusion: Post-stroke robotic rehabilitation has different effects on motor and cognitive function, with more consistent effects on motor function than on cognitive function. Although motor and cognitive performance improved after robotic rehabilitation, there were no changes in the corresponding dual-task effects.

Walking While Talking and Prefrontal Oxygenation in Motoric Cognitive Risk Syndrome: Clinical and Pathophysiological Aspects.

Motoric cognitive risk syndrome (MCR) combines slow gait and cognitive complaints and has been proposed as a predementia syndrome. The nature of dual-task performance in MCR has not been established. To assess differences in dual-task performance between participants with and without MCR and to study the prefrontal cortex (PFC)-based brain activity during dual-task using functional near-infrared spectroscopy. Cohort study of community-dwelling non-demented older adults included in the "Central Control of Mobility in Aging" study. Comprehensive assessment included global cognition and executive function tests along with clinical variables. Dual-task paradigm consisted in walking while reciting alternate letters of the alphabet (WWT) on an electronic walkway. We compared dual-task performance between MCR (n = 60) and No MCR (n = 478) participants and assessed the relationship of dual-task performance with cognitive function. In a subsample, we compared PFC oxygenation during WWT between MCR (n = 32) and No MCR (n = 293). In our sample of 538 high-functioning older adults (76.6±6.5 years), with 11.2% prevalence of MCR, dual-task cost was not significantly different, compared to No MCR participants. Among MCR participants, no significant relationship was found between WWT velocity and cognitive function, whereas No MCR participants with better cognitive function showed faster WWT velocities. PFC oxygenation during WWT was higher in MCR compared to No MCR (1.02±1.25 versus 0.66±0.83, p = 0.03). MCR participants showed no significant differences in the dual-task cost while exhibiting higher PFC oxygenation during dual-task walking. The dual-task performance (WWT velocity) in MCR participants was not related to cognition.

Testing the over-reliance on central attention (ORCA) hypothesis: Do older adults have difficulty automatizing especially easy tasks?

Does aging increase the reliance on central attention to carry out tasks, even when those tasks do not need it? To test the hypothesis of over-reliance on central attention (ORCA), we examined the ability of older adults to entirely bypass ideomotor-compatible (IM) tasks. IM tasks operate automatically for younger adults: The perception of an IM stimulus (e.g., a left-pointing arrow) directly activates the associated response code (e.g., pressing the left key). In a psychological refractory period (PRP) procedure, younger and older adults performed a slow auditory-vocal Task 1 paired with a fast visual-manual Task 2 that was either IM or non-IM. Task-2 compatibility (IM vs. non-IM) was manipulated as a between-subjects factor (Experiment 1) and as a within-subjects factor (Experiment 2). Both experiments yielded the counterintuitive finding of larger age differences in dual-task performance when Task 2 was easy (i.e., IM) than when it was difficult (i.e., non-IM), as evidenced by old/young ratio analyses and Brinley plots. Relatedly, whereas younger adults routinely bypassed the bottleneck with an IM Task 2 (as evidenced by a small PRP effect and a high rate of response reversals), older adults did not. The present findings cannot easily be explained by the hypotheses of generalized cognitive slowing and of specific processing deficits but support the ORCA hypothesis. As cognitive decline sets in, older adults begin to try harder: This extra application of central attention compensates for cognitive decline but can result in applying attention when it is not needed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Cognitive-motor dual-task ability of athletes with and without intellectual impairment

ABSTRACTCognition is important in many sports, for example, making split-second-decisions under pressure, or memorising complex movement sequences. The dual-task (DT) paradigm is an ecologically valid approach for the assessment of cognitive function in conjunction with motor demands. This study aimed to determine the impact of impaired intelligence on DT performance. The motor task required balancing on one leg on a beam, and the cognitive task was a multiple-object-tracking (MOT) task assessing dynamic visual-search capacity. The sample included 206 well-trained athletes with and without intellectual impairment (II), matched for sport, age and training volume (140 males, 66 females, M age = 23.2 ± 4.1 years, M training experience = 12.3 ± 5.7 years). In the single-task condition, II-athletes showed reduced balance control (F = 55.9, P < .001, η2 = .23) and reduced MOT (F = 86.3, P < .001, η2 = .32) compared to the control group. A mixed-model ANCOVA revealed significant differences in DT performance for the balance and the MOT task between both groups. The DT costs were significantly larger for the II-athletes (−8.28% versus −1.34% for MOT and −33.13% versus −12.89% for balance). The assessment of MOT in a DT paradigm provided insight in how impaired intelligence constrains the ability of II-athletes to successfully perform at the highest levels in the complex and dynamical sport-environment.

Dual-task performance under acute stress in female adolescents with borderline personality disorder.

Research to elucidate early alterations of higher cognitive processes in adolescents with BPD is rare. This study investigated differences in dual-task performance in adolescents with BPD during stress and non-stress conditions. The study sample comprised 30 female adolescents with BPD and 34 healthy controls. The impact of stress on dual-task performance was measured using a standardized stressor. Self-reports of distress and measures of heart rate (HR) were obtained to measure stress reactivity. There were no group differences in task performance. Under stress conditions, the performance on the auditory task decreased in both groups but without significant group differences. Healthy controls showed an increase of mean HR after stress induction compared to no change in the BPD group. The finding of attenuated HR response to acute stress in adolescent patients with BPD may contradict current theories that the affective hyperresponsivity in BPD is based on a biologically determined mechanism.

Age‐related differences in dual task performance: A cross‐sectional study on women

Simultaneous performances of motor and attention-demanding tasks are common in activities of everyday life. The present cross-sectional study examined the changes and age-related differences on mobility performance with an additional cognitive or motor task, and evaluated the relative dual-task cost (DTC) on the motor performance in young, middle-aged and older women. A total of 30 young (mean age 25.12 ± 3.00 years), 30 middle-aged (mean age 47.82 ± 5.06 years) and 30 older women (mean age 72.74 ± 5.95 years) were recruited. Participants carried out: (i) single task: Timed Up & Go Test; (ii) cognitive dual-task: Timed Up & Go Test while counting backwards by three; (iii) manual dual-task: Timed Up & Go Test while carrying a glass of water. A repeated measures anova with between-factor as age groups and within-factor as tasks was carried out to assess the effect of aging on the performance of mobility tasks. DTC was calculated as ([performance in single-task - performance in dual-task] / performance in single task) × 100%. One-way ancova were carried out to compare the DTC among the three age groups. A significant interaction between age groups and task (F4,172 = 6.716, P < 0.001, partial η2 = 0.135) was observed. Specifically, older women showed a worse mobility performance under dual-task condition compared with young and middle-aged groups. Furthermore, DTC differences in cognitive task were observed in older women compared with younger and middle-aged women (F2,86 = 7.649, P < 0.001, partial η2 = 0.151), but not in manual task. Dual-task conditions might affect mobility performance differently across the lifespan, and could be particularly challenging in older women. Geriatr Gerontol Int 2017; 17: 315-321.

Age and task difficulty differences in dual tasking using circle tracing and serial subtraction tasks

The aim of this study was to investigate age-related differences in dual task performance by using an upper limb proprioceptive task. Twenty-eight younger (18-30years) and 28 older (>60years) healthy adults performed circle tracing and serial subtraction tasks separately and concurrently. The tasks had two levels of difficulty: easy and hard. The circle tracing task included direct (easy) and indirect (hard) visual feedback conditions, and it was paired with serial subtraction by twos (easy) or threes (hard). We found that older adults were significantly slower than younger adults across all conditions and had significantly greater dual task costs when they performed circle tracing with easy serial subtraction. Higher levels of task difficulty were associated with slower speed in both groups. We found no age differences in accuracy. Participants either traded speed for accuracy or accuracy for speed regardless of age group. Overall, the findings suggest that speed and accuracy may be affected differently during dual tasking. In addition, older adults may rely more extensively on proprioceptive feedback to guide upper limb movement compared with younger adults.

Upper-limb motor control in patients after stroke: Attentional demands and the potential beneficial effects of arm support

The goal of this study was to investigate the attentional load of using the upper limb in moderately and mildly affected patients after stroke, with and without arm support. Ten patients with stroke (4 mild and 6 moderate paresis) and ten healthy, gender- and age-matched control subjects performed a dual-task experiment that consisted of a circle drawing task and an auditive Stroop task. Complexity of the motor task was manipulated by supporting the arm against gravity. Individual motor (area×speed) and cognitive (accuracy/reaction time) scores during the dual-task conditions were converted into percentage scores relative to the respective single-task scores and then combined in a single measure of net dual-task performance. Without arm support, only moderately affected patients showed significantly greater side differences in dual-task performance to the detriment of the affected upper limb. With arm support, no side differences were found for any of the three groups. Thus, the hypothesis that patients with moderate upper-limb paresis suffer from a lack of automaticity of motor control was substantiated by the dual-task condition. Furthermore, supporting the arm reduced the attentional load of using the affected side.

Differences in dual-task performance and prefrontal cortex activation between younger and older adults

BackgroundThe purpose of this study was to examine task-related changes in prefrontal cortex (PFC) activity during a dual-task in both healthy young and older adults and compare patterns of activation between the age groups. We also sought to determine whether brain activation during a dual-task relates to executive/attentional function and how measured factors associated with both of these functions vary between older and younger adults.ResultsThirty-five healthy volunteers (20 young and 15 elderly) participated in this study. Near-infrared spectroscopy (NIRS) was employed to measure PFC activation during a single-task (performing calculations or stepping) and dual-task (performing both single-tasks at once). Cognitive function was assessed in the older patients with the Trail-making test part B (TMT-B). Major outcomes were task performance, brain activation during task (oxygenated haemoglobin: Oxy-Hb) measured by NIRS, and TMT-B score. Mixed ANOVAs were used to compare task factors and age groups in task performance. Mixed ANOVAs also compared task factors, age group and time factors in task-induced changes in measured Oxy-Hb. Among the older participants, correlations between the TMT-B score and Oxy-Hb values measured in each single-task and in the dual-task were examined using a Pearson correlation coefficient.Oxy-Hb values were significantly increased in both the calculation task and the dual-task within patients in both age groups. However, the Oxy-Hb values associated with there were higher in the older group during the post-task period for the dual-task. Also, there were significant negative correlations between both task-performance accuracy and Oxy-Hb values during the dual-task and participant TMT-B scores.ConclusionsOlder adults demonstrated age-specific PFC activation in response to dual-task challenge. There was also a significant negative correlation between PFC activation during dual-task and executive/attentional function. These findings suggest that the high cognitive load induced by dual-task activity generates increased PFC activity in older adults. However, this relationship appeared to be strongest in participants with better baseline attention and executive functions.

Learning to bypass the central bottleneck: Declining automaticity with advancing age.

Does advancing age reduce the ability to bypass the central bottleneck through task automatization? To answer this question, the authors asked 12 older adults and 20 young adults to first learn to perform an auditory-vocal task (low vs. high pitch) in 6 single-task sessions. Their dual-task performance was then assessed with a psychological refractory period paradigm, in which the highly practiced auditory-vocal task was presented as Task 2, along with an unpracticed visual-manual Task 1. Converging evidence indicated qualitative differences in dual-task performance with age: Whereas the vast majority of young adults bypassed the bottleneck, at most 1 of the 12 older adults was able to do so. Older adults are either reluctant to bypass the bottleneck (as a matter of strategy) or have lost the ability to automatize task performance.

Transfer Effects in Task-Set Cost and Dual-Task Cost After Dual-Task Training in Older and Younger Adults: Further Evidence for Cognitive Plasticity in Attentional Control in Late Adulthood

Older adults' difficulties in performing two tasks concurrently have been well documented (Kramer & Madden, 2008). It has been observed that the age-related differences in dual-task performance are larger when the two tasks require similar motor responses (2001) and that in some conditions older adults also show greater susceptibility than younger adults to input interference (Hein & Schubert, 2004). The authors recently observed that even when the two tasks require motor responses, both older and younger adults can learn to perform a visual discrimination task and an auditory discrimination task faster and more accurately (Bherer et al., 2005). In the present study, the authors extended this finding to a dual-task condition that involves two visual tasks requiring two motor responses. Older and younger adults completed a dual-task training program in which continuous individualized adaptive feedback was provided to enhance performance. The results indicate that, even with similar motor responses and two visual stimuli, both older and younger adults showed substantial gains in performance after training and that the improvement generalized to new task combinations involving new stimuli. These results suggest that dual-task skills can be substantially improved in older adults and that cognitive plasticity in attentional control is still possible in old age.

Dual task performance in early Alzheimer's disease, amnestic mild cognitive impairment and depression

The dual task paradigm (Baddeley et al. 1986; Della Sala et al. 1995) has been proposed as a sensitive measure of Alzheimer's dementia, early in the disease process. We investigated this claim by administering the modified dual task paradigm (utilising a pencil-and-paper version of a tracking task) to 33 patients with amnestic mild cognitive impairment (aMCI) and 10 with very early Alzheimer's disease, as well as 21 healthy elderly subjects and 17 controls with depressive symptoms. All groups were closely matched for age and pre-morbid intellectual ability. There were no group differences in dual task performance, despite poor performance in episodic memory tests of the aMCI and early Alzheimer's disease groups. In contrast, the Alzheimer patients were specifically impaired in the trail-making test B, another commonly used test of divided attention. The dual task paradigm lacks sensitivity for use in the early differential diagnosis of Alzheimer's disease.

Age differences in dual-task performance after practice.

This study investigated whether older adults could acquire the ability to perform 2 cognitive operations in parallel in a paradigm in which young adults had been shown to be able to do so (K. Oberauer & R. Kliegl, 2004). Twelve young and 12 older adults practiced a numerical and a visuospatial continuous memory updating task in single-task and dual-task conditions for 16 to 24 sessions. After practice, 9 young adults were able to process the 2 tasks without dual-task costs, but none of the older adults had reached the criterion of parallel processing. The results suggest a qualitative difference between young and older adults in how they approach dual-task situations.

Supplemental Material for Age Differences in Dual-Task Performance After Practice

Supplemental Material for Age Differences in Dual-Task Performance After Practice

Training effects on dual-task performance: Are there age-related differences in plasticity of attentional control?

A number of studies have suggested that attentional control skills required to perform 2 tasks concurrently become impaired with age (A. A. Hartley, 1992; J. M. McDowd & R. J. Shaw, 2000). A. A. Hartley (2001) recently observed that the age-related differences in dual-task performance were larger when the 2 tasks required similar motor responses. The present study examined the extent to which age-related deficits in dual-task performance or time sharing--in particular, dual-task performance of 2 discrimination tasks with similar motor requirements--can be moderated by training. The results indicate that, even when the 2 tasks required similar motor responses, both older and younger adults could learn to perform the tasks faster and more accurately. Moreover, the improvement in performance generalized to new task combinations involving new stimuli. Therefore, it appears that training can substantially improve dual-task processing skills in older adults.

A methodology to control for individual differences in dual-task performance

A study was designed to test the effect of a secondary visual task on a primary visual task. In one condition, participants performed the dual-task, while assigning no weight to the secondary task. In the second condition, the primary task was performed simultaneously with the secondary task. The effect of the added workload was measured via the effect on primary task performance. In the baseline portion of the task, participants had their baseline (90% accuracy) of performance collected by adjusting the stimulus duration. The individual participant stimulus duration was then used as the experimental stimulus duration and the effect of secondary task performance on primary task performance was measured. In a third condition, practice was used as a method of controlling for individual differences. Participants performed the task as in the control condition, however they were given twice as much exposure to the task. Participants ran the study for the full duration twice. Only the performance from the second exposure was collected.

The relationship between the ability to divide attention and standard measures of general cognitive abilities

This study focused on individual differences in the ability to allocate processing resources among competing tasks and its relationship with general cognitive ability. Fifty participants performed three single tasks and two types of dual tasks composed of pairs of the single tasks. Two single tasks and one dual task were repeated three times. Individual differences in dual task performance exhibited satisfactory levels of test–retest reliabilities. In addition, performance on the dual tasks could not be completely accounted for by performance on the single tasks. The dual task variance unaccounted for by the single tasks was found to be stable and consistent, indicating that the ability to allocate resources is a distinct ability. Furthermore, various types of data analyses indicated that dual task performance better predicts a measure of general cognitive ability [the Inter-University Psychometric Entrance Test (PET)] than the single tasks in the first administration of the tasks but not in subsequent administrations. These results imply that the unique ability to perform the dual tasks may become more automatic and less controlled with practice, and thus its relationship with general cognitive ability declines.

Grammaticality judgements of mildly aphasic individuals under dual-task conditions

This study examined the grammaticality judgements of mildly aphasic individuals under dual-task conditions in order to examine the relationship between syntactic processing and resource capacity and allocation in aphasia. Individuals with aphasia and age-matched control subjects performed a listening task that required grammaticality judgements under isolation, focused attention, and divided attention conditions. Subjects were also required to rate task difficulty following completion of each listening condition. Although grammatical sensitivity was similar between groups during the isolation condition, introduction of a secondary, competing task resulted in significantly greater dual-task interference for the aphasic than for the control subjects. Despite these group differences in dual-task performance, aphasic and control subjects' perceptions of task difficulty failed to differ significantly. These findings provide further support for a resource limitation model of syntactic processing deficits in aphasia.