High Cognitive Load Conditions Research Articles

Ironic processes of concentration and suppression under pressure: A study on rifle shooting in Norwegian elite biathletes.

This study examined how priming attentional and negative cues affected participants' shooting performances toward ironic error targets under cognitive load conditions in Stroop task across two experiments. Semi-elite biathletes (Experiment 1, n = 10; Experiment 2, n = 9) participated in the study. The study used a within-subject quasi-experimental design, particularly a one-way repeated measures multivariate analysis of variance and a 2 × 2 fully repeated measures analysis of variance, to determine the participants' hit rates and shooting response times (RTs). In both experiments, the participants completed the reverse-Stroop-based target shooting performance under low- and high-cognitive load conditions while receiving frequent priming attentional and negative cues. The findings from Experiment 1 suggest that regulating repetitive priming attentional thoughts is efficacious in mitigating the likelihood of ironic performance errors and interference effects. The results of Experiment 2 show that repetitive priming negative cues resulted in negligible ironic error hit rates and slower RTs in target hits under high-cognitive load conditions. The Bayesian analyses provided evidence supporting the null hypotheses. Trying to control repetitive priming attentional and negative thoughts reduces ironic performance errors to a similar degree under cognitive load conditions among biathletes, regardless of interference effects. Further research is needed to determine the effectiveness of suppressing task-relevant negative instructions in reducing the likelihood of ironic performance errors under pressure.

Using narrative 360° video as a tool to promote breast self-examination

This experiment examined the feasibility of 360° video as a tool for public health messaging by investigating the effect that viewing the 360° documentary The Waiting Room VR had on female viewers’ sense of identification, attitudes to breast cancer screening and mortality salience. A key part of the documentary places participants in a viewpoint ambiguously aligned to that of the film’s director and subject, Victoria Mapplebeck (VM), in a scene that recreates her radiotherapy treatment for breast cancer. Eighty female participants watched the documentary either sitting upright with the chair back set at a 90° angle or reclining with the chair back set at a 140° angle (consistent with VMs posture) under conditions of either high or low cognitive load. The effect of posture type was measured explicitly using questionnaires on presence, identification and breast self-examination (BSE) intention as well as implicitly using a lexical decision task to measure death-thought awareness (DTA). Reclined posture led to a higher sense of spatial presence but no increase in identification with VM. Significantly increased identification with VM led to greater intention to conduct BSE. There were no effects of posture, cognitive load or identification on DTA. The implications of these results for using 360° video as a behaviour change tool, the effects of the COVID-19 pandemic on the terror management manipulation and the relevance of spatial viewpoint in 360° video are discussed.

The Impact of Patient Race, Patient Socioeconomic Status, and Cognitive Load of Physician Residents and Fellows on Chronic Pain Care Decisions

Social stereotypes are more likely to influence decision-making under conditions of high cognitive load (ie, mental workload), such as in medical settings. We examined how patient race, patient socioeconomic status (SES), physician cognitive load, and physician implicit beliefs about race and SES differences in pain tolerance impacted physicians’ pain treatment decisions. Physician residents and fellows (N = 120) made treatment decisions for 12 computer-simulated patients with back pain that varied by race (Black/White) and SES (low/high). Half of the physicians were randomized to be interrupted during the decision task to make hypertension medication conversion calculations (high cognitive load group), while the other half completed the task without interruptions (low cognitive load group). Both groups were given equal time to make pain care decisions (2.5 minutes/patient). Results of multilevel ordinal logistic regression analyses indicated that physicians prescribed weaker analgesics to patients with high vs. low SES (odds ratio = .68, 95% confidence interval [.48, .97], P = .03). There was also a patient SES-by-cognitive load interaction (odds ratio = .56, 95% confidence interval [.31, 1.01], P = .05) that is theoretically and potentially practically meaningful but was not statistically significant at P < .05. These findings shed light on physician cognitive load as a clinically-relevant factor in the context of pain care quality and equity. PerspectiveThese findings highlight the clinical relevance of physician cognitive load (eg, mental workload) when providing pain care for diverse patients. This line of work can support the development of interventions to manage physician cognitive load and its impact on pain care, which may ultimately help reduce pain disparities.

Storage interference in working memory cannot be removed by attention

In the present study, we examined the hypothesis that the storage interference in working memory can be removed by attention. A dual-task paradigm was employed in Experiment 1 and 2, in which participants performed a color memory task and an RSVP letter detection task concurrently. The cognitive load of the RSVP letter detection task and the storage interference caused by the RSVP letter detection task was manipulated independently. That is, the produced storage-interference difference between the low and high interference conditions was comparable between the low and high cognitive load conditions, whereas the available attentional resources were different under the two cognitive load conditions. Since there were more attentional resources in the low load condition, the removal hypothesis predicts that differences in recall performance between the low and high interference conditions should be larger in high load than in low load, i.e., there would be an interaction between load and interference. However, the results of the two experiments did not show such an interaction. In Experiment 3, we manipulated the time available for the removal mechanism to work while inducing both the storage interference and processing interference. The results showed no sign of interference removal. Thus, the present results provided solid evidence to challenge the removal hypothesis.

Physical but not cognitive demand of an exercise bout influences subsequent affective inhibition

Background&#x0D; The school curriculum places high demands on students’ cognitive performance, including the executive domain of inhibitory control. Physical activity breaks have been suggested to restore students’ cognitive resources. However, it is unclear which properties (i.e. physical effort and cognitive load) of the physical activity break are suited best to improve subsequent cognitive performance. Therefore, the aim of our study was to investigate the effect of exercise with different physical effort and cognitive load on subsequent inhibitory control.&#x0D; Methods&#x0D; Thirty-five healthy right handed children aged 9 to 13 years were recruited from an academic high school in Basel, Switzerland. On four different days at least one week apart and in randomized order, participants underwent short exercise sessions on an interactive exergaming wall (SMARTfit Single, SMARTfit, USA). The sessions lasted 10 min and combined high (or low) physical effort with high (or low) cognitive load. Participants rated their perceived exhaustion and cognitive load using an RPE scale and the NASA task load index. Before and after the exercise sessions, a standard Stroop task and an affective Stroop task were performed to account for changes in inhibitory control with and without an additional component of emotion processing.&#x0D; Results&#x0D; The manipulation check showed that the high physical effort condition was related to higher rated perceived exhaustion and the high cognitive load condition to higher scores on the NASA task load index. Statistical analysis using 2 x 2 ANOVA revealed that independent from cognitive load, physical effort influenced reaction time on the affective, but not the standard Stroop task. This indicated a greater improvement following exercise at low compared to high physical effort in both the congruent and incongruent trials. This effect was not due to a speed-accuracy trade-off, given that no main effect of physical effort was found for accuracy. There were no main effects of cognitive load and no interaction of physical effort and cognitive load.&#x0D; Conclusion&#x0D; Our results indicated that in school children, lower exercise intensity is more suitable for improving subsequent inhibitory control than exercise with higher physical effort. However, this effect only seems to be present in situations where cognitive challenge is combined with emotionally charged stimuli. This has implications for recommendations on how to optimally organize students’ physical activity during school breaks.

How to support learning with multimedia instruction: Implementation intentions help even when load is high.

There is ample evidence that multimedia learning is challenging, and learners often underutilize appropriate cognitive processes. Previous research has applied prompts to promote the use of helpful cognitive processing. However, prompts still require learners to regulate their learning, which may interfere with learning, especially in situations where cognitive demands are already high. As an alternative, implementation intentions (i.e. if-then plans) are expected to help regulate behaviour automatically due to their specific wording, thereby offloading demands. Accordingly, this study aimed at investigating whether implementation intentions compared with prompts improve learning performance, especially under high cognitive load. Students (N=120) learned either in a control condition without instructional support, with prompts, or with implementation intentions. Within each condition, half of the participants studied the multimedia instruction under conditions of either high or low cognitive load, which was experimentally manipulated by instructing them to perform one of two secondary tasks. In line with our hypotheses, the results showed that under low cognitive load, both prompts and implementation intentions led to better learning than the control condition. By contrast, under high cognitive load, only implementation intentions promoted learning. Thus, implementation intentions are an efficient means to promote learning even under challenging circumstances.

Exploring the sustained and divided attention of novice versus experienced drivers

Purpose of the researchDriving is a complex task that requires appropriate engagement in, and regulation of, sustained attention and divided attention. This study explored the sustained- and divided-attention function of novice young adult drivers and experienced adult drivers. MethodsFifteen novice young adult drivers (mean age = 20.07) and 18 experienced adult drivers (mean age = 41.33) participated in the study. The participants’ sustained and divided attention were assessed using a computerised fixed Sustained Attention-to-Response Task (SART) and a modified version with low cognitive-load and high cognitive-load conditions. Their attention was also assessed using the Color Trails Test (CTT) and Digit Span Test (DST). The participants’ cognitive resources that were available during the assessments were monitored using the Rating Scale Mental Effort (RSME). ResultsThe main results of this study showed that the experienced drivers had significantly higher performance in terms of accuracy in both sustained attention (p = 0.011) and divided attention (p = 0.008 and 0.006 in low and high cognitive-load conditions, respectively) components of the SART. No significant differences in the CTT and DST were found between the two groups. The results of the RSME also indicated that both groups had comparable cognitive resources available throughout the assessments. ConclusionsThis study suggests that experienced adult drivers have a higher developed ability to engage in and maintain sustained and divided attention appropriately. These results provide insight related to attention function, which might affect novice young adult drivers compared with experienced drivers.

Evaluation of children's cognitive load in processing and storage of their spatial working memory.

Working memory performance affects children’s learning. This study examined objective (task performance), subjective (self-report), and physiological (pupil dilation) cognitive load (CL) while children completed a spatial working memory complex span task. Frist, 80 Taiwanese 11-year-olds (40 boys) who participated in Experiment 1 confirmed the suitability of the materials. Then, 72 Taiwanese 11-year-olds (35 boys) were assigned to high and low complexity groups to participate in Experiment 2 to test the study hypothesis. Children had to recall at the end of a dual-task list and answer two questions regarding the difficulty and mental effort involved in processing and storage. Their pupil diameters were recorded using an eye-tracker. Two-way mixed ANOVA found that the processing requirements and memory load reduced storage and aggravated the subjective CL of storage; the subjective CL of processing was higher under highly complex conditions. Stepwise regression analysis indicated that subjective CL of processing predicted memory performance in low CL conditions, and physiological CL of processing predicted it in high CL conditions.

Australia needs to implement a national health strategy for doctors.

Australia needs to implement a national health strategy for doctors.

Pupil response speed as a marker of cognitive fatigue in early Multiple Sclerosis☆

ContextCognitive fatigue (CF) is a disabling symptom frequently reported by patients with Multiple Sclerosis (pwMS). Whether pwMS in the early disease stages present an increased sensitivity to fatigue induction remains debated. Objective measures of CF have been validated neither for clinical nor research purposes. This study aimed at (i) assessing how fatigue induction by manipulation of cognitive load affects subjective fatigue and behavioural performance in newly diagnosed pwMS and matched healthy controls (HC); and (ii) exploring the relevance of eye metrics to describe CF in pwMS. MethodsNineteen pwMS with disease duration < 5 years and 19 matched HC participated to this study. CF was induced with a dual-task in two separate sessions with varying cognitive load (High and Low cognitive load conditions, HCL and LCL). Accuracy, reaction times (RTs), subjective fatigue and sleepiness states were assessed. Bayesian Analyses of Variance for repeated measures (rmANOVA) explored the effects of time, group and load condition on the assessed variables. Eye metrics (number of long blinks, pupil size and pupil response speed: PRS) were obtained during the CF task for a sub-sample (16 pwMS and 15 HC) and analysed with Generalized Linear Mixed Models (GLMM). ResultsPerformance (accuracy and RTs) was lower in the HCL condition and accuracy decreased over time (BFsincl > 100) while RTs did not significantly vary. Performance over task and conditions followed the same pattern of evolution across groups (BFsincl < 0.08) suggesting that pwMS did not show increased alteration of performance during fatigue induction. Regarding subjective state, both fatigue and sleepiness increased following the task (BFsincl > 15), regardless of condition and group (BFsincl < 3). CF in pwMS seems to be associated with PRS, as PRS decreased during the task amongst pwMS only and especially in the HCL condition (all p < .05). A significant Condition*Group interaction was observed regarding long blinks (p < .0001) as well as an expected effect of cognitive load condition on pupil diameter (p < .01). ConclusionThese results suggest that newly diagnosed pwMS and HC behave similarly during fatigue induction, in terms of both performance decrement and accrued fatigue sensation. Eye metric data further reveal a susceptibility to CF in pwMS, which can be objectively measured.

Effects of inhibitory control capacity and cognitive load on involuntary past and future thoughts: A laboratory study

The present study focused on involuntary thoughts about personal past events (i.e., involuntary autobiographical memories; IAMs), and involuntary thoughts about future events and plans (i.e., involuntary future thoughts; IFTs). The frequency of these involuntary thoughts is influenced by cognitive demands of ongoing activities, but the exact underlying mechanism(s) has yet to be revealed. The present study tested two possible explanations: (1) the special inhibitory mechanism switches on when one is engaged in attentionally demanding activities; (2) different levels of cognitive load interfere with cue-noticing that act as triggers for IAMs and IFTs. We report a study with pre-selected groups of participants that differed in terms of their individual level of inhibitory control capacity (high vs. low), and completed both standard and attentionally demanding versions of a laboratory vigilance task with irrelevant cue-words to trigger IAMs and IFTs, and random thought-probes to measure their frequency. To examine the level of incidental cue-noticing, participants also completed an unexpected cue-recognition task. Despite large differences between groups in inhibitory control capacity, the number of IFTs and IAMs, reported in the attentionally demanding condition, was comparable. In addition, high cognitive load reduced the number of IAMs, but not IFTs. Finally, the recognition of incidental cues encountered in the vigilance task was reduced under high cognitive load condition, indicating that poor cue-noticing may be the main underlying mechanism of cognitive load effect rather than the lack of inhibitory resources needed to suppress involuntary retrieval. This and other possible mechanisms and avenues for future research are discussed.

DLPFC stimulation alters working memory related activations and performance: An interleaved TMS-fMRI study

BackgroundFindings from correlative neuroimaging studies link increased frontoparietal network (FPN) activation and default mode network (DMN) deactivation to enhanced high cognitive demand processing. To causally investigate FPN-DMN contributions to high cognitive demand processing, the current interleaved TMS-fMRI study simultaneously manipulated and indexed neural activity while tracking cognitive performance during high and low cognitive load conditions. MethodsTwenty participants completed an n-back task consisting of four conditions (0-back, 0-backTMS, 2-back, 2-backTMS) while undergoing interleaved TMS-fMRI. During TMS concurrent with n-back blocks, TMS single pulses were delivered to the left DLPFC at 100% motor-threshold every 2.4s. ResultsTMS delivered during high cognitive load strengthened cognitive processing. FPN node activations and DMN node deactivations were increased in the high versus low cognitive load TMS condition. Contrary to our hypothesis, TMS did not increase high load related activation in FPN nodes. However, as hypothesized, increased DMN node deactivations emerged as a function of TMS during high load (right angular gyrus) and from interactions between cognitive load and TMS (right middle temporal gyrus). Load and TMS combined to dampen activation within the DMN at trend level (p = .058). Deactivation in a dorsomedial DMN node was associated with TMS driven improvements in high load cognitive processing. ConclusionsExogenous perturbation of the DLPFC via single pulse TMS amplified DMN node deactivations and enhanced high cognitive demand processing. Neurobehavioral findings linking these effects hint at a promising, albeit preliminary, cognitive control substrate requiring replication in higher-powered studies that use control stimulation.

The effects of cognitive load and encoding modality on prospective memory.

Successful execution of an intention as plannedis necessary for people's normal life. However, people sometimes even forget intentions that they consider as very important. Hence, the issues that whether prospective memory performance can be improved under high cognitive load tasks are worth discussing. In this study, we used a 2 (cognitive load: high or standard) × 2 (encoding modality: verbal or enactment encoding) mixed design to explore the effects of encoding modality and cognitive load of ongoing tasks on prospective memory. The results showed that the prospective memory performance under high cognitive load condition was significantly worse than that under standard cognitive load condition for verbal encoding condition. However, for enactment encoding condition, enactment encoding enhanced the performance and abolished the difference between high and low cognitive load effects on prospective memory. Strategic issues of prospective memory will be discussed.

Acoustic features of voice as a measure of cognitive load during performance of serial subtraction in a remote data collection context

AbstractBackgroundCognitive load is the mental demand a task imposes for a specific person. Performance declines when demand exceed capacity; therefore, increase of mental effort may precede measurable cognitive decline. Physiological indices of load (e.g. heart rate, skin conductance etc.) are sensitive to task demand (e.g. subtracting three vs seven), show increased cognitive load with ageing, and in MCI compared to healthy ageing. Voice features have promise as non‐invasive and scalable indicators of mental effort. Here, we aim to classify serial subtraction at high and low cognitive load using voice recordings captured using an automated remote data collection system.MethodParticipants (aged 17‐86) completed serial subtraction via the Neurovocalix web‐app on their own devices. From a pool of 5,742 participants, 100 were randomly selected for manual review. Seven participants were excluded for audio or performance issues. Responses were transcribed and the start and end of each subtraction attempt marked, producing 3,254 attempts for analysis. Low‐level acoustic features were extracted and aggregated over each attempt, then normalized within participant. Random Forest classifiers were trained and evaluated using Leave‐One‐Subject‐Out‐Cross‐Validation (LOSOCV) to predict high vs low load. LOSOCV repeatedly splits the dataset by subject, with one participant at a time used for testing, and the remainder used for training the model. This produces model predictions for each participant and attempt.ResultAverage cross‐validation accuracy was 0.81 (95% CI 0.78 to 0.84), with an average area under the curve (AUC) of 0.87 (95% CI 0.85 to 0.89). We tested predictions for specific numbers which appeared in both subtraction by seven and by three. Accuracy was 0.78, suggesting that predictions were not driven by specific numeric responses. We observed a significant negative correlation between behavioural performance on the task (response rate), and utterance load probability metric for utterances (ρ=‐0.32, p&lt;0.001), suggesting that participants who were more fluent in serial subtraction exhibited lower cognitive load.ConclusionAcoustic features of voice can distinguish between utterances generated under conditions of high and low cognitive load during serial subtraction, adding a novel, independent and sensitive outcome measure to a cognitive task with established utility in the context of neurodegeneration.

Association Between Cognitive Function and Mechanical Pattern of Landing

Introduction: In examining the factors affecting sports injuries, the emphasis is always on physical variables, while cognitive and psychological characteristics can also be effective. Hence, the present study aimed to investigate the relationship between sustained attention as a neurocognitive function and landing error as a mechanical factor associated with lower limb injuries. Materials and Methods: 44 female basketball players aged 18-25 years at the national league level participated in this study. The participants were assessed using the continuous performance test, and their landing-jumping was evaluated by the landing error scoring system in two conditions of high and low cognitive load. Results: The results showed that people’s landing errors increased significantly as a result of increased cognitive needs (P=0.0001). Also, the findings revealed a positive correlation between omission and commission errors with landing error scores in both low and high cognitive load conditions (P&lt;0.05). Conclusion: Sustained attention could predict the landing error score that is considered a key risk factor of lower limb injuries. It is recommended that multiple cognitive and physical assessments be used to identify athletes at risk of injury. Hence, cognitive enhancement protocols may be effective along with physical preparation programs.

High expectancy influences the role of cognitive load in inattentional deafness during landing decision-making

Neglecting a critical auditory alarm is a major obstacle to maintaining a safe environment, especially in aviation. Earlier studies have indicated that tasks with a higher perceptual or cognitive load in the visual modality influence the processing of auditory stimuli. It is unclear, however, whether other factors, such as memory failure, active neglect, or expectancy influence the effect of cognitive load on auditory alarm detection sensitivity during aeronautical decision-making. In this study, we investigated this issue in three laboratory experiments using the technique of signal detection analysis, in which participants were asked to make a landing decision based on indicators of the instrument landing system while also trying to detect an audible alarm. We found that the sensitivity of auditory alarm detection was reduced under conditions of high cognitive load and that this effect persisted even when the auditory detection response occurred first (before the landing decision response) and when the probability of an auditory alarm was 40%. However, the sensitivity of auditory detection was not influenced by cognitive load under high expectancy conditions (60% probability of alarm presentation). Furthermore, the value of the response bias was reduced under high cognitive load conditions when the probability of an auditory alarm was low (20%). With an increase in the level of expectancy (40% and 60% probability of alarm presentation), it was found that cognitive load did not influence the response bias. These findings indicate that visual cognitive load affects the sensitivity to an auditory alarm only at a low expectancy level (20% and 40% probability of alarm presentation). The effect of cognitive load on the sensitivity to an auditory alarm was not due to memory failure or active neglect and the response bias was more sensitive to the expectancy factor.

Cognitive Control Correlates With Whole Brain Resting State Connectivity

Cognitive control, with a limited capacity, is a core process in human cognition for the coordination of thoughts and actions. Although the regions involved in cognitive control have been identified as the cognitive control network (CCN), it is still unclear whether a specific region of the CCN serves as a bottleneck limiting the capacity of cognitive control (CCC). Here, we used a perceptual decision-making task with conditions of high cognitive load to challenge the CCN and to assess the CCC in a functional magnetic resonance imaging study. We found that the activation of the right anterior insular cortex (AIC) of the CCN increased monotonically as a function of cognitive load, reached its plateau early, and showed a significant correlation to the CCC. In a subsequent study of patients with unilateral lesions of the AIC, we found that lesions of the AIC were associated with a significant impairment of the CCC. Simulated lesions of the AIC resulted in a reduction of the global efficiency of the CCN in a network analysis. These findings suggest that the AIC, as a critical hub in the CCN, is a bottleneck of cognitive control.

When the going gets tough: Power affects the process of making tough decisions

ABSTRACT Powerful roles often require individuals to cope with impactful, complicated decisions. The present article reports two experiments investigating the effect of manipulated power mindset on the process of decision-making under different conditions: high vs. low choice conflict (Exp. 1) or high vs. no cognitive load (Exp. 2). Results showed that under the high-choice conflict and high-cognitive load conditions, high-power participants were more likely than low-power participants to take less time, adopt an alternative-based (rather than attribute-based) strategy, rate the tasks as easier, and report higher confidence in and satisfaction with their decisions. Power had no effect on the decision-making process under the low-choice conflict and no-cognitive load conditions. These results suggest that power interacts with choice difficulty to affect the decision-making process.

Predicting Cognitive Load and Operational Performance in a Simulated Marksmanship Task.

Modern operational environments can place significant demands on a service member's cognitive resources, increasing the risk of errors or mishaps due to overburden. The ability to monitor cognitive burden and associated performance within operational environments is critical to improving mission readiness. As a key step toward a field-ready system, we developed a simulated marksmanship scenario with an embedded working memory task in an immersive virtual reality environment. As participants performed the marksmanship task, they were instructed to remember numbered targets and recall the sequence of those targets at the end of the trial. Low and high cognitive load conditions were defined as the recall of three- and six-digit strings, respectively. Physiological and behavioral signals recorded included speech, heart rate, breathing rate, and body movement. These features were input into a random forest classifier that significantly discriminated between the low- and high-cognitive load conditions (AUC = 0.94). Behavioral features of gait were the most informative, followed by features of speech. We also showed the capability to predict performance on the digit recall (AUC = 0.71) and marksmanship (AUC = 0.58) tasks. The experimental framework can be leveraged in future studies to quantify the interaction of other types of stressors and their impact on operational cognitive and physical performance.

The Neural Signature of Impaired Dual-Tasking in Idiopathic Rapid Eye Movement Sleep Behavior Disorder Patients.

The objective of this cross-sectional study was to determine the neural signature of dual-tasking deficits in idiopathic rapid eye movement sleep behavior disorder using a validated gait paradigm. Fifty-eight participants (28 controls; 30 idiopathic rapid eye movement sleep behavior disorder patients) were recruited; 52 participants had functional MRI scans as they performed a validated dual-task virtual reality gait paradigm using foot pedals. Forty-one participants completed single- and dual-task "overground walking" on a pressure sensor carpet. Idiopathic rapid eye movement sleep behavior disorder patients showed deficits in dual-tasking (i.e., greater mean step time) compared to controls during "overground walking." Functional MRI revealed that idiopathic rapid eye movement sleep behavior disorder patients had reduced blood-oxygen-level-dependent signal change in the dorsal caudate nucleus, and significantly different corticostriatal functional connectivity patterns from controls, when dual-tasking in high versus low cognitive load. While controls showed greater connectivity between frontoparietal and motor networks, idiopathic rapid eye movement sleep behavior disorder patients exhibited less change in this connectivity as a function of cognitive load. These findings demonstrate evidence of dual-task gait deficits in idiopathic rapid eye movement sleep behavior disorder patients, underpinned by disrupted corticostriatal connectivity. Minimal differences in the level of functional connectivity between dual-tasking conditions of high and low cognitive load suggest that idiopathic rapid eye movement sleep behavior disorder patients recruit cognitive networks to control gait even when the cognitive demands are low. This may indicate a compensatory strategy for early cognitive decline in idiopathic rapid eye movement sleep behavior disorder. © 2020 International Parkinson and Movement Disorder Society.