Farahnaz Fallahtafti1, Julie B Boron2, Dawn M Venema3, Hyeon Jung Kim2, Jennifer M Yentes4. 1. Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA. 2. Department of Gerontology, University of Nebraska at Omaha, Omaha, NE, 68182, USA. 3. Division of Physical Therapy Education, University of Nebraska Medical Center, Omaha, NE, 68198, USA. 4. Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA. jyentes@gmail.com.
Abstract
BACKGROUND: Task prioritization is an important factor determines the magnitude and direction of dual-task interference in older adults. Greater dual-task cost during walking may lead to falling, sometimes causing lasting effects on mobility. AIMS: We investigated dual-task interference for walking and cognitive performance. METHODS: Twenty healthy, older adults (71 ± 5 years) completed three cognitive tasks: letter fluency, category fluency, and serial subtraction during seated and walking conditions on a self-paced treadmill for 3 min each, in addition to walking only condition. Walking speed, step length and width were measured during walking and each dual-task condition. RESULTS: Comparing the percentage of correct answers in cognitive tasks across single and dual-task conditions, there was a main effect of cognitive task (p = 0.021), showing higher scores during letter fluency compared to serial subtraction (p = 0.011). Step width was significantly wider during dual-task letter fluency compared to walking alone (p = 0.003), category fluency (p = 0.001), and serial subtraction (p = 0.007). DISCUSSION: During both fluency tasks, there was a cost for gait and cognition, with category showing a slightly higher cognitive cost compared to letter fluency. During letter fluency, to maintain cognitive performance, gait was sacrificed by increasing step width. During serial subtraction, there was a cost for gait, yet a benefit for cognitive performance. CONCLUSION: Differential effect of cognitive task on dual-task performance is critical to be understood in designing future research or interventions to improve dual-task performance of most activities of daily living.
BACKGROUND: Task prioritization is an important factor determines the magnitude and direction of dual-task interference in older adults. Greater dual-task cost during walking may lead to falling, sometimes causing lasting effects on mobility. AIMS: We investigated dual-task interference for walking and cognitive performance. METHODS: Twenty healthy, older adults (71 ± 5 years) completed three cognitive tasks: letter fluency, category fluency, and serial subtraction during seated and walking conditions on a self-paced treadmill for 3 min each, in addition to walking only condition. Walking speed, step length and width were measured during walking and each dual-task condition. RESULTS: Comparing the percentage of correct answers in cognitive tasks across single and dual-task conditions, there was a main effect of cognitive task (p = 0.021), showing higher scores during letter fluency compared to serial subtraction (p = 0.011). Step width was significantly wider during dual-task letter fluency compared to walking alone (p = 0.003), category fluency (p = 0.001), and serial subtraction (p = 0.007). DISCUSSION: During both fluency tasks, there was a cost for gait and cognition, with category showing a slightly higher cognitive cost compared to letter fluency. During letter fluency, to maintain cognitive performance, gait was sacrificed by increasing step width. During serial subtraction, there was a cost for gait, yet a benefit for cognitive performance. CONCLUSION: Differential effect of cognitive task on dual-task performance is critical to be understood in designing future research or interventions to improve dual-task performance of most activities of daily living.
Authors: Victoria Nieborowska; Sin-Tung Lau; Jennifer Campos; M Kathleen Pichora-Fuller; Alison Novak; Karen Z H Li Journal: J Mot Behav Date: 2018-09-21 Impact factor: 1.328
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