Age and Cognitive Stress Influences Motor Skill Acquisition,Consolidation, and Dual-Task Effect in Humans

This study examined motor skill learning using a weight-bearing and cognitive-motor dual-task that incorporated unexpected perturbations and measurements of cognitive function. Forty young and 24 older adults performed a single-limb weight bearing task with novel speed, resistance, and cognitive dual task conditions to assess motor skill acquisition, retention and transfer. Subjects performed a cognitive dual task: summing letters in one color/orientation (simple) or two colors/orientations (complex). Increased cognitive load diminished the rate of skill acquisition, decreased transfer to new conditions, and increased error rate during an unexpected perturbation; however, young adults had a dual-task benefit from cognitive load. Executive function predicted 80% of the variability in dual-task performance. Although initial learning of a weight-bearing cognitive-motor dual-task was poor, longer term goals of improved dual-task effect and retention emerged.     

Evidence for disproportionate dual-task costs in older adults for episodic but not semantic memory

Previous research demonstrates that older adults are poor at dual tasking, but there is less agreement on whether their decrement is worse than that predicted from single-task performance. This study investigated whether task domain moderates dual-task costs in old age. In two experiments, young and older adults retrieved either previously learned associates (episodic retrieval) or overlearned category members (semantic retrieval) under single or working-memory load conditions, using cued recall (Experiment 1) and recognition (Experiment 2) procedures. In both experiments the proportional costs of dual tasking were age invariant for semantic retrieval but were particularly marked for episodic retrieval, although the size of the age effect was reduced in recognition compared to cued recall. The data suggest that age effects in dual tasking may be domain specific.     

Association Between Gait and Dual Task With Cognitive Domains in Older People With Cognitive Impairment

The authors investigated whether impaired gait and dual-task performances are associated with specific cognitive domains among older people with preserved cognition (PC), mild cognitive impairment (MCI), and mild Alzheimer's disease (AD). The sample comprised 40 older adults with PC, 40 with MCI, and 38 with mild AD. The assessment consisted of gait (measured by 10-m walk test and Timed Up and Go Test [TUGT]), dual task (measured by TUGT associated with a cognitive-motor task of calling a phone number), and cognition (domains of the Addenbrooke Cognitive Examination–Revised and Frontal Assessment Battery [FAB]). For data analysis, the Pearson product-moment correlation and the backward stepwise linear regression were conducted. Language, fluency, and visuospatial domains predicted the 10-m walk test measure specifically in PC, MCI, and AD groups. Only the visuospatial domain was independently associated with the TUGT measure in the MCI and AD groups. FAB score, language domain, and FAB score and fluency domain were the strongest predictors for the isolated cognitive-motor task measure in the PC, MCI, and AD groups, respectively. The visuospatial domain was independently associated with the dual-task test measure in all 3 groups. The study findings demonstrate the influence of specific cognitive domains in daily mobility tasks in people with different cognitive profiles.     

Community-dwelling older adults with mild cognitive impairments show subtle visual attention costs when descending stairs

BackgroundOlder adults are at greater risk of falls while descending stairs. Cognitive deficits can further influence one's ability and mild cognitive impairments (MCI) specifically affect visual attention and dual tasking behavior. The present study aimed at comparing the attentional costs at different points during the approach to and descent of a staircase between older adults with and without MCI.MethodsEleven older adults with MCI and twenty-three healthy older individuals without cognitive impairments were recruited. Neuropsychological tests were carried out. In addition, participants approached and descended a 5-step staircase while a simultaneous visual Stroop dual-task was randomly introduced during the approach, transition or steady state descent phases across trials. Three-dimensional kinematics and accuracy on the Stroop task were analyzed and dual task costs were calculated.ResultsThe MCI group showed deficits for visuo-spatial attention, memory and multi-tasking abilities, as well as balance and decreased confidence for falls efficacy, but not for daily activity scores. Despite such changes, this group of community-dwelling individuals with MCI presented a functional capacity to descend stairs even during divided visual attention. However, there were subtle, but significant, group differences for movement fluidity and performance on the simultaneous cognitive task, particularly during the approach and transition to descent phases. The MCI group also tended to descend slower while using the handrails more than healthy older adults.ConclusionThe present cohort of community-dwelling older adults with MCI were functional, but appeared to prioritize locomotor demands over the simultaneous cognitive task in a possible “posture first” strategy to descend stairs. The present findings should be considered for developing more ecologically based clinical assessments of mobility deficits following cognitive impairments, with the approach and transition phases during stair descent as key points of focus.     

Supertaskers: Profiles in extraordinary multitasking ability

Theory suggests that driving should be impaired for any motorist who is concurrently talking on a cell phone. But is everybody impaired by this dual-task combination? We tested 200 participants in a high-fidelity driving simulator in both single- and dual-task conditions. The dual task involved driving while performing a demanding auditory version of the operation span (OSPAN) task. Whereas the vast majority of participants showed significant performance decrements in dual-task conditions (compared with single-task conditions for either driving or OSPAN tasks), 2.5% of the sample showed absolutely no performance decrements with respect to performing single and dual tasks. In single-task conditions, these “supertaskers” scored in the top quartile on all dependent measures associated with driving and OSPAN tasks, and Monte Carlo simulations indicated that the frequency of supertaskers was significantly greater than chance. These individual differences help to sharpen our theoretical understanding of attention and cognitive control in naturalistic settings.     

Effect of age on dual-task performance in children and adults

Age effects on dual-task costs were examined in healthy adults (Exp. 1) and in typically developing children (Exp. 2). In both experiments, individual differences in performance on the single-task components were titrated so that any age differences in dual-task costs could not be attributed to differences in single-task performance. Dual-task costs were found, but there were no age-related differences in these costs in older relative to younger adults, in 7-year-old relative to 9-year-old children, or across all four age groups. The results from these experiments suggest that previously reported age differences in dual-task costs, in both healthy ageing and child development, may be due to a failure to adequately equate single-task difficulty.     

The assessment of recognition memory using the Remember/Know procedure in amnestic mild cognitive impairment and probable Alzheimer’s disease

This study used the Remember/Know (R/K) procedure combined with signal detection analyses to assess recognition memory in 20 elders with amnestic mild cognitive impairment (aMCI), 10 patients with probable Alzheimer’s disease (AD) as well as matched healthy older adults. Signal detection analyses first indicated that aMCI and control participants were comparable on general recognition performance. As regards AD patients, they were impaired relative to both aMCI and healthy elders. When assessing Remember and Know responses the aMCI group showed diminished sensitivity for Remember responses but intact Know responses compared to healthy elders. In contrast, AD patients showed decreased sensitivity for both Remember and Know responses compared to control and aMCI participants. The response bias index revealed that AD patients were more liberal than aMCI and control participants when providing Know responses. On the other measures, response bias was comparable between the groups. Overall, this study indicates that the R/K procedure can characterize different aspects of recognition memory performance in persons with aMCI or AD.     

Fractal properties and short-term correlations in motor control in cycling: influence of a cognitive challenge

Fluctuations in cyclic tasks periods is a known characteristic of human motor control. Specifically, long-range fractal fluctuations have been evidenced in the temporal structure of these variations in human locomotion and thought to be the outcome of a multicomponent physiologic system in which control is distributed across intricate cortical, spinal and neuromuscular regulation loops.Combined with long-range correlation analyses, short-range autocorrelations have proven their use to describe control distribution across central and motor components.We used relevant tools to characterize long- and short-range correlations in revolution time series during cycling on an ergometer in 19 healthy young adults. We evaluated the impact of introducing a cognitive task (PASAT) to assess the role of central structures in control organization.Autocorrelation function and detrending fluctuation analysis (DFA) demonstrated the presence of fractal scaling. PSD in the short range revealed a singular behavior which cannot be explained by the usual models of even-based and emergent timing.The main outcomes are that (1) timing in cycling is a fractal process, (2) this long-range fractal behavior increases in persistence with dual-task condition, which has not been previously observed, (3) short-range behavior is highly persistent and unaffected by dual-task.Relying on the inertia of the oscillator may be a way to distribute more control to the periphery, thereby allocating less resources to central process and better managing additional cognitive demands. This original behavior in cycling may explain the high short-range persistence unaffected by dual-task, and the increase in long-range persistence with dual-task.     

Unimpaired performance during cognitive and visual manipulations in persons with anterior cruciate ligament reconstruction compared to healthy adults

Emerging research has proposed an increased reliance on visual processing and cognitive faculties in persons following anterior cruciate ligament reconstruction (ACLR). ACLR individuals display increased activation of visual and cognitive processing brain areas during task execution and exhibit dramatic performance decrements when vision is removed or cognitive difficulty is increased. Despite these intriguing findings, no previous studies have comprehensively assessed performance-related outcomes during tasks that challenge the cognitive and visual systems in ACLR individuals. The following hypotheses were proposed: 1) ACLR individuals will perform better on cognitive tests that required visual scanning; 2) ACLR individuals will utilize visual biofeedback when available during a proprioceptive task but experience decrements in performance when visual biofeedback is removed; and 3) during a cognitive-motor dual-task, the motor task will be more attentionally demanding for ACLR individuals compared to controls, whereas cognitive dual-task effects will be similar between groups. Twenty-one individuals with ACLR and 21 matched healthy adults performed a series of cognitive tests (Stroop, Trail Making Test, and NIH EXAMINER Battery), as well as a single-task angle-matching paradigm with and without visual biofeedback and a dual-task angle-matching paradigm with varying levels of visual and cognitive difficulty. ACLR individuals performed similarly on cognitive tasks, regardless of visual scanning requirements, demonstrated similar proprioceptive performance, evident via similar drift during the single-task conditions, and exhibited similar dual-task effects when the angle-matching paradigm was performed concurrently with a cognitive test compared to healthy adults. Despite a growing literature suggesting alterations to visual and cognitive system utilization in ACLR individuals, the current investigation found a subset of ACLR individuals do not exhibit this performance.     

Field dependence-independence from a working memory perspective: a dual-task investigation of the Hidden Figures test

Field dependence-independence (FDI) is a construct intensively investigated within cognitive style research, but its cognitive underpinnings are not clearly specified. We propose that performance on FDI tasks primarily reflects the operations of the visuospatial and executive components of working memory. We tested this hypothesis in a dual-task experiment with a commonly used measure of FDI, the Hidden Figures Test. The results showed that performance on this test was impaired by concurrent performance of secondary tasks that primarily tap the visuospatial component (spatial tapping) and the executive component (2-back and random number generation), but was almost unaffected by other secondary tasks (simple tapping and articulatory suppression). Moreover, an analysis of secondary task performance ruled out the possibility of strategic trade-offs and revealed an intriguing dissociation for two different sets of "randomness" indices for the random number generation task. These results support the hypothesised mapping between FDI and working memory components and suggest that the dual-task paradigm can provide a useful way to bring underspecified constructs like FDI into closer alignment with theoretical ideas developed within cognitive psychology.     

Practice-related optimization and transfer of executive functions: a general review and a specific realization of their mechanisms in dual tasks

Improvements in performing demanding and complex task situations are typically related to the optimization of executive functions and efficient behavioral control. The present study systematizes and reviews the optimization of different executive function types: Shifting, Inhibition, Updating, and Dual tasking. In particular, we focus on optimisations of these functions with training and on transfer effects of related training skills to non-trained situations. The aim of the study’s empirical part (see also Appendix) was to investigate the specific mechanisms of executive functions in the context of Dual tasking, leading to improved dual-task performance after practice. More specifically, we tested the Efficient Task Instantiation (ETI) model that includes specific assumptions regarding practice-related improvements of executive task coordination skills: Dual-task performance is improved with practice because of an efficient and conjoint instantiation of sets of relevant task information in working memory at the onset of a dual task. According to our knowledge, the ETI model is one of the first that allows illustrating the contribution of cognitive mechanisms underlying practice-related improvements in performing dual tasks and the impact of task coordination skills on this performance.     

Executive-process interactive control: A unified computational theory for answering 20 questions (and more) about cognitive ageing

Although the effects of ageing on human information processing and performance have been studied extensively, many fundamental questions about cognitive ageing remain to be answered definitively. For example, what are the sources of age-related slowing? How much is working-memory capacity reduced in older adults? Is time-sharing ability lost with age? Answering such questions requires a unified computational theory that characterises the interactive operations of many component mental processes and integrates diverse data on cognitive ageing. Toward fulfilling this requirement, an executive-process interactive control (EPIC) architecture has been extended to model performance of both young and older adults. EPIC models yield accurate accounts of ageing effects on reaction times and accuracy in basic dual-task and working-memory paradigms. From these accounts, it appears that time-sharing ability and working-memory capacity decrease relatively little until after 70 years of age. Before age 70, at least some apparent performance decrements may be attributable to conservative executive processes and inefficient task procedures rather than decreased "hardware" functionality. By clarifying and deepening such insights, unified computational theories like EPIC will help answer many questions about cognitive ageing.     

Successful adaptation of gait in healthy older adults during dual-task treadmill walking

Dual-task methods have been used to demonstrate increased prioritization of walking performance over cognition in healthy aging. This is expressed as greater dual-task costs in cognitive performance than in walking. However, other research shows that older adults can prioritize cognitive performance over walking when instructed to do so. We asked whether age-related cognitive prioritization would emerge by experimentally manipulating cognitive difficulty. Young and older adults performed mental arithmetic at two levels of difficulty, alone or while walking. Electromyography and footswitches were used to measure muscle activity and stride parameters. Under high cognitive load, older adults increased their stride time, stride length, and hamstring activity, while maintaining their cognitive performance. Young adults showed negligible dual-task costs in each domain. The older adults appeared to successfully adapt their stride in response to high cognitive demands. The results have implications for neural models of gait regulation, and age differences in task emphasis.     

Age-related differences in working memory and force control under dual-task conditions

The aim of this study was to investigate the relationship between force control and cognitive performance under dual-task conditions in younger (18-22 years) and older adults (65-77 years). Cognitive (n-back test) and motor performance (force-tracking) was measured independently and simultaneously. Results indicated overall age-related differences for the n-back and the force-tracking task. Age-related differences increased during dual-task conditions. While younger adults exhibited no decrease in cognitive or motor performance during dual-task conditions, older adults showed a decrease in motor and cognitive performance. Additionally, when older adults made an error in the cognitive task they tended to show greater variability in the force-tracking task. These results suggest that cognitive motor deficits are responsible for older adults' performance decrements under dual-task conditions.     

Age-related Differences in Working Memory and Force Control under Dual-task Conditions

ABSTRACT

The aim of this study was to investigate the relationship between force control and cognitive performance under dual-task conditions in younger (18–22 years) and older adults (65–77 years). Cognitive (n-back test) and motor performance (force-tracking) was measured independently and simultaneously. Results indicated overall age-related differences for the n-back and the force-tracking task. Age-related differences increased during dual-task conditions. While younger adults exhibited no decrease in cognitive or motor performance during dual-task conditions, older adults showed a decrease in motor and cognitive performance. Additionally, when older adults made an error in the cognitive task they tended to show greater variability in the force-tracking task. These results suggest that cognitive motor deficits are responsible for older adults' performance decrements under dual-task conditions.     

Changes in spinal excitability during dual task performance

ABSTRACT The authors investigated how the nervous system responds to dual task performance. Because dual tasking is associated with greater postural challenges, it was hypothesized that spinal excitability would be reduced when simultaneously performing 2 tasks. For this experiment, participants maintained a lying or standing posture with or without performing a concurrent cognitive task (i.e., reacting to an auditory tone). Spinal excitability was assessed by eliciting the soleus Hoffmann reflex (H-reflex). Results indicated that the H-reflex was 6.4 ± 2.3% smaller (p = .011) when dual compared to single tasking. The reduced H-reflex amplitude, indicating a depressed spinal excitability, when dual tasking is suggested to reflect a neural strategy that individuals adopt to maintain postural stability when cognitive resources are divided between 2 concurrent tasks.     

Interaction between the development of postural control and the executive function of attention

The authors examined the interaction between the development of postural control and the development of the executive function of attention in 13 children and 6 adults in dual-task conditions. Participants performed an attentionally demanding cognitive task and a postural task simultaneously. The authors equalized the attentional load of the cognitive task across age groups. Comparative changes in the center of pressure in dual- and single-task conditions indicated that dual tasks interfered with postural performance in the wide stance (WS) and the modified Romberg stance (RS). Children at 4-6 years of age (but not children at ages 7-12 years of age or adults) experienced postural control interference in both stance positions, but interference was greater in the RS (p = .018). For all participants, cognitive task performance in RS was unchanged from that in WS. The knowledge gained from the results of this study will contribute to the design and implementation of academic and preacademic programming for young children. Their performance of an intentionally demanding cognitive task would be enhanced by the provision of appropriately sized desks and chairs or their use of an alternate, less demanding position.     

Domain-general contributions to social reasoning: theory of mind and deontic reasoning re-explored

Using older adults and dual-task interference, we examined performance on two social reasoning tasks: theory of mind (ToM) tasks and versions of the deontic selection task involving social contracts and hazardous conditions. In line with performance accounts of social reasoning, evidence from both aging and the dual-task method suggested that domain-general resources contribute to performance of these tasks. Specifically, older adults were impaired relative to younger adults on all types of social reasoning tasks tested; performance varied as a function of the demands these tasks placed on domain-general resources. Moreover, in younger adults, simultaneous performance of a working memory task interfered with younger adults' performance on both types of social reasoning tasks; here too, the magnitude of the interference effect varied with the processing demands of each task. Limits placed on social reasoning by executive functions contribute a great deal to performance, even in old age and in healthy younger adults under conditions of divided attention. The role of potentially non-modular and modular contributions to social reasoning is discussed.     

Interaction Between the Development of Postural Control and the Executive Function of Attention

The authors examined the interaction between the development of postural control and the development of the executive function of attention in 13 children and 6 adults in dual-task conditions. Participants performed an attentionally demanding cognitive task and a postural task simultaneously. The authors equalized the attentional load of the cognitive task across age groups. Comparative changes in the center of pressure in dual- and single-task conditions indicated that dual tasks interfered with postural performance in the wide stance (WS) and the modified Romberg stance (RS). Children at 4-6 years of age (but not children at ages 7-12 years of age or adults) experienced postural control interference in both stance positions, but interference was greater in the RS (p = .018). For all participants, cognitive task performance in RS was unchanged from that in WS. The knowledge gained from the results of this study will contribute to the design and implementation of academic and preacademic programming for young children. Their performance of an intentionally demanding cognitive task would be enhanced by the provision of appropriately sized desks and chairs or their use of an alternate, less demanding position.     

Influence of cognitive and motor tasks using smartphone during gait: EMG and gait performance analysis – Dual-task study

Previous studies reported changes in spatiotemporal gait parameters during dual-task performance while walking using a smartphone compared to walking without a smartphone. However, studies that assess muscle activity while walking and simultaneously performing smartphone tasks are scarce. So, this study aimed to assess the effects of motor and cognitive tasks using a smartphone while simultaneously performing gait on muscle activity and gait spatiotemporal parameters in healthy young adults. Thirty young adults (22.83 ± 3.92 years) performed five tasks: walking without a smartphone (single-task, ST); typing on a smartphone keyboard in a sitting position (secondary motor single-task); performing a cognitive task on a smartphone in a sitting position (cognitive single-task); walking while typing on a smartphone keyboard (motor dual-task, mot-DT) and walking while performing a cognitive task on a smartphone (cognitive dual-task, cog-DT). Gait speed, stride length, stride width and cycle time were collected using an optical motion capture system coupled with two force plates. Muscle activity was recorded using surface electromyographic signals from bilateral biceps femoris, rectus femoris, tibialis anterior, gastrocnemius medialis, gastrocnemius lateralis, gluteus maximus and lumbar erector spinae. Results showed a decrease in stride length and gait speed from the single-task to cog-DT and mot-DT (p < 0.05). On the other hand, muscle activity increased in most muscles analyzed from single- to dual-task conditions (p < 0.05). In conclusion, performing a cognitive or motor task using a smartphone while walking promote a decline in spatiotemporal gait parameters performance and change muscle activity pattern compared to normal walking.