Coordination between motor and cognitive tasks in dual task gait

Nicholas J. Smeeton, James Wrightson, Matyas Varga, Rhiannon Cowan, Lisa Schafer

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Dual Task (DT) paradigms are frequently used by researchers and clinicians to examine the integrity of motor processes in many movement disorders. However, the mechanism of this interaction is not fully understood. Therefore, the aim of this study was to examine the within-stride interactions between cognitive and motor processes during dual task gait (DT). Research question: Do healthy young adults coordinate gait with secondary task processing? If so, is cognitive task processing capability associated with the coordination observed? Methods: Nineteen healthy young adults walked for two minutes on a motorized treadmill whilst counting backwards in sevens from three-digit numbers. The coordination of calculation verbalizations with gait parameters were assessed across six phases of the gait cycle. Mid verbalization time points (VERMid) were used as points of high cognitive processing of the dual task and compared with the end of the verbalizations (VEREnd) as points of low cognitive processing. Results: VERMid and VEREnd did not systematically occur in any phase of the gait cycle. However, 10/19 and 9/19 participants showed non-random distributions of verbalizations for VERMid and VEREnd time points respectively (p < 0.01), indicating that these walkers coordinated gait with the cognitive task. Analysis of subgroups of Verbalization Coordinators and Non-Coordinators showed slower verbalization response durations (VRD) for VERMid Coordinators compared to VERMid Non-Coordinators, indicating that VERMid Coordinators found the cognitive tasks more demanding. No differences were found in VRD for VEREnd Coordinators and VEREnd Non-Coordinators. Significance: It was found that cognitive processing is coordinated with gait phases in some but not all healthy young adults during DT gait. When demands on cognitive processes are high, healthy young adults coordinate cognitive processing with phases of gait. Analysis of within-stride coordination may be of use for studying clinical conditions where gait and attentional cognition performance breaks down.

Original languageEnglish
Pages (from-to)138-144
Number of pages7
JournalGait & Posture
Volume85
DOIs
Publication statusPublished - 14 Jan 2021

Keywords

  • Bottleneck
  • Divided attention
  • Dual task
  • Gait
  • Serial and parallel processing
  • Stride time variability

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