Changes in dual-task cognitive performance elicited by physical exertion vary with motor task

BackgroundIntegrated movement and cognitive load paradigms are used to expose impairments associated with concussion and musculoskeletal injury. There is currently little information on the discriminatory nature of dual-task complexity and the relative influence of physical exertion on cognitive out...

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Main Authors: Jennifer A. Hogg, Christopher D. Riehm, Gary B. Wilkerson, Frank Tudini, Karissa L. Peyer, Shellie N. Acocello, Lynette M. Carlson, Tan Le, Ross Sessions, Jed A. Diekfuss, Gregory D. Myer
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2022.989799/full
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author Jennifer A. Hogg
Christopher D. Riehm
Christopher D. Riehm
Christopher D. Riehm
Gary B. Wilkerson
Frank Tudini
Karissa L. Peyer
Shellie N. Acocello
Lynette M. Carlson
Tan Le
Ross Sessions
Jed A. Diekfuss
Jed A. Diekfuss
Jed A. Diekfuss
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
author_facet Jennifer A. Hogg
Christopher D. Riehm
Christopher D. Riehm
Christopher D. Riehm
Gary B. Wilkerson
Frank Tudini
Karissa L. Peyer
Shellie N. Acocello
Lynette M. Carlson
Tan Le
Ross Sessions
Jed A. Diekfuss
Jed A. Diekfuss
Jed A. Diekfuss
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
author_sort Jennifer A. Hogg
collection DOAJ
description BackgroundIntegrated movement and cognitive load paradigms are used to expose impairments associated with concussion and musculoskeletal injury. There is currently little information on the discriminatory nature of dual-task complexity and the relative influence of physical exertion on cognitive outcomes.PurposeAssess cognitive performance while under motor conditions of increasing complexity before and after a standardized exercise protocol.Methods34 participants were recruited (17 male and 17 female; 24 ± 1.4 yrs). A modified Eriksen flanker test was used to assess cognitive performance under four conditions (seated, single-leg stance, walking, and lateral stepping) before and after a 20-min moderate-to vigorous intensity treadmill protocol. The flanker test consisted of 20 sets of 5-arrow configurations, appearing in random order. To complete the response to cognitive stimulus, participants held a smartphone horizontally and were instructed to respond as quickly and as accurately as possible by tilting the device in the direction corresponding to the orientation of the middle arrow. The metrics used for analysis included average reaction time (ms), inverse efficiency index (average reaction time penalized for incorrect responses), and conflict effect (the average time cost of responding to an incongruent repetition vs. a congruent repetition). Mixed effects (condition by time) RMANOVAs were conducted to examine the effects of motor task complexity and physical exertion on cognitive performance.ResultsThere was a condition by time interaction for inverse efficiency index (p < 0.001), in which participants displayed higher cognitive efficiency for the pre-activity lateral stepping condition compared to the other three conditions (Cohen's d = 1.3–1.6). For reaction time and conflict effect, there were main effects for condition (p = 0.004 and 0.006, respectively), in which performance during lateral stepping was improved in relation to the seated condition (reaction time Cohen's d = 0.68; conflict effect Cohen's d = 0.64).ConclusionParticipants tended to display better dual-task cognitive performance under more stimulating or complex motor tasks before physical exertion, likely associated with the inverted-U arousal-performance relationship. When using dual-task assessments, clinicians should be mindful of the accompanying motor task and baseline exertion levels and their potential to disrupt or optimize cognitive performance.
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spelling doaj.art-4bcd25299d1941329bc809914f97e2cc2022-12-22T02:37:30ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672022-10-01410.3389/fspor.2022.989799989799Changes in dual-task cognitive performance elicited by physical exertion vary with motor taskJennifer A. Hogg0Christopher D. Riehm1Christopher D. Riehm2Christopher D. Riehm3Gary B. Wilkerson4Frank Tudini5Karissa L. Peyer6Shellie N. Acocello7Lynette M. Carlson8Tan Le9Ross Sessions10Jed A. Diekfuss11Jed A. Diekfuss12Jed A. Diekfuss13Gregory D. Myer14Gregory D. Myer15Gregory D. Myer16Gregory D. Myer17Department of Health and Human Performance, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesEmory Sports Performance And Research Center, Flowery Branch, GA, United StatesEmory Sports Medicine Center, Atlanta, GA, United StatesDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, United StatesDepartment of Health and Human Performance, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesDepartment of Physical Therapy, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesDepartment of Health and Human Performance, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesDepartment of Health and Human Performance, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesDepartment of Health and Human Performance, The University of Tennessee at Chattanooga, Chattanooga, TN, United StatesUpstream Rehabilitation, Raymond, MS, United StatesCornerstone Rehabilitation, Southaven, MS, United StatesEmory Sports Performance And Research Center, Flowery Branch, GA, United StatesEmory Sports Medicine Center, Atlanta, GA, United StatesDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, United StatesEmory Sports Performance And Research Center, Flowery Branch, GA, United StatesEmory Sports Medicine Center, Atlanta, GA, United StatesDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, United StatesThe Micheli Center for Sports Injury Prevention, Waltham, MA, United StatesBackgroundIntegrated movement and cognitive load paradigms are used to expose impairments associated with concussion and musculoskeletal injury. There is currently little information on the discriminatory nature of dual-task complexity and the relative influence of physical exertion on cognitive outcomes.PurposeAssess cognitive performance while under motor conditions of increasing complexity before and after a standardized exercise protocol.Methods34 participants were recruited (17 male and 17 female; 24 ± 1.4 yrs). A modified Eriksen flanker test was used to assess cognitive performance under four conditions (seated, single-leg stance, walking, and lateral stepping) before and after a 20-min moderate-to vigorous intensity treadmill protocol. The flanker test consisted of 20 sets of 5-arrow configurations, appearing in random order. To complete the response to cognitive stimulus, participants held a smartphone horizontally and were instructed to respond as quickly and as accurately as possible by tilting the device in the direction corresponding to the orientation of the middle arrow. The metrics used for analysis included average reaction time (ms), inverse efficiency index (average reaction time penalized for incorrect responses), and conflict effect (the average time cost of responding to an incongruent repetition vs. a congruent repetition). Mixed effects (condition by time) RMANOVAs were conducted to examine the effects of motor task complexity and physical exertion on cognitive performance.ResultsThere was a condition by time interaction for inverse efficiency index (p < 0.001), in which participants displayed higher cognitive efficiency for the pre-activity lateral stepping condition compared to the other three conditions (Cohen's d = 1.3–1.6). For reaction time and conflict effect, there were main effects for condition (p = 0.004 and 0.006, respectively), in which performance during lateral stepping was improved in relation to the seated condition (reaction time Cohen's d = 0.68; conflict effect Cohen's d = 0.64).ConclusionParticipants tended to display better dual-task cognitive performance under more stimulating or complex motor tasks before physical exertion, likely associated with the inverted-U arousal-performance relationship. When using dual-task assessments, clinicians should be mindful of the accompanying motor task and baseline exertion levels and their potential to disrupt or optimize cognitive performance.https://www.frontiersin.org/articles/10.3389/fspor.2022.989799/fulldual-taskphysical activitycognitive performancemotor performancegait
spellingShingle Jennifer A. Hogg
Christopher D. Riehm
Christopher D. Riehm
Christopher D. Riehm
Gary B. Wilkerson
Frank Tudini
Karissa L. Peyer
Shellie N. Acocello
Lynette M. Carlson
Tan Le
Ross Sessions
Jed A. Diekfuss
Jed A. Diekfuss
Jed A. Diekfuss
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
Gregory D. Myer
Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
Frontiers in Sports and Active Living
dual-task
physical activity
cognitive performance
motor performance
gait
title Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
title_full Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
title_fullStr Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
title_full_unstemmed Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
title_short Changes in dual-task cognitive performance elicited by physical exertion vary with motor task
title_sort changes in dual task cognitive performance elicited by physical exertion vary with motor task
topic dual-task
physical activity
cognitive performance
motor performance
gait
url https://www.frontiersin.org/articles/10.3389/fspor.2022.989799/full
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