The influence of cognitive tasks on sensory organization test performance

Introduction: Many static postural tasks requiring vestibular contributions are completed while dual- tasking. Objective: We investigated the influence of dual-tasks on sensory integration for postural control and cognitive performance during the sensory organization test and examined the relationsh...

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Main Authors: Nathan Morelli, Nicholas R. Heebner, Courtney J. DeFeo, Matthew C. Hoch
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869420302305
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author Nathan Morelli
Nicholas R. Heebner
Courtney J. DeFeo
Matthew C. Hoch
author_facet Nathan Morelli
Nicholas R. Heebner
Courtney J. DeFeo
Matthew C. Hoch
author_sort Nathan Morelli
collection DOAJ
description Introduction: Many static postural tasks requiring vestibular contributions are completed while dual- tasking. Objective: We investigated the influence of dual-tasks on sensory integration for postural control and cognitive performance during the sensory organization test and examined the relationship between cognitive function and dual-task cost during the sensory organization test. Methods: Twenty adults completed single and dual-task versions of the six conditions of the sensory organization test were completed during two visits separated by one week. A subset of 13 participants completed three National Institute of Health (NIH)-toolbox cognitive tests including the Flanker inhibitory control and attention test, dimensional change card sort test and pattern comparison processing speed test. Wilcoxon signed rank tests were used to compare postural sway during single and dual-task sensory organization test. Friedman’s test, with pairwise comparison post-hoc tests, was used to compare single task serial subtraction performance to the 6 dual-task sensory organization test conditions. Spearman’s correlation coefficients were used to assess the relationship between cognitive performance on NIH-toolbox test and postural and cognitive dual-task cost during the sensory organization test. Results: Performing a cognitive dual-task during the sensory organization test resulted in a significant increase in postural sway during condition 1 (Z = −3.26, p = 0.001, ES = 0.73), condition 3 (Z = −2.53, p = 0.012, ES = 0.56), and condition 6 (Z = −2.02, p = 0.044, ES = 0.45). Subtraction performance significantly decreased in during condition 6 (Z = −2.479, p = 0.011, ES = 0.55) compared to single-task. The dimensional change card sort test demonstrated moderate correlations with dual-task cost of serial subtraction performance in condition 5 (dimensional change card sort test: r = −0.62, p = 0.02) and condition 6 (dimensional change card sort test: r = −0.56, p = 0.04). Pattern comparison processing speed test scores were significantly correlated with dual-task cost of postural control during condition 2. Conclusion: Performing a cognitive task during the sensory organization test resulted in significantly increased postural sway during three conditions, particularly during visual environment manipulation oppose to vestibular and somatosensory manipulation. Cognitive performance decreased during the most complex sensory organization test condition. Additionally, we found participants with poorer executive function had greater dual-task cost during more complex sensory integration demands.
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spelling doaj.art-89342a866fce4d1288ae305904ae92202022-12-22T03:54:02ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-01886841849The influence of cognitive tasks on sensory organization test performanceNathan Morelli0Nicholas R. Heebner1Courtney J. DeFeo2Matthew C. Hoch3Corresponding author.; University of Kentucky, College of Health Sciences, Sports Medicine Research Institute, Lexington, United StatesUniversity of Kentucky, College of Health Sciences, Sports Medicine Research Institute, Lexington, United StatesUniversity of Kentucky, College of Health Sciences, Sports Medicine Research Institute, Lexington, United StatesUniversity of Kentucky, College of Health Sciences, Sports Medicine Research Institute, Lexington, United StatesIntroduction: Many static postural tasks requiring vestibular contributions are completed while dual- tasking. Objective: We investigated the influence of dual-tasks on sensory integration for postural control and cognitive performance during the sensory organization test and examined the relationship between cognitive function and dual-task cost during the sensory organization test. Methods: Twenty adults completed single and dual-task versions of the six conditions of the sensory organization test were completed during two visits separated by one week. A subset of 13 participants completed three National Institute of Health (NIH)-toolbox cognitive tests including the Flanker inhibitory control and attention test, dimensional change card sort test and pattern comparison processing speed test. Wilcoxon signed rank tests were used to compare postural sway during single and dual-task sensory organization test. Friedman’s test, with pairwise comparison post-hoc tests, was used to compare single task serial subtraction performance to the 6 dual-task sensory organization test conditions. Spearman’s correlation coefficients were used to assess the relationship between cognitive performance on NIH-toolbox test and postural and cognitive dual-task cost during the sensory organization test. Results: Performing a cognitive dual-task during the sensory organization test resulted in a significant increase in postural sway during condition 1 (Z = −3.26, p = 0.001, ES = 0.73), condition 3 (Z = −2.53, p = 0.012, ES = 0.56), and condition 6 (Z = −2.02, p = 0.044, ES = 0.45). Subtraction performance significantly decreased in during condition 6 (Z = −2.479, p = 0.011, ES = 0.55) compared to single-task. The dimensional change card sort test demonstrated moderate correlations with dual-task cost of serial subtraction performance in condition 5 (dimensional change card sort test: r = −0.62, p = 0.02) and condition 6 (dimensional change card sort test: r = −0.56, p = 0.04). Pattern comparison processing speed test scores were significantly correlated with dual-task cost of postural control during condition 2. Conclusion: Performing a cognitive task during the sensory organization test resulted in significantly increased postural sway during three conditions, particularly during visual environment manipulation oppose to vestibular and somatosensory manipulation. Cognitive performance decreased during the most complex sensory organization test condition. Additionally, we found participants with poorer executive function had greater dual-task cost during more complex sensory integration demands.http://www.sciencedirect.com/science/article/pii/S1808869420302305Sensory integrationPostural controlDual task
spellingShingle Nathan Morelli
Nicholas R. Heebner
Courtney J. DeFeo
Matthew C. Hoch
The influence of cognitive tasks on sensory organization test performance
Brazilian Journal of Otorhinolaryngology
Sensory integration
Postural control
Dual task
title The influence of cognitive tasks on sensory organization test performance
title_full The influence of cognitive tasks on sensory organization test performance
title_fullStr The influence of cognitive tasks on sensory organization test performance
title_full_unstemmed The influence of cognitive tasks on sensory organization test performance
title_short The influence of cognitive tasks on sensory organization test performance
title_sort influence of cognitive tasks on sensory organization test performance
topic Sensory integration
Postural control
Dual task
url http://www.sciencedirect.com/science/article/pii/S1808869420302305
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