Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task
Objectives: Studies using the dual-task (DT) paradigm to explain age-related performance decline due to cognitive-motor interference (CMI) which causes DT costs (DTCs) revealed contradictory results for performances under DT conditions. This cross-sectional study analyzed whether differences in demo...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-01-01
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| Series: | Frontiers in Aging Neuroscience |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fnagi.2018.00426/full |
| _version_ | 1819152563537182720 |
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| author | Bettina Wollesen Claudia Voelcker-Rehage |
| author_facet | Bettina Wollesen Claudia Voelcker-Rehage |
| author_sort | Bettina Wollesen |
| collection | DOAJ |
| description | Objectives: Studies using the dual-task (DT) paradigm to explain age-related performance decline due to cognitive-motor interference (CMI) which causes DT costs (DTCs) revealed contradictory results for performances under DT conditions. This cross-sectional study analyzed whether differences in demographics, physical functioning, concerns of falling (CoF), and other mental factors can explain positive and negative DTCs in older adults while walking in DT situations.Methodology: N = 222 participants (57–89 years) performed a single task (ST) and a DT walking condition (visual-verbal Stroop task) in randomized order on a treadmill. Gait parameters (step length, step width) were measured at a constant self-selected walking speed. Demographics [age, Mini Mental Status Examination (MMSE)], physical functioning (hand grip strength), CoF [Falls Efficacy Scale International (FES-I)], and mental factors [Short Form-12 (SF-12)] were assessed. An analysis of variance (ANOVA) was used to reveal subgroup differences. A four-step hierarchical regression analysis was conducted to identify which variables determine the DTC.Results: Three subgroups were identified: (1) participants (n = 53) with positive DTCs (improvements under DT conditions); (2) participants with negative DTCs (n = 60) in all gait parameters; and (3) participants (n = 109) who revealed non-uniform DTCs. Baseline characteristics between the subgroups showed differences in age (F(2,215) = 4.953; p = 0.008; η2 = 0.044). The regression analysis revealed that physical functioning was associated with positive DTC and CoF with negative DTC.Conclusion: The results confirmed a huge inter-individual variability in older adults. They lead us to suggest that factors causing performance differences in DTCs needs to be reassessed. Functional age seems to determine DTCs rather than calendric age. Psychological variables particularly seem to negatively influence DT performance. |
| first_indexed | 2024-12-22T14:51:17Z |
| format | Article |
| id | doaj.art-8dc3a05d47b0439984e5819d2210fbb6 |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-12-22T14:51:17Z |
| publishDate | 2019-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-8dc3a05d47b0439984e5819d2210fbb62022-12-21T18:22:19ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652019-01-011010.3389/fnagi.2018.00426425263Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop TaskBettina Wollesen0Claudia Voelcker-Rehage1Department of Human Science, Faculty of Psychology and Movement Science, University of Hamburg, Hamburg, GermanySports Psychology, Institute of Human Movement Science and Health, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, Chemnitz, GermanyObjectives: Studies using the dual-task (DT) paradigm to explain age-related performance decline due to cognitive-motor interference (CMI) which causes DT costs (DTCs) revealed contradictory results for performances under DT conditions. This cross-sectional study analyzed whether differences in demographics, physical functioning, concerns of falling (CoF), and other mental factors can explain positive and negative DTCs in older adults while walking in DT situations.Methodology: N = 222 participants (57–89 years) performed a single task (ST) and a DT walking condition (visual-verbal Stroop task) in randomized order on a treadmill. Gait parameters (step length, step width) were measured at a constant self-selected walking speed. Demographics [age, Mini Mental Status Examination (MMSE)], physical functioning (hand grip strength), CoF [Falls Efficacy Scale International (FES-I)], and mental factors [Short Form-12 (SF-12)] were assessed. An analysis of variance (ANOVA) was used to reveal subgroup differences. A four-step hierarchical regression analysis was conducted to identify which variables determine the DTC.Results: Three subgroups were identified: (1) participants (n = 53) with positive DTCs (improvements under DT conditions); (2) participants with negative DTCs (n = 60) in all gait parameters; and (3) participants (n = 109) who revealed non-uniform DTCs. Baseline characteristics between the subgroups showed differences in age (F(2,215) = 4.953; p = 0.008; η2 = 0.044). The regression analysis revealed that physical functioning was associated with positive DTC and CoF with negative DTC.Conclusion: The results confirmed a huge inter-individual variability in older adults. They lead us to suggest that factors causing performance differences in DTCs needs to be reassessed. Functional age seems to determine DTCs rather than calendric age. Psychological variables particularly seem to negatively influence DT performance.https://www.frontiersin.org/article/10.3389/fnagi.2018.00426/fullagingdual task performancewalkingcognitionphysical functioningconcerns of falling |
| spellingShingle | Bettina Wollesen Claudia Voelcker-Rehage Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task Frontiers in Aging Neuroscience aging dual task performance walking cognition physical functioning concerns of falling |
| title | Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task |
| title_full | Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task |
| title_fullStr | Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task |
| title_full_unstemmed | Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task |
| title_short | Differences in Cognitive-Motor Interference in Older Adults While Walking and Performing a Visual-Verbal Stroop Task |
| title_sort | differences in cognitive motor interference in older adults while walking and performing a visual verbal stroop task |
| topic | aging dual task performance walking cognition physical functioning concerns of falling |
| url | https://www.frontiersin.org/article/10.3389/fnagi.2018.00426/full |
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