Abstract WP194: Interference of Cognitive Tasks and Upper Limb Movements in Chronic Stroke Patients: A Dual-Task Study

• Published in: Stroke (1970) 2020-02, Vol.51 (Suppl_1)
• Main Authors: Kim, Hogene, Kim, Hyunki, Kim, Na Young, Choi, Hyun, Shin, Joonho, Nam, Chang
• Format: Article
• Language: English
• ISSN: 0039-2499; 1524-4628
• DOI: 10.1161/str.51.suppl_1.WP194

Abstract only Background: This study investigated cognitive-motor interference effects after a chronic stroke diagnosis. Methods: Ten stroke patients (54.7±12.3 yrs.) and seven age-matched controls (58.4±10.6 yrs.) took part in a series of cognitive-motor tasks. Under single-motor task conditions, participants moved a cursor of the robot arm along the annulus using unaffected hand ( Circle task), or performed a center-out movement in four directions ( Cross task). Under single-cognitive task conditions, participants performed the Serial 7 (S7 task) or the Controlled Oral Word Association Test (COWAT task). Under dual-task conditions, participants performed a motor task and a cognitive task simultaneously. The movement accuracy, defined as the percent of movement trajectories within the annulus per total movement trajectories, were measured on motor tasks, and the number of correct answers were recorded on cognitive tasks. Results: Results of two-sample t statistic showed that the movement accuracy of the stroke group was lower than that of the control group, in particular under single-motor conditions (Circle: stroke 84.9±11.2% vs control 93.1±5.1%, p=0.094; Cross: stroke 77.2±13.2% vs control 88.6±8.2%, p=0.062). No significant difference was found between the control and stroke groups under single-cognitive task conditions. The control group showed no significant changes in the number of correct answers and movement accuracies between single and dual tasks. On the other hand, the stroke group showed significantly decreased movement accuracy for the Cross task compared to the Circle task (p=0.006). The stroke group’s number of correct answers in the S7 task were significantly decreased when S7 was performed together with the Cross task (10.0±5.3 vs 8.1±4.5, p=0.008). Their movement accuracy was also significantly reduced under dual-task conditions (single 77.2±13.2%, dual (COWAT+Cross) 74.6±12.4, p=0.034). Conclusions: This study confirmed that cognitive-motor interference is evident for stroke patients when they performed a cognitive task and a motor task simultaneously, such that performance in one or both of the dual tasks is worse as compared to that of each single task.