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The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults

Background. The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older a...

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Published in:TheScientificWorld 2014, Vol.2014 (2014), p.1-6
Main Authors: Agmon, Maayan, Kizony, Rachel, Kodesh, Einat
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Kodesh, Einat
description Background. The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization). Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to different motor task demands. Design. A cross-sectional study. Subjects. Thirty-two (22 female) community-dwelling older adults (aged 72.7 ± 5.7 years). Methods. Subjects randomly conducted single and dual task: walking to three directions separately, cognitive tasks separately, and combination of the two. Results. Walking forward was the least demanding task, during single (FW < BW, SW) ( P < . 001 ) and dual tasks (FW < BW < SW) ( P < . 001 ). The calculation of DTC revealed the same pattern ( P < . 001 ). DTC of the cognitive tasks was not significantly different among the three walking types. Conclusions. The decline mainly in the motor performance during dual task indicates that participants prioritized the cognitive task. These findings challenge the “posture first” paradigm for task prioritization.
doi_str_mv 10.1155/2014/259547
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The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization). Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to different motor task demands. Design. A cross-sectional study. Subjects. Thirty-two (22 female) community-dwelling older adults (aged 72.7 ± 5.7 years). Methods. Subjects randomly conducted single and dual task: walking to three directions separately, cognitive tasks separately, and combination of the two. Results. Walking forward was the least demanding task, during single (FW < BW, SW) ( P < . 001 ) and dual tasks (FW < BW < SW) ( P < . 001 ). The calculation of DTC revealed the same pattern ( P < . 001 ). DTC of the cognitive tasks was not significantly different among the three walking types. Conclusions. The decline mainly in the motor performance during dual task indicates that participants prioritized the cognitive task. These findings challenge the “posture first” paradigm for task prioritization.]]></description><identifier>ISSN: 2356-6140</identifier><identifier>ISSN: 1537-744X</identifier><identifier>EISSN: 1537-744X</identifier><identifier>DOI: 10.1155/2014/259547</identifier><identifier>PMID: 25506610</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Aged ; Biomechanics ; Cognitive ability ; Comparative analysis ; Cross-Sectional Studies ; Female ; Fitness equipment ; Health sciences ; Humans ; Male ; Occupational therapy ; Older people ; Physiological aspects ; Posture ; Residence Characteristics ; Studies ; Task Performance and Analysis ; Walking</subject><ispartof>TheScientificWorld, 2014, Vol.2014 (2014), p.1-6</ispartof><rights>Copyright © 2014 Maayan Agmon et al.</rights><rights>COPYRIGHT 2014 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2014 Maayan Agmon et al. Maayan Agmon et al. 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The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization). Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to different motor task demands. Design. A cross-sectional study. Subjects. Thirty-two (22 female) community-dwelling older adults (aged 72.7 ± 5.7 years). Methods. Subjects randomly conducted single and dual task: walking to three directions separately, cognitive tasks separately, and combination of the two. Results. 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The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization). Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to different motor task demands. Design. A cross-sectional study. Subjects. Thirty-two (22 female) community-dwelling older adults (aged 72.7 ± 5.7 years). Methods. Subjects randomly conducted single and dual task: walking to three directions separately, cognitive tasks separately, and combination of the two. Results. Walking forward was the least demanding task, during single (FW < BW, SW) ( P < . 001 ) and dual tasks (FW < BW < SW) ( P < . 001 ). The calculation of DTC revealed the same pattern ( P < . 001 ). DTC of the cognitive tasks was not significantly different among the three walking types. Conclusions. The decline mainly in the motor performance during dual task indicates that participants prioritized the cognitive task. These findings challenge the “posture first” paradigm for task prioritization.]]></abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>25506610</pmid><doi>10.1155/2014/259547</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Biomechanics
Cognitive ability
Comparative analysis
Cross-Sectional Studies
Female
Fitness equipment
Health sciences
Humans
Male
Occupational therapy
Older people
Physiological aspects
Posture
Residence Characteristics
Studies
Task Performance and Analysis
Walking
title The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
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