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Visuospatial tasks affect locomotor control more than nonspatial tasks in older people
Journal article   Open access   Peer reviewed

Visuospatial tasks affect locomotor control more than nonspatial tasks in older people

J C Menant, D L Sturnieks, M A D Brodie, Stuart T Smith and S R Lord
PLoS One, Vol.9(10), e109802
2014
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https://doi.org/10.1371/journal.pone.0109802View
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Abstract

accelerometry aged brain function cadence controlled study depth perception fall risk assessment measurement error mental performance motor control musculoskeletal system parameter
Background: Previous research has shown that visuospatial processing requiring working memory is particularly important for balance control during standing and stepping, and that limited spatial encoding contributes to increased interference in postural control dual tasks. However, visuospatial involvement during locomotion has not been directly determined. This study examined the effects of a visuospatial cognitive task versus a nonspatial cognitive task on gait speed, smoothness and variability in older people, while controlling for task difficulty. Methods: Thirty-six people aged >75 years performed three walking trials along a 20 m walkway under the following conditions: (i) an easy nonspatial task; (ii) a difficult nonspatial task; (in) an easy visuospatial task; and (iv) a difficult visuospatial task. Gait parameters were computed from a tri-axial accelerometer attached to the sacrum. The cognitive task response times and percentage of correct answers during walking and seated trials were also computed. Results: No significant differences in either cognitive task type error rates or response times were evident in the seated conditions, indicating equivalent task difficulty. In the walking trials, participants responded faster to the visuospatial tasks than the nonspatial tasks but at the cost of making significantly more cognitive task errors. Participants also walked slower, took shorter steps, had greater step time variability and less smooth pelvis accelerations when concurrently performing the visuospatial tasks compared with the nonspatial tasks and when performing the difficult compared with the easy cognitive task. Conclusions: Compared with nonspatial cognitive tasks,visuospatial cognitive tasks led to a slower,more variable and less smooth gait pattern. These findings suggest that visuospatial processing might share common networks with locomotor control,further supporting the hypothesis that gait changes during dual task paradigms are not simply due to limited attentional resources but to competition for common networks for spatial information encoding. © 2014 Menant et al.

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