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© 2021 Conscientia Beam. All Rights Reserved.
DUAL COGNITIVE TASKS PROVOKE TEMPORO-SPATIAL GAIT AND
ANTICIPATORY POSTURAL ADJUSTMENTS IN HEALTHY YOUNG ADULTS
Martin G.
Rosario
1+
Carley Bowman
2
Isabel Vega-
Calderon
3
Elizabeth Orozco
4
1,2,4
Physical Therapy Program, Texas Woman’s University, Dallas Campus;
Texas, USA.
3
Department of Biology, Texas Woman’s University, Denton Campus; Texas,
USA.
(+ Corresponding author)
ABSTRACT
Article History
Received: 22 March 2021
Revised: 26 April 2021
Accepted: 24 May 2021
Published: 17 June 2021
Keywords
Dual tasks
Cognitive interplay
APA
Gait speed
Gait adaptations
Postural adaptations.
Usually, dual cognitive tasks require additional attention to maintain postural control
during standing and walking. In certain pathologies or injuries, dual cognitive tasks,
such as walking and speaking, can challenge the balance system, making certain gait
deficiencies more apparent. The issue is identifying normal gait changes compared to
gait impairments to understand better the impact cognitive tasks have on gait
mechanics. Purpose: To identify changes in temporospatial gait parameters in healthy
young adults while walking and performing a cognitive task. Methods: Thirty-four
healthy young adults participated in this study. We collected gait parameters with six
gyroscopes and accelerometers (distributed on all limbs and trunk) during the 7-meter
walk test. Two trials were performed with just walking at a self-selected pace (single
task). Then, the participant was asked to perform a cognitive task by counting
backward by three from 100 while walking for 7m for two more trials (dual cognitive
task). Results: Dual cognitive tasks provoked significant adaptations (p<.05) in gait
parameters, such as increased double limb support time and stance phase with a
reduction in single limb support time and swing phase. Increase the length of the
walking cycle by decreasing the cadence and speed of walking speed. In addition, an
increase in mediolateral postural sway, first-step initiation time, and trunk range of
motion was observed. Conclusion: Dual cognitive tasks can cause normal alterations in
the gait's dynamic component and variations in walking initiation. We recommend
studying neuromuscular modification, such as changes in muscle activation, during dual
cognitive tasks.
Contribution/Originality: The paper’s primary contribution is finding gait and postural adaptations to dual
cognitive tasks in healthy young adults. Specifically, this study identified anticipatory postural adaptations that
could be used as a foundation to assess and create treatment interventions in those with balance impairments.
1. INTRODUCTION
According to the World Health Organization (WHO), falls are a major health issue. Falls can be life-
threatening and are among the top two risk factors for death worldwide. The risk of falling increases with age, with
the highest percentage of falls among adults aged 60 years and over (www.WHO.org).
One of the primary reasons people suffer from falls is the inability to sustain the center of gravity (CoG) within
the area of the base of support (BoS) while walking or standing. In humans, when the CoG moves outside the BoS,
several postural control mechanisms are required to preserve equilibrium (Pollock, Durward, Rowe, & Paul, 2000).
Journal of Sports Research
2021 Vol. 8, No. 1, pp. 26-34.
ISSN(e): 2410-6534
ISSN(p): 2413-8436
DOI: 10.18488/journal.90.2021.81.26.34
© 2021 Conscientia Beam. All Rights Reserved.