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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Main Authors: Maayan Agmon, Einat Kodesh, Rachel Kizony
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/259547
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author Maayan Agmon
Einat Kodesh
Rachel Kizony
author_facet Maayan Agmon
Einat Kodesh
Rachel Kizony
author_sort Maayan Agmon
collection DOAJ
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.
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spelling doaj-art-9b1284eb360e490b8e50e8213543a2c92025-02-03T01:32:46ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/259547259547The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older AdultsMaayan Agmon0Einat Kodesh1Rachel Kizony2Department of Nursing, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, 31905 Haifa, IsraelDepartment of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, 31905 Haifa, IsraelDepartment of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, 31905 Haifa, IsraelBackground. 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.http://dx.doi.org/10.1155/2014/259547
spellingShingle Maayan Agmon
Einat Kodesh
Rachel Kizony
The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
The Scientific World Journal
title The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
title_full The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
title_fullStr The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
title_full_unstemmed The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
title_short The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults
title_sort effect of different types of walking on dual task performance and task prioritization among community dwelling older adults
url http://dx.doi.org/10.1155/2014/259547
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