The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning

Neurophysiol Clin. 2018 Dec;48(6):361-375. doi: 10.1016/j.neucli.2018.10.003. Epub 2018 Oct 26.

Abstract

Studies of dual-tasks (i.e. situations during which an individual performs two tasks simultaneously) and the subsequent inter-task interference have shown that locomotion and posture involves motor and cognitive components. Dual-tasks therefore constitute a promising avenue for improving the diagnosis, prevention and management of falls or cognitive impairment in populations at risk. However, tackling these major public health concerns with dual-task interventions requires a better understanding of the mechanisms underlying dual-task interference. In this context, we review (i) the main dual-task theories proposed to date and (ii) the factors that can influence dual-task interference effects in healthy young individuals and might therefore explain the current lack of consensus on the mechanisms of dual-tasks. We also consider cognitive-motor dual-tasks in which the motor task is a less frequently studied transition movement (such as gait initiation or turning), rather than only the often-studied gait and posture tasks. In general, the review focuses on the behavioral effects of dual-tasking.

Keywords: Attention; Dual-task; Gait; Gait initiation; Posture; Turns.

Publication types

  • Review

MeSH terms

  • Cognition*
  • Gait*
  • Humans
  • Models, Neurological
  • Models, Psychological
  • Neuropsychological Tests
  • Postural Balance*
  • Psychomotor Performance*