Dual‐Task Methodology: Applications in Studies of Cognitive and Motor Performance in Adults and Children

Purpose: The purpose of this article is to review the literature related to the application of dual‐task methodology in adults and children, particularly in the areas of gait and postural stability. Summary of Key Points: The interaction between cognitive factors and motor performance recently has received considerable attention in physical therapy research. Researchers often use dual‐task methodology to investigate the attentional demands of motor tasks or the effects of concurrent tasks on motor performance. The attentional demands of a task and the interference effects of concurrent tasks are influenced by a number of factors, including the performer's age, level of skill, and the nature of the tasks involved. Even highly practiced activities, such as walking and postural control, are attention‐demanding, especially in individuals with impairments. Conclusions: An understanding of how attentional demands and other cognitive factors influence motor performance may be helpful to physical therapists in structuring intervention activities and in identifying children who have particular difficulty under dual‐task conditions. By modifying both cognitive and motor task demands, therapists can tailor their interventions to provide appropriate challenges for children at different skill levels.

[1]  J. Kaye,et al.  Talking while walking , 1997, Neurology.

[2]  N Teasdale,et al.  On the cognitive penetrability of posture control. , 1993, Experimental aging research.

[3]  W Poewe,et al.  Influence of Concurrent Tasks on Gait: A Dual-Task Approach , 1995, Perceptual and motor skills.

[4]  D. Bjorklund,et al.  Developmental differences in the mental effort requirements for the use of an organizational strategy in free recall , 1987 .

[5]  F. Manis,et al.  Developmental differences in the allocation of processing capacity , 1980 .

[6]  M. Kinsbourne,et al.  Does speech output control lateralize over time? Evidence from verbal-manual time-sharing tasks , 1980, Brain and Language.

[7]  N Teasdale,et al.  Upright standing and gait: are there changes in attentional requirements related to normal aging? , 1996, Experimental aging research.

[8]  Jane E. Clark,et al.  The Development of Movement Control and Coordination , 1982 .

[9]  J. Bain,et al.  Capacity Limitations in Children's Reasoning: A Dual-Task Approach. , 1986 .

[10]  M. Kinsbourne,et al.  Asymmetry of verbal-manual time sharing in children: A follow-up study , 1980, Neuropsychologia.

[11]  T. Mulder,et al.  The assessment of motor dysfunctions: Preliminaries to a disability-oriented approach , 1991 .

[12]  A. Fawcett,et al.  Automatisation Deficits in Balance for Dyslexic Children , 1992, Perceptual and motor skills.

[13]  R. Guttentag,et al.  Age differences in dual-task performance: Procedures, assumptions, and results☆ , 1989 .

[14]  D. Kahneman Attention and Effort , 1973 .

[15]  R. Guttentag,et al.  The mental effort requirement of cumulative rehearsal: A developmental study. , 1984 .

[16]  M. Peters,et al.  Right-handers and left-handers show differences and important similarities in task integration when performing manual and vocal tasks concurrently , 1994, Neuropsychologia.

[17]  L. Brooks The Suppression of Visualization by Reading , 1967, The Quarterly journal of experimental psychology.

[18]  A. Jensen,et al.  The Stroop color-word test: a review. , 1966, Acta psychologica.

[19]  M. Woollacott,et al.  The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. , 1997, The journals of gerontology. Series A, Biological sciences and medical sciences.

[20]  A. Geurts,et al.  Dual-task assessment of reorganization of postural control in persons with lower limb amputation. , 1991, Archives of physical medicine and rehabilitation.

[21]  Theo Mulder,et al.  Reorganisation of Postural Control Following Lower Limb Amputation: Theoretical Considerations and Implications for Rehabilitation , 1992 .

[22]  A. V. Leij,et al.  Testing the Automatization Deficit Hypothesis of Dyslexia Via a Dual-Task Paradigm , 1994, Journal of learning disabilities.

[23]  A. House,et al.  Transfer of therapeutic effects from institution to home: faith, hope, and behavior modification. , 1979, Family process.

[24]  B. Kerr,et al.  Cognitive spatial processing and the regulation of posture. , 1985, Journal of experimental psychology. Human perception and performance.

[25]  M. Kinsbourne,et al.  Effects of speaking upon the rate and variability of concurrent finger tapping in children , 1985 .

[26]  M. Hiscock,et al.  Asymmetric interference between concurrent tasks: An evaluation of competing explanatory models , 1997, Neuropsychologia.

[27]  P. H. Miller,et al.  Age differences in the capacity demands of a strategy among spontaneously strategic children. , 1991, Journal of experimental child psychology.

[28]  Marjorie H. Woollacott,et al.  Motor Control: Theory and Practical Applications , 1995 .

[29]  A classification scheme for cognitive strategies: implications for learning and teaching psychomotor skills. , 1994, Research quarterly for exercise and sport.

[30]  J. Ridley Studies of Interference in Serial Verbal Reactions , 2001 .

[31]  A M Wing,et al.  Age differences in postural stability are increased by additional cognitive demands. , 1996, The journals of gerontology. Series B, Psychological sciences and social sciences.

[32]  M. Hiscock Verbal-manual time sharing in children as a function of task priority , 1982, Brain and Cognition.

[33]  D. W. Kee,et al.  Mental Effort and Elaboration: A Developmental Analysis. , 1988 .

[34]  M. Woollacott,et al.  Attentional demands and postural control: the effect of sensory context. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[35]  B. Abernethy Dual-task methodology and motor skills research: Some applications and methodological constraints , 1988 .

[36]  C J Chamberlin,et al.  Effect of Adding Cognitively Demanding Tasks on Soccer Skill Performance , 1992, Perceptual and motor skills.

[37]  Marcel Kinsbourne,et al.  Dual task performance in children: Generalized and lateralized effects of memory encoding upon the rate and variability of concurrent finger tapping , 1987, Brain and Cognition.

[38]  T. L. Eckert,et al.  The Effects of Social Skills Curricula: Now You See Them, Now You Don't. , 1994 .

[39]  M. Kinsbourne,et al.  Ontogeny of cerebral dominance: Evidence from time-sharing asymmetry in children. , 1978 .

[40]  Jill Whitall,et al.  The Developmental Effect of Concurrent Cognitive and Locomotor Skills: Time-Sharing from a Dynamical Perspective. , 1991 .

[41]  Daniel Gopher,et al.  On the Economy of the Human Processing System: A Model of Multiple Capacity. , 1977 .

[42]  T. L. Kemp,et al.  The dual-task methodology and assessing the attentional demands of ambulation with walking devices. , 1992, Physical therapy.

[43]  B G Bardy,et al.  Visual Cues and Attention Demand in Locomotor Positioning , 1991, Perceptual and motor skills.