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Walking and talking therapy: Improving cognitive–motor dual-tasking in neurological illness

  • JONATHAN J. EVANS (a1) (a2), EVE GREENFIELD (a2), BARBARA A. WILSON (a2) (a3) and ANDREW BATEMAN (a2)
Abstract
Abstract

Using randomized control trial methodology, we evaluated the effectiveness of a 5-week cognitive–motor dual-tasking training program developed to improve performance of a group of people with dual-tasking difficulties arising from acquired brain injury. Training involved twice-daily practice on exercises involving walking being combined with tasks which increased in cognitive demand over the course of the intervention. A treatment group (n = 10) was compared with a control group (n = 9). The primary outcome measure was a task requiring participants to walk and carry out a spoken sentence verification task simultaneously. Secondary outcome measures were measures of dual-tasking involving either two motor tasks or two cognitive tasks. A questionnaire measure relating to activities of daily living requiring dual-tasking was also completed. Compliance with the training program was good. We found evidence of improvement in performance on the primary outcome measure, but little evidence of generalization to other measures. There was some evidence that participants believed that their dual-tasking performance in everyday life was improved after the intervention. The study was limited in terms of sample size, was not blinded and did not control fully for therapist contact time, but has produced valuable data relating to effect sizes associated with this form of intervention. (JINS, 2009, 15, 112–120.)

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Corresponding author
*Correspondence and reprint requests to: Jonathan Evans, University of Glasgow, Faculty of Medicine, Section of Psychological Medicine, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, G12 0XH UK. E-mail: jje2k@clinmed.gla.ac.uk
References
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Baddeley A.D., Della Sala S., Gray C., Papagno C., & Spinnler H. (1997). Testing central executive functioning with a pencil and paper test. In Rabbitt P. (Ed.), Methodology of Frontal and Executive Function. Hove: Psychology Press.
Baddeley A.D., Emslie H., & Nimmo-Smith I. (1992). The Speed and Capacity of Language Processing (SCOLP) Test. Bury St Edmunds: Thames Valley Test Company.
Brooks D.N. & McKinlay W. (1987). Return to work within the first seven years of severe head injury. Brain Injury, 1, 515.
Camicioli R., Bouchard T., & Licis L. (2006). Dual-tasks and walking fast: Relationship to extra-pyramidal signs in advanced Alzheimer’s disease. Journal of the Neurological Sciences, 248, 205209.
Camicioli R., Howieson D., Lehman S., & Kaye J. (1997). Talking while walking: The effect of a dual task in aging and Alzheimer’s disease. Neurology, 48, 955958.
Cocchini G., Della Sala S., Logie R.H., Pagani L., & Spinnier H. (2004). Dual task effects of walking when talking in Alzheimer’s disease. La Revue Neurologique, 160, 1, 7480.
Cohen J. (1988). Statistical Power Analysis for the Behavioural Sciences (2nd Ed). Hillsdale, NJ: Erlbaum.
Evans J.J., Greenfield E., & Wilson B.A. (2004). The development of an ecologically valid test of divided attention [Abstract]. Brain Impairment, 5(Suppl.), 5152.
Greenfield E., Evans J.J., Emslie H., Manly T., Wilson B.A., & Hodges J.R. (2006). Cognitive-motor dual tasking in Alzheimer’s disease [Abstract]. Journal of the International Neuropsychological Society; JINS, 12(Suppl. 2), 49.
Greenfield E., Evans J.J., and Wilson B.A. (2004). Use of a divided attention test to assess emergence from post traumatic amnesia [Abstract]. Brain Impairment, 5(Suppl.), 53.
Haggard P. & Cockburn J. (1998). Dividing attention between cognitive and motor tasks in neurological rehabilitation. Neuropsychological Rehabilitation, 8, 155170.
Haggard P., Cockburn J., Cock J., Fordham C., & Wade D. (2000). Interference between gait and cognitive tasks in a rehabilitating neurological population. Journal of Neurology, Neurosurgery, and Psychiatry, 69, 479486.
Logie R.H., Della Sala S., Cocchini G., & Baddeley A.D. (2004). Is there a specific executive capacity for dual task coordination? Evidence from Alzheimer’s disease. Neuropsychology, 18, 504513.
Lundin-Olsson L., Nyberg L., & Gustafson Y. (1997). “Stops walking when talking” as a predictor of falls in elderly people. The Lancet, 349, 617.
Mahoney F.I. & Barthel D. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 5661.
Manly T. & Mattingly J. (2004). Visuospatial and attentional disorders. In Goldstein L. & McNeil J. (Eds.), Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians. Chichester: Wiley.
Posner M.I. & Peterson S.E. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 2542.
Robertson I.H., Ward A., Ridgeway V., & Nimmo-Smith I. (1994). Test of Everyday Attention. London: Pearson.
Robertson I.H., Ridgeway V., Greenfield E., & Parr A. (1997). Motor recovery after stroke depends upon intact sustained attention: A two year follow-up study. Neuropsychology, 11, 290295.
Rochester L., Hetherington V., Jones D., Nieuwboer A., Willems A.M., Kwakkel G., & Van Wegen E. (2004). Attending to the task: Interference effects of functional tasks on walking in Parkinson’s disease and the roles of cognition, depression, fatigue, and balance. Archives of Physical Medicine and Rehabilitation, 85, 15781585.
Sohlberg M.M. & Mateer C.A. (2001). Cognitive Rehabilitation: An Integrative Neuropsychological Approach. New York: Guilford Press.
Streiner D. & Norman G. (1995). Health Measurement Scales: A Practical Guide to their Development and Use. Oxford: Oxford University Press.
Sturm W., Finn B., Cantagallo A., Cremel N., North P., Passadori A., Pizzamiglio L., Rousseaux P., Zimmerman P., Deloche G., & Leclercq M. (2002). Computerised training of specific attention deficits in stroke and traumatic brain injured patients: A multicentre efficacy study. In Leclerk M., & Zimmerman P. (Eds.), Applied Neuropsychology of Attention. Hove: Psychology Press.
Wilkins A.J., Shallice T., & McCarthy R. (1987). Frontal lesions and sustained attention. Neuropsychologia, 25, 359365.
Wilson B.A., Evans J.J., Greenfield E., Emslie H., Manly T., & Bateman A. (2006). Identifying and Understanding Divided Attention Deficits in People with Brain Injury. London: Department of Health, National Research Register.
Yogev G., Peretz C., Springer S., Simon E.S., & Hausdorff J.M. (2005). Dual tasking, gait rhythmicity, and Parkinson’s disease: Which aspects of gait are attention demanding? European Journal of Neuroscience, 22, 12481256.
Zakzanis K.K. (2001). Statistics to tell the truth, the whole truth, and nothing but the truth: Formulae, illustrative numerical examples, and heuristic interpretation of effect size analyses for neuropsychological researchers. Archives of Clinical Neuropsychology, 16, 653667.
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Journal of the International Neuropsychological Society
  • ISSN: 1355-6177
  • EISSN: 1469-7661
  • URL: /core/journals/journal-of-the-international-neuropsychological-society
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