The Effects of Cognition and Vision While Walking in Younger and Older Adults
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This study investigated how various cognitive tasks and visual challenges affect dual-task walking costs (DTWC) in younger and older adults. Twenty younger adults (Meanage = 22.25, SD = 3.04, 4 males) and eighteen older adults (Meanage = 71.75, SD = 5.17, 7 males) completed single-task walking and dual-task walking. The dual tasks involved walking while performing either (a) serial-subtraction by 3s or (b) a Stroop task. Both single tasks and dual tasks were performed under both normal vision and peripheral-vision-loss conditions. Results showed no significant three-way interaction but two significant two-way interactions: DTWC for step-length was greater during Stroop compared to serial-subtraction, (a) more in older adults regardless of vision (p = 0.022) and (b) more under peripheral-vision-loss regardless of age (p = 0.033). In addition, DTWC for various gait parameters was greater under (a) Stroop compared to serial-subtraction, (b) peripheral-vision-loss compared to normal vision, and (c) older adults compared to younger adults. These findings suggest that, when engaging in a cognitively demanding task, older adults place greater emphasis on maintaining gait compared to younger adults, likely to offset the negative impacts of additional cognitive load and deteriorated vision. Future research should further examine how different cognitive tasks and visual challenges interact across age groups.
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Vision provides crucial guidance for locomotion.
“Vision is an essential pathway for the human brain to receive environmental information, providing crucial guidance for locomotion.[1]”
From Brain Rewires to Stabilize Walking During Visual Impairment · cites this paper as [1]
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Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000) · Cognitive Psychology · doi:10.1006/cogp.1999.0734 · Cited by 15,798 · cited 1× · see citing works
“Another component of EF impacted by aging is working memory, which is a limited-capacity system that actively maintains task-relevant information for a brief period [17,18].”
Postural readjustments induced by linear motion of visual scenes
Lestienne, F., Soechting, J., & Berthoz, A. (1977) · Experimental Brain Research · doi:10.1007/bf00235717 · Cited by 583 · see citing works
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- [1]Ali N. Tian H. Thabane L. Ma J. Wu H. Zhong Q. Gao Y. Sun C. Zhu Y. Wang T. The Effects of Dual-Task Training on Cognitive and Physical Functions in Older Adults with Cognitive Impairment: A Systematic Review and Meta-Analysis J. Prev. Alzheimer’s Dis. 2022 9 359 370 10.14283/jpad.2022.16 35543010 · DOI
- [2]Yogev-Seligmann G. Hausdorff J.M. Giladi N. The role of executive function and attention in gait Mov. Disord. 2008 23 329 342 10.1002/mds.21720 18058946 PMC2535903 · DOI
- [3]Leone C. Moumdjian L. Patti F. Vanzeir E. Baert I. Veldkamp R. Van Wijmeersch B. Feys P. Comparing 16 Different Dual–Tasking Paradigms in Individuals With Multiple Sclerosis and Healthy Controls: Working Memory Tasks Indicate Cognitive–Motor Interference Front. Neurol. 2020 11 918 10.3389/fneur.2020.00918 32982934 PMC7485559 · DOI
- [4]Wood J.M. Lacherez P.F. Black A.A. Cole M.H. Boon M.Y. Kerr G.K. Postural Stability and Gait among Older Adults with Age-Related Maculopathy Investig. Ophthalmol. Vis. Sci. 2009 50 482 487 10.1167/iovs.08-1942 18791170 · DOI
- [5]Chen H.-Y. Chen H.-Y. Chen B.-H. Lou S.-Z. Chen L.-Y. Lin C.-L. Effect of age on postural performance and control strategies during changes in visual input and dual-tasking stances Heliyon 2023 9 e18472 10.1016/j.heliyon.2023.e18472 37520946 PMC10374924 · DOI
- [6]Walsh G.S. Snowball J. Cognitive and visual task effects on gaze behaviour and gait of younger and older adults Exp. Brain Res. 2023 241 1623 1631 10.1007/s00221-023-06627-4 37148282 PMC10224856 · DOI
- [7]Cohen J.A. Verghese J. Zwerling J.L. Cognition and gait in older people Maturitas 2016 93 73 77 10.1016/j.maturitas.2016.05.005 27240713 · DOI
- [8]LaRoche D.P. Greenleaf B.L. Croce R.V. McGaughy J.A. Interaction of age, cognitive function, and gait performance in 50–80-year-olds AGE 2014 36 9693 10.1007/s11357-014-9693-5 25073454 PMC4150912 · DOI
- [9]Nóbrega-Sousa P. Gobbi L.T.B. Orcioli-Silva D. Conceição N.R. Beretta V.S. Vitório R. Prefrontal Cortex Activity During Walking: Effects of Aging and Associations With Gait and Executive Function Neurorehabilit. Neural Repair 2020 34 915 924 10.1177/1545968320953824 32865134 · DOI
- [10]Lezak M.D. Neuropsychological Assessment 4th ed. Oxford University Press Oxford, UK 2012
- [11]Springer S. Giladi N. Peretz C. Yogev G. Simon E.S. Hausdorff J.M. Dual-tasking effects on gait variability: The role of aging, falls, and executive function Mov. Disord. 2006 21 950 957 10.1002/mds.20848 16541455 · DOI
- [12]Beauchet O. Launay C.P. Fantino B. Annweiler C. Allali G. Episodic memory and executive function impairments in non-demented older adults: Which are the respective and combined effects on gait performances? AGE 2015 37 9812 10.1007/s11357-015-9812-y 26160251 PMC4497999 · DOI
- [13]Soumaré A. Tavernier B. Alpérovitch A. Tzourio C. Elbaz A. A Cross-Sectional and Longitudinal Study of the Relationship Between Walking Speed and Cognitive Function in Community-Dwelling Elderly People J. Gerontology. Ser. A Biol. Sci. Med. Sci. 2009 64A 1058 1065 10.1093/gerona/glp077 19561146 · DOI
- [14]Brown S.W. Johnson T.M. Sohl M.E. Dumas M.K. Executive attentional resources in timing: Effects of inhibitory control and cognitive aging J. Exp. Psychol. Hum. Percept. Perform. 2015 41 1063 1083 10.1037/xhp0000078 26010590 · DOI
- [16]Stroop J.R. Studies of Interference in Serial Verbal Reactions J. Exp. Psychol. 1992 121 15 23 10.1037/0096-3445.121.1.15 · DOI · Paper page
- [17]Karbach J. Verhaeghen P. Making Working Memory Work: A Meta-Analysis of Executive-Control and Working Memory Training in Older Adults Psychol. Sci. 2014 25 2027 2037 10.1177/0956797614548725 25298292 PMC4381540 · DOI · Paper page
- [19]Babcock R.L. Salthouse T.A. Effects of increased processing demands on age differences in working memory Psychol. Aging 1990 5 421 428 10.1037/0882-7974.5.3.421 2242246 · DOI
- [20]Dobbs A.R. Rule B.G. Adult age differences in working memory Psychol. Aging 1989 4 500 503 10.1037/0882-7974.4.4.500 2619956 · DOI · Paper page
- [21]Patel P. Lamar M. Bhatt T. Effect of type of cognitive task and walking speed on cognitive-motor interference during dual-task walking Neuroscience 2014 260 140 148 10.1016/j.neuroscience.2013.12.016 24345478 · DOI
- [23]Hollman J.H. McDade E.M. Petersen R.C. Normative spatiotemporal gait parameters in older adults Gait Posture 2016 43 67 72 10.1016/j.gaitpost.2011.03.024 21531139 PMC3104090 · DOI
- [24]Bock O. Beurskens R. Age-related deficits of dual-task walking: The role of foot vision Gait Posture 2010 33 190 194 10.1016/j.gaitpost.2010.10.095 21095129 · DOI
- [25]Pitts J. Singhal K. Apte Y. Patel P. Kannan L. Bhatt T. The Effect of Cognitive Task, Gait Speed, and Age on Cognitive–Motor Interference during Walking Sensors 2023 23 7368 10.3390/s23177368 37687823 PMC10490746 · DOI
- [26]Lajoie Y. Teasdale N. Bard C. Fluery M. Upright standing and gait: Are there changes in attentional requirements related to normal aging? Exp. Aging Res. 1996 22 185 198 10.1080/03610739608254006 8735152 · DOI
- [27]Sparrow W.A. Begg R.K. Parker S. Aging effects on visual reaction time in a single task condition and when treadmill walking Mot. Control 2006 10 201 211 10.1123/mcj.10.3.201 17106130 · DOI
- [28]Kaewkaen K. Chueathaeo T. Angart S. Chomkan S. Uttama S. Chaiut W. Namkorn P. Sutalangka C. Kaewkaen P. The interactive effect of cognitive and physical dual task interventions on obstacle negotiation while walking in healthy young, and older, adults Neurol. India 2021 69 883 888 10.4103/0028-3886.325349 34507406 · DOI
- [29]Baek C.Y. Kim H.D. Yoo D.Y. Kang K.Y. Woo Lee J. Effect of automaticity induced by treadmill walking on prefrontal cortex activation and dual-task performance in older adults PLoS ONE 2023 18 e0287252 10.1371/journal.pone.0287252 37535522 PMC10399859 · DOI
- [30]Francis C.A. Franz J.R. O’Connor S.M. Thelen D.G. Gait variability in healthy old adults is more affected by a visual perturbation than by a cognitive or narrow step placement demand Gait Posture 2015 42 380 385 10.1016/j.gaitpost.2015.07.006 26233581 PMC4591170 · DOI
- [31]Hayhoe M. Shrivastava A. Mruczek R. Pelz J.B. Visual memory and motor planning in a natural task J. Vis. 2003 3 49 63 10.1167/3.1.6 12678625 · DOI
- [32]Mennie N. Hayhoe M. Sullivan B. Look-ahead fixations: Anticipatory eye movements in natural tasks Exp. Brain Res. 2007 179 427 442 10.1007/s00221-006-0804-0 17171337 · DOI
- [33]Mohapatra S. Krishnan V. Aruin A.S. The effect of decreased visual acuity on control of posture Clin. Neurophysiol. 2011 123 173 182 10.1016/j.clinph.2011.06.008 21778109 PMC3202079 · DOI
- [34]Kuyk T. Elliott J.L. Fuhr P.S.W. Visual correlates of mobility in real world settings in older adults with low vision Optom. Vis. Sci. 1998 75 538 547 10.1097/00006324-199807000-00023 9703043 · DOI
- [35]Turano K.A. Yu D. Hao L. Hicks J.C. Optic-flow and egocentric-direction strategies in walking: Central vs peripheral visual field Vis. Res. 2005 45 3117 3132 10.1016/j.visres.2005.06.017 16084556 · DOI · Paper page
- [36]Turano K.A. Rubin G.S. Quigley H.A. Mobility Performance in Glaucoma Investig. Ophthalmol. Vis. Sci. 1999 40 2803 2809 10549639
- [37]Anand V. Buckley J.G. Scally A. Elliott D.B. Postural Stability in the Elderly during Sensory Perturbations and Dual Tasking: The Influence of Refractive Blur Investig. Ophthalmol. Vis. Sci. 2003 44 2885 2891 10.1167/iovs.02-1031 12824227 · DOI
- [38]Krishnan V. Cho Y.H. Mohamed O. Role of impaired vision during dual-task walking in young and older adults Gait Posture 2017 57 136 140 10.1016/j.gaitpost.2017.06.006 28624710 · DOI
- [39]World Medical A. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects JAMA 2013 310 2191 2194 10.1001/jama.2024.21972 24141714 · DOI · Paper page
- [40]Borson S. Scanlan J.M. Chen P. Ganguli M. The Mini-Cog as a Screen for Dementia: Validation in a Population-Based Sample J. Am. Geriatr. Soc. 2003 51 1451 1454 10.1046/j.1532-5415.2003.51465.x 14511167 · DOI · Paper page
- [41]Graci V. Elliott D.B. Buckley J.G. Utility of peripheral visual cues in planning and controlling adaptive gait Optom. Vis. Sci. 2010 87 21 27 10.1097/OPX.0b013e3181c1d547 19918210 · DOI
- [42]Barhorst-Cates E.M. Rand K.M. Creem-Regehr S.H. Smith A. The Effects of Restricted Peripheral Field-of-View on Spatial Learning while Navigating PLoS ONE 2016 11 e0163785 10.1371/journal.pone.0163785 27760150 PMC5070841 · DOI
- [43]Shapiro S.S. Wilk M.B. An Analysis of Variance Test for Normality (Complete Samples) Biometrika 1965 52 591 611 10.1093/biomet/52.3-4.591 · DOI · Paper page
- [44]Kelly V.E. Janke A.A. Shumway-Cook A. Effects of instructed focus and task difficulty on concurrent walking and cognitive task performance in healthy young adults Exp. Brain Res. 2010 207 65 73 10.1007/s00221-010-2429-6 20931180 PMC3058115 · DOI
- [45]Benjamini Y. Hochberg Y. Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing J. R. Stat. Soc. 1995 57 289 300 10.1111/j.2517-6161.1995.tb02031.x · DOI · Paper page
- [46]MacLeod C.M. Half a century of research on the stroop effect: An integrative review Psychol. Bull. 1991 109 163 203 10.1037/0033-2909.109.2.163 2034749 · DOI · Paper page
- [47]Zoccatelli G. Beltramello A. Alessandrini F. Pizzini F.B. Tassinari G. Word and position interference in Stroop tasks: A behavioral and FMRI study Exp. Brain Res. 2010 207 139 147 10.1007/s00221-010-2433-x 20924569 · DOI
- [48]Voytek B. Knight R.T. Desimone R. Prefrontal cortex and basal ganglia contributions to visual working memory Proc. Natl. Acad. Sci. USA 2010 107 18167 18172 10.1073/pnas.1007277107 20921401 PMC2964236 · DOI
- [49]Plummer-D’Amato P. Brancato B. Dantowitz M. Birken S. Bonke C. Furey E. Effects of gait and cognitive task difficulty on cognitive-motor interference in aging J. Aging Res. 2012 2012 583894 10.1155/2012/583894 23209905 PMC3503314 · DOI
- [50]Holtzer R. Friedman R. Lipton R.B. Katz M. Xue X. Verghese J. The relationship between specific cognitive functions and falls in aging Neuropsychology 2007 21 540 548 10.1037/0894-4105.21.5.540 17784802 PMC3476056 · DOI
- [51]Guimaraes R.M. Isaacs B. Characteristics of the gait in old people who fall Int. Rehabil. Med. 1980 2 177 180 10.3109/09638288009163984 7239777 · DOI
- [52]Imms F.J. Edholm O.G. Studies of gait and mobility in the elderly Age Ageing 1981 10 147 156 10.1093/ageing/10.3.147 7270322 · DOI
- [53]Hausdorff J.M. Schweiger A. Herman T. Yogev-Seligmann G. Giladi N. Dual task decrements in gait among healthy older adults: Contributing factors J. Gerontol. Ser. A Biol. Sci. Med. Sci. 2008 63 1335 1343 10.1093/gerona/63.12.1335 19126846 PMC3181497 · DOI
- [54]Woollacott M. Shumway-Cook A. Attention and the control of posture and gait: A review of an emerging area of research Gait Posture 2002 16 1 14 10.1016/S0966-6362(01)00156-4 12127181 · DOI · Paper page
- [55]Beurskens R. Bock O. Age-Related Deficits of Dual-Task Walking: A Review J. Neural Transplant. Plast. 2012 2012 131608 131609 10.1155/2012/131608 22848845 PMC3403123 · DOI
- [56]Nordahl C.W. Ranganath C. Yonelinas A.P. DeCarli C. Fletcher E. Jagust W.J. White Matter Changes Compromise Prefrontal Cortex Function in Healthy Elderly Individuals J. Cogn. Neurosci. 2006 18 418 429 10.1162/jocn.2006.18.3.418 16513006 PMC3776596 · DOI
- [58]Beurskens R. Bock O. Age-related decline of peripheral visual processing: The role of eye movements Exp. Brain Res. 2012 217 117 124 10.1007/s00221-011-2978-3 22179529 PMC3279647 · DOI
- [59]Ball K.K. Beard B.L. Roenker D.L. Miller R.L. Griggs D.S. Age and visual search: Expanding the useful field of view J. Opt. Soc. Am. 1988 5 2210 2219 10.1364/JOSAA.5.002210 3230491 · DOI
- [60]Duncan J. McLeod P. Phillips L. Measuring the Mind: Speed, Control, and Age 1st ed. Oxford University Press Oxford, UK 2005
- [61]Marigold D.S. Patla A.E. Visual information from the lower visual field is important for walking across multi-surface terrain Exp. Brain Res. 2008 188 23 31 10.1007/s00221-008-1335-7 18322679 · DOI
- [63]Mahoney J.R. Verghese J. Dumas K. Wang C. Holtzer R. The effect of multisensory cues on attention in aging Brain Res. 2012 1472 63 73 10.1016/j.brainres.2012.07.014 22820295 PMC3592377 · DOI
- [64]Li K.Z. Bherer L. Mirelman A. Maidan I. Hausdorff J.M. Cognitive involvement in balance, gait, and dual-tasking in aging: A focused review from a neuroscience of aging perspective Front. Neurol. 2012 3 75 10.3389/fneur.2018.00913 30425679 PMC6219267 · DOI
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(n.d.) · Chinese Medical Journal / Neuroscience News · doi:10.1097/cm9.0000000000004040
“[1] The neural process by which the brain utilizes sensory inputs to guide motor control is known as sensorimotor integration.”
- Authors
- Pham, T., Suen, M., Cho, Y.-H., & Krishnan, V.
- Affiliations
- California State University, Long Beach (US)
- Corresponding author
- Krishnan, Vennila
- Venue
- Sensors
- Publisher
- MDPI AG
- Published
- 2024-12-05
- Volume
- 24
- Issue
- 23
- Pages
- 7789
- ISSN
- 1424-8220 (ISSN-L)
- PMC
- PMC11645043
- OpenAlex
- W4405074571
- Cited by
- 7
- References
- 2
- Citations by year
- 2026: 5 · 2025: 2
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sensors (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
- Keywords
- dual-task walking, cognitive load, aging, older adults, peripheral vision loss, Stroop task, serial subtraction, gait, step length, age differences, visual impairment
- MeSH terms
- Adult, Aged, Cognition, Female, Gait, Humans, Male, Vision, Ocular, Walking, Young Adult
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