Impact of Attentional Loading and Task Constraints on Postural Control of Healthy Older Adults

Impact of Attentional Loading and Task Constraints on Postural Control of Healthy Older Adults

Eryk Przysucha, Brontë A. Vollebregt, Carlos Zerpa
DOI: 10.4018/IJEACH.2020070102
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Abstract

Postural control is attention demanding, and it may be jeopardized when a secondary cognitive task is involved, particularly for older adults. The magnitude of this interference depends on different individual (perceptuo-motor status), task (single vs. dual tasking), and environmental constraints (support surface). The purpose of this research was to examine if older adults may be affected by various types of secondary cognitive tasks, while maintaining quiet standing on different support surfaces. In line with conceptual models, the results indicated that postural control of older adults was compromised when they were required to dual-task, especially when the support surface was challenging. This was a robust finding across all the measures of COP. In regards to the degree to which different attentional tasks affected postural control, the results remained equivocal. From a practical standpoint, the results indicated that older adults should exhibit caution when simultaneously performing a balance and a cognitive task involved particularly when the surface is unsteady.
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Background

Postural control, also referred to as balance or stability, is an integral aspect of the most voluntary actions (Winter, Patla, & Frank, 1990). Various executive processes, such as feedback based control and feedforward/open-loop control systems, as well as neuromuscular synergies contribute to the ability to generate actions that prevent humans from falling (e.g., when standing still on a moving bus). According to Newell’s model of constraints (1986), several related factors contribute to the ability to maintain stance. Some of them pertain to individual characteristics of structural or functional nature, whereas others relate to environmental as well as task constraints. In the context of postural control, structural constraints pertain to the anatomy of the human body such as weight, height, or size of base of support. On the other hand, functional constraints pertain to behavioral aspects of movement production such status of perceptuo-motor system or cognitive functioning. Environmental constraints include variables such as surface type (e.g., compliant versus non-compliant), or any other factors within the environment that may impact our actions. Meanwhile, task constraints pertain specifically to the requirements of the activity being performed, and in the case of the present research, the ability to maintain stance when presented with another cognitive task or when balancing without attentional interference.

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