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Updated: Jan 31, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Validation of a multidirectional locomotive dual-task paradigm to evaluate task-related differences in event-related
Shelley J Duncan1, Angela Gosling2, Derek Panchuk3
1School of Sport, Health and Social Sciences, Solent University, Southampton, SO14 OYN, UK.
Abstract:
A fundamental aspect of everyday function is the ability to simultaneously execute both cognitive and motor tasks. The ability to perform such tasks is commonly assessed using a dual-task paradigm that has the capacity to manipulate both cognitive and motor components of an action. Dual-task performance provides an opportunity to obtain an insight into how cognitive and motor function are affected during natural tasks (e.g., locomotion). The following study aimed to determine the effectiveness of using a goal-directed multidirectional locomotor task to measure differences in task-related (tasks of increasing difficulty) electro-cortical activity. In the single-task condition participants walked around a grid-based track, performing directional changes at each intersection in response to a sensory stimulus. In the dual-task condition participants performed the same primary task while performing a simultaneous memory recall task. Behavioural differences in trial completion time and electro-cortical activity were identified in relation to the posterior N2 and P3 component mean amplitudes. The results showed that, while performing a higher-level cognitive task during walking (dual-task), interference arises in a shared system that influences neural mechanisms involved in attention and selection for action, and later cognitive processes recruited in working memory and cognitive control. This study extends previous work and shows that performing a more complex cognitive task while walking, elicits interference effects sensitive to higher-level cognitive processes, and takes the next step towards measurement of electro-cortical activity within naturalistic environments.
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