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Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study
Pasquale Arpaia1, Renato Cuocolo2, Allegra Fullin3,4
1Department of Electrical Engineering and Information TechnologiesUniversity of Naples Federico II 80138 Naples Italy.
IEEE Journal of Translational Engineering in Health and Medicine
|February 27, 2024
Summary
This study found that inhibition, not working memory, significantly impacts gait during dual-task walking. Cognitive-motor tasks involving inhibition may help improve gait in elderly and neurological patients.
Area of Science:
- Neuroscience
- Biomechanics
- Cognitive Psychology
Background:
- Executive functions (EFs) are crucial for daily activities.
- Cognitive-motor interference during walking increases fall risk, especially in vulnerable populations.
- Limited research exists on the neural correlates of EFs during gait.
Purpose of the Study:
- To investigate the neural activation of inhibition and working memory during walking with increasing cognitive task difficulty.
- To analyze the relationship between cognitive load and spatial-temporal gait parameters.
- To explore the potential of EEG and 3D gait analysis for monitoring cognitive processes during gait.
Main Methods:
- Thirteen healthy subjects performed Go-NoGo (inhibition) and N-back (working memory) tasks during spontaneous walking.
- Wireless electroencephalography (EEG) and 3D gait analysis were used to collect data.
- EEG features and kinematic gait parameters were analyzed for correlations with cognitive load.
Main Results:
- Dual-tasking with the Go-NoGo task led to decreased stride length and increased external foot progression.
- A significant correlation was observed between delta band EEG activity and increasing difficulty of the inhibition task.
- Working memory load did not show significant correlations with gait parameters.
Conclusions:
- Inhibition plays a more prominent role than working memory in dual-task walking.
- Specific kinematic adaptations occur during cognitive-motor tasks involving inhibition.
- This research lays groundwork for EEG-based monitoring of cognitive functions influencing gait, aiding rehabilitation strategies.

