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Related Experiment Video

Updated: Jun 8, 2025

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
08:56

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

Published on: November 7, 2014

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Preliminary Evidence That Design Fluency Is Related to Dual-Task Treadmill Gait Variability in Healthy Adults.

Christopher I Higginson1, Morgan K Bifano1, Kelly M Seymour2

  • 1Department of Psychology, Loyola University Maryland, 4501 N. Charles St., Baltimore, MD 21210, USA; bifano@kennedykrieger.org (M.K.B.); drorr@seacoastneuropsych.com (R.L.O.).

Neurosci
|November 1, 2024
PubMed
Summary

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Journal of motor behavior·2016

Cognitive flexibility, a component of executive functioning, is linked to more stable gait during dual-task walking in healthy adults. This finding suggests cognitive flexibility is crucial for maintaining gait while performing other tasks.

Area of Science:

  • Neuroscience
  • Biomechanics
  • Gerontology

Background:

  • Growing evidence links gait and cognition.
  • The relationship between executive functioning and gait parameters, particularly concerning fall risk, is under-explored.
  • Spatiotemporal gait variables are critical for mobility and fall prevention.

Purpose of the Study:

  • To investigate the association between executive functioning (inhibition, reasoning, fluency) and gait variability (stride length, step width).
  • To examine these relationships during dual-task treadmill walking in healthy adults.
  • To explore the gait/posture-first hypothesis in a dual-task context.

Main Methods:

  • Nineteen healthy adults (mean age 40) performed executive function tests and dual-task treadmill walking.
Keywords:
cognitive flexibilitydual taskfluencygait

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Last Updated: Jun 8, 2025

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
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  • Spatiotemporal gait parameters (stride length, step width) and their variability were measured.
  • Statistical analyses examined correlations between cognitive performance and gait variability.

    • Main Results:

    • Dual-tasking led to reduced processing speed, increased step width, and decreased stride length.
    • Gait parameter variability did not significantly change during dual-tasking, supporting a gait/posture-first approach.
    • Higher performance on a visual design fluency task (cognitive flexibility) correlated with reduced stride length and step width variability during dual-tasking.

    Conclusions:

    • Cognitive flexibility is associated with better gait stability (less variability) during dual-task walking in healthy adults.
    • These findings extend previous research on older adults and suggest cognitive flexibility is vital for gait maintenance under cognitive load.
    • The results have implications for understanding mobility and fall risk across the lifespan.