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Revised and Neuroimaging-Compatible Versions of the Dual Task Screen
Published on: October 5, 2020
Functional overload and adaptive failure during dual-tasking in Ménière's disease
Mehmet Can1,2, Soner Türüdü3,4, Zehra Aydoğan5
1Audiometry Program, Vocational School of Health Services, Karamanoğlu Mehmetbey University, Karaman, Türkiye.
Individuals with Ménière's disease (MD) experience cognitive-motor interference, particularly in demanding visuospatial and executive tasks. This study shows selective cognitive slowing under dual-task conditions, not affecting postural stability.
Area of Science:
- Neuroscience
- Cognitive Science
- Audiology
Background:
- Ménière's disease (MD) is known to affect cognitive functions.
- The precise nature of cognitive-motor interference in MD remains unclear.
- Understanding dual-task performance is crucial for evaluating MD's impact.
Purpose of the Study:
- To investigate dual-task performance in patients with MD compared to healthy controls.
- To examine cognitive-motor interference under combined cognitive and postural loads.
- To identify specific cognitive domains affected by dual-tasking in MD.
Main Methods:
- Employed a dual-task paradigm combining computerized dynamic posturography (CDP) with a cognitive test battery.
- Assessed visuospatial, executive, and working memory functions across varying postural difficulties (Sensory Organization Test - SOT).
- Analyzed performance data using mixed-effects models in 29 MD patients and 29 controls.
Main Results:
- Significant dual-task interference observed in MD patients for reaction times in Mental Rotation and Shifting Attention tasks.
- Performance slowing in these tasks increased disproportionately with postural difficulty in the MD group.
- No significant dual-task effects on postural stability were found in either group; MD patients showed baseline visuospatial working memory deficits.
Conclusions:
- Individuals with MD exhibit selective cognitive-motor interference, particularly in challenging visuospatial and executive tasks.
- A 'posture first' strategy may be employed, prioritizing postural control over cognitive processing.
- Dual-task paradigms offer a sensitive method for assessing cognitive burden in MD, informing clinical evaluation and management.
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