Development of a novel cognitive-motor integration balance assessment in healthy young adults: a pilot study

Many skills necessary to perform activities of daily living require individuals to think and move at the same time; otherwise known as cognitive-motor integration (CMI). An upper extremity CMI task has shown how CMI performance changes with age, neurotrauma, and sport experience; however, the majority of movements required for activities of daily living extend beyond the upper extremity. Therefore, the purpose of this pilot study was to compare a full-body balance-related CMI task with the validated upper extremity task. Twenty-nine young healthy adults [24.3 ± 5.1 years (SD); 12 females] completed 2 CMI tasks to assess upper extremity CMI and full-body CMI. In general, both CMI tasks varied in difficulty, ranging from congruent interactions with targets, to incongruent interactions which included visual feedback reversal (requiring increased CMI). Performance in both tasks were quantified using reaction time (RT), movement time (MT), and normalized path length (nPL). An interaction effect of task and condition was found for MT [F ₍₁,₂₈₎ = 9.344, p = 0.005] and nPL [F ₍₁,₂₈₎ = 12.766, p = 0.001], with larger increases across conditions in the full-body task compared to the upper extremity task. For the upper extremity task, sex predicted RT, where males had quicker RTs than females (unstandardized B = -78.968, p = 0.038). For the full-body task, MT and nPL were predicted by age and sport experience, respectively; where younger age resulted in faster MTs (unstandardized B = 235.546, p = 0.009), and more sport experience led to less variable nPLs (unstandardized B = -3.802, p = 0.005). Lastly, the full-body task found that sport experience was moderated by sex (unstandardized B = 203.650, p = 0.014), where only females saw decreases in MT with increasing sport experience. The full-body CMI task provides a more comprehensive analysis of sensory, motor, and cognitive contributions to coordination tasks. An isolated upper extremity task may be limited in its ability to extract meaningful information that could contribute to difficulties in performing activities of daily living. Future work could utilize this task in clinical populations with the potential to uncover differences that might not be apparent in standard assessment protocols.