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Impact of Cognitive-Motor Dual-Task Training on Predictive Brain Functions and Functional Performance of Older
Merve Aydin1, Luca Boccacci1, Stefania Lucia2
1Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
Psychophysiology
|April 20, 2026
Summary
Cognitive-motor dual-task (CMDT) training significantly improves cognitive and motor skills in older adults by enhancing frontal cortex activity during predictive processing. This strategy supports healthy aging and functional plasticity.
Area of Science:
- Neuroscience
- Gerontology
- Rehabilitation Science
Background:
- Age-related cognitive and motor declines are significant concerns.
- Cognitive-motor dual-task (CMDT) training shows promise in counteracting these declines.
- Previous research linked CMDT benefits to frontal cortex activity but not specific processing stages.
Purpose of the Study:
- To investigate the effect of CMDT training on predictive brain function in healthy older adults.
- To compare CMDT training with standard motor training in older adults.
- To identify the specific stage of cognitive task processing influenced by CMDT.
Main Methods:
- Sixty healthy older adults were randomized into CMDT or standard motor training groups for five weeks.
- Functional motor and cognitive performance were assessed pre- and post-training.
- Electroencephalography (EEG) measured preparatory event-related potentials to assess predictive brain function.
Main Results:
- CMDT training demonstrated superiority over standard motor training in improving both motor and cognitive performance.
- Enhanced frontal cortex activity was observed, specifically during the predictive stage of cognitive task processing.
- CMDT training improved motor and cognitive control, leading to better mobility and behavioral outcomes.
Conclusions:
- CMDT training enhances predictive processing in the frontal cortex during cognitive tasks in older adults.
- The simultaneous engagement of cognitive and motor networks drives functional plasticity in aging.
- CMDT is a practical, neurophysiologically supported strategy for promoting healthy aging.

