The influence of cognitive tasks on sensory organization test performance

Morelli, Nathan; Heebner, Nicholas R.; DeFeo, Courtney J.; Hoch, Matthew C.

doi:10.1016/j.bjorl.2020.11.009

Cited by 4 publications

(8 citation statements)

References 48 publications

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“…The effects of performing a cognitive task with the sensory integration of balance lacks consensus across the literature, with some studies observing a reduction while others an increase or unchanged postural performance with the addition of a cognitive task [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. Table 3 provides a summary of studies that assessed the interaction of cognitive and sensory integration, where the latter was tested based on the SOT and mCTSIB [ 16 , 17 , 18 , 22 , 23 ]. The SOT uses sway referencing force plates and visual surrounds on the Equitest (NeuroCom, Clackamas, OR, USA) balance device to assess sensory integration with six test conditions (C1:C6).…”

Section: Discussionmentioning

confidence: 99%

“…The difficulty level of each cognitive task was also variable across these studies. Most of the studies found that cognitive performance decreased as the task complexity increased [ 16 , 17 , 18 , 20 , 21 ], and some did not report cognitive performance while dual-tasking [ 19 , 22 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…The effects of sensory cognitive interaction could depend on the strategy used while completing the balance and cognitive task concurrently, i.e., prioritizing cognitive versus postural control [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. For example, Resch et al, found that when performing a dual task (balance task plus cognitive task), participants appeared to prioritize postural control over cognitive processing, with cognitive performance getting more affected with the increasing demands of postural task [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Inconsistencies across studies, performed on young adults, for the interaction of cognition and postural control could be because of experimental design variability, i.e., instruction to subjects, the difficulty level of cognitive and postural task, and practice of the task [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. Most studies involved instructing their subjects to focus on standing still while performing the balance test [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. We asked our subjects to stand upright while maintaining their balance and count backwards in threes starting from a given number.…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive–postural interference could cause a person to lose their balance or be unable to perform the cognitive task [ 13 ]. Thus, it is important to assess sensory integration during cognitive task performance [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. To our knowledge, our study is the first to assess the interaction of cognition and sensory integration using the instrumented mCTSIB in healthy individuals.…”

Section: Introductionmentioning

confidence: 99%

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Use of Wearable Sensors to Assess the Effects of Performing a Cognitive Task on Sensory Integration of Balance in Healthy Individuals

Tweel

Stromberg

Gera

2022

Sensors

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This study investigated the effects of performing a cognitive task on the sensory integration of balance in healthy individuals. Ten subjects (five F/five M; 21.5 ± 2.17 years; 69.9 ± 3.4 inches; 155.6 ± 26.1 lbs; Caucasian), without known balance issues, performed the modified Clinical Test of Sensory Interaction of Balance (mCTSIB) with and without a cognitive task. The cognitive task involved counting down in threes from a randomly assigned number between 95 and 100. Postural sway area and postural sway jerk were assessed through the use of inertial sensors placed around the subjects’ lower lumbar region. Each subject performed four trials for the four conditions of the mCTSIB: eyes open firm (EOFirm), eyes closed firm (ECFirm), eyes open foam (EOFoam), and eyes closed foam (ECFoam). We tested the effect of performing a cognitive task on the sensory integration of balance. We hypothesized that sensory cognitive interaction would be more apparent for more complex conditions and would be better assessed with postural sway jerk compared to postural sway area measure. With the addition of a cognitive task for the mCTSIB: (1) postural sway area increased in the baseline condition, i.e., EOFirm (p < 0.05), but did not increase in the most difficult condition, i.e., ECFoam; (2) postural sway jerk increased in all conditions of the mCTSIB (p < 0.05); (3) cognitive performance did not deteriorate across conditions of the mCTSIB. Postural sway jerk was shown to be a more sensitive measure in detecting the effect of a cognitive task on sensory integration for postural control. Overall, inertial sensors can be used to reliably assess postural sway differences related to sensory–cognitive integration.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of Wearable Sensors to Assess the Effects of Performing a Cognitive Task on Sensory Integration of Balance in Healthy Individuals

Tweel

Stromberg

Gera

2022

Sensors

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Exploring Achilles Tendon Vibration Data Classification for Balance Training: A Wavelet-Based Machine Learning Approach

Ning,

Kim,

Min

et al. 2024

IEEE Access

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Patients Surviving Critical COVID-19 have Impairments in Dual-task Performance Related to Post-intensive Care Syndrome

Morelli

Parry

Steele

et al. 2022

J Intensive Care Med

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Objective The purpose was to examine Dual Task (DT) performance in patients surviving severe and critical COVID-19 compared to patients with chronic lung disease (CLD). Secondarily, we aimed to determine the psychometric properties of the Timed Up and Go (TUG) test in patients surviving COVID-19. Design Prospective, cross-sectional, observational study. Setting Academic medical center within United States. Patients Ninety-two patients including 36 survivors of critical COVID-19 that required mechanical ventilation (critical-COVID), 20 patients recovering from COVID-19 that required supplemental oxygen with hospitalization (severe-COVID), and 36 patients with CLD serving as a control group. Measurements and Main Results Patients completed the TUG, DT-TUG, Short Physical Performance Battery (SPPB), and Six Minute Walk Test (6MWT) 1-month after hospital discharge. A subset of patients returned at 3-months and repeated testing to determine the minimal detectable change (MDC). Critical-COVID group (16.8 ± 7.3) performed the DT-TUG in significantly slower than CLD group (13.9 ± 4.8 s; P = .024) and Severe-COVID group (13.1 ± 5.1 s; P = .025). Within-subject difference between TUG and DT-TUG was also significantly worse in critical-COVID group (−21%) compared to CLD (−10%; P = .012), even despite CLD patients having a higher comorbid burden ( P < .003) and older age ( P < .001). TUG and DT-TUG demonstrated strong to excellent construct validity to the chair rise test, gait speed, and 6MWT for both COVID-19 groups (r = −0.84to 0.73, P < .05). One- and 3-months after hospital discharge there was a floor effect of 14% (n = 5/36) and 5.2% (n = 1/19), respectively for patients in the critical-COVID group. Ceiling effects were noted in four (11%) critical-COVID, six (30%) severe-COVID patients for the TUG and DT-TUG at 1-month. Conclusion The ability to maintain mobility performance in the presence of a cognitive DT is grossly impaired in patients surviving critical COVID-19. DT performance may subserve the understanding of impairments related to Post-intensive care syndrome (PICS) for survivors of critical illness.

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The influence of cognitive tasks on sensory organization test performance

Cited by 4 publications

References 48 publications

Use of Wearable Sensors to Assess the Effects of Performing a Cognitive Task on Sensory Integration of Balance in Healthy Individuals

Use of Wearable Sensors to Assess the Effects of Performing a Cognitive Task on Sensory Integration of Balance in Healthy Individuals

Exploring Achilles Tendon Vibration Data Classification for Balance Training: A Wavelet-Based Machine Learning Approach

Patients Surviving Critical COVID-19 have Impairments in Dual-task Performance Related to Post-intensive Care Syndrome

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