Gage William H, Sleik Ryan J, Polych Melody A, McKenzie Nicole C, Brown Lesley A
Gait & Posture Laboratory, Department of Kinesiology, University of Waterloo, Waterloo, ON, N2L 3G1, Canada.
Exp Brain Res. 2003 Jun;150(3):385-94. doi: 10.1007/s00221-003-1468-7. Epub 2003 Apr 18.
We tested the hypotheses that: (1) anxiety regarding the possibility of falling alters the attentional demands of gait; and (2) this alteration in the attentional requirements of gait occurs independently of gait pattern accommodations. Sixteen younger and 15 older adults participated in this study. Subjects walked at a self-determined velocity along a 7.2-m walkway under four conditions of postural threat; the walking conditions varied depending on the width constraints of the walkway (60 cm vs 15 cm) and the height of the walking surface (0 cm vs 60 cm). Attentional demands of locomotion in each condition of testing were assessed using the dual-task methodology, in which participants verbally responded to an auditory cue as quickly as possible while continuing to walk. Our findings revealed that: (1) participants were successful in verbally responding to the auditory cue without modifying their gait pattern; (2) reaction times increased for all subjects when walking in the condition of greatest postural threat; (3) the attentional demands for locomotion varied with the phase of the gait cycle for younger adults but not for older adults; (4) the phase-dependent effect for younger adults disappeared in the condition of greatest postural threat, while reaction time scores for older adults systematically increased; and (5) increases in reaction time persisted despite significant changes in gait kinematics. Our findings confirm that anxiety increases the attentional demands for locomotion and provide further explanation for age-dependent increases in the attentional demands of gait. Furthermore, our findings confirm that fall-related anxiety predicates an increase in the allocation of attention to locomotor control that is independent of gait pattern adjustments.
(1)对跌倒可能性的焦虑会改变步态的注意力需求;(2)步态注意力需求的这种改变独立于步态模式调整而发生。16名年轻人和15名老年人参与了这项研究。受试者在四种姿势威胁条件下,以自行决定的速度沿着一条7.2米的通道行走;行走条件根据通道的宽度限制(60厘米对15厘米)和行走表面的高度(0厘米对60厘米)而有所不同。在每种测试条件下,使用双任务方法评估运动的注意力需求,即参与者在继续行走的同时尽快对听觉提示做出口头反应。我们的研究结果表明:(1)参与者能够在不改变步态模式的情况下成功地对听觉提示做出口头反应;(2)在姿势威胁最大的条件下行走时,所有受试者的反应时间都增加了;(3)年轻人运动的注意力需求随步态周期的阶段而变化,而老年人则不然;(4)年轻人的阶段依赖性效应在姿势威胁最大的条件下消失,而老年人的反应时间得分则系统性增加;(5)尽管步态运动学有显著变化,但反应时间的增加仍然持续。我们的研究结果证实,焦虑会增加运动的注意力需求,并为步态注意力需求的年龄依赖性增加提供了进一步的解释。此外,我们的研究结果证实,与跌倒相关的焦虑预示着对运动控制注意力分配的增加,这与步态模式调整无关。