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认知与运动控制的相互作用:姿势、步态起始、步态和转弯双重任务干扰影响的理论框架。

The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning.

机构信息

Inserm U1171, Degenerative and Vascular Cognitive Disorders, Lille University, 59000 Lille, France; Department of Clinical Neurophysiology, Lille University Medical Center, 59000 Lille, France.

Inserm U1171, Degenerative and Vascular Cognitive Disorders, Lille University, 59000 Lille, France; Department of Neurology and Movement Disorders, Lille University Medical Center, 59000 Lille, France.

出版信息

Neurophysiol Clin. 2018 Dec;48(6):361-375. doi: 10.1016/j.neucli.2018.10.003. Epub 2018 Oct 26.

DOI:10.1016/j.neucli.2018.10.003
PMID:30487064
Abstract

Studies of dual-tasks (i.e. situations during which an individual performs two tasks simultaneously) and the subsequent inter-task interference have shown that locomotion and posture involves motor and cognitive components. Dual-tasks therefore constitute a promising avenue for improving the diagnosis, prevention and management of falls or cognitive impairment in populations at risk. However, tackling these major public health concerns with dual-task interventions requires a better understanding of the mechanisms underlying dual-task interference. In this context, we review (i) the main dual-task theories proposed to date and (ii) the factors that can influence dual-task interference effects in healthy young individuals and might therefore explain the current lack of consensus on the mechanisms of dual-tasks. We also consider cognitive-motor dual-tasks in which the motor task is a less frequently studied transition movement (such as gait initiation or turning), rather than only the often-studied gait and posture tasks. In general, the review focuses on the behavioral effects of dual-tasking.

摘要

双重任务(即个体同时执行两项任务的情况)及其随后的任务间干扰的研究表明,运动和姿势涉及运动和认知成分。因此,双重任务是改善有跌倒或认知障碍风险的人群的诊断、预防和管理的一个很有前途的途径。然而,要通过双重任务干预措施来解决这些主要的公共卫生问题,需要更好地理解双重任务干扰的机制。在这种情况下,我们回顾了(i)迄今为止提出的主要双重任务理论,以及(ii)可能影响健康年轻人双重任务干扰效应的因素,从而可以解释目前在双重任务机制上缺乏共识的原因。我们还考虑了认知运动双重任务,其中运动任务是较少研究的过渡运动(如步态启动或转弯),而不仅仅是经常研究的步态和姿势任务。总的来说,该综述侧重于双重任务的行为效应。

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