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Different Domains of Executive Function Dual Task Walking on Brain Activation and Gait Performance in Healthy Adults

The Effects of Different Domains of Executive Function Dual Task Walking on Brain Activation and Gait Performance in Healthy Adults

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04905186
Enrollment
39
Registered
2021-05-27
Start date
2021-08-01
Completion date
2022-05-23
Last updated
2022-06-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Executive Function, Neurosciences

Keywords

executive function, dual task walking, difficulty level, brain activity, motor performance

Brief summary

The aim of this study is to investigate the effects of different domains of executive function (EF) during dual task walking condition on brain activation and gait performance in healthy adults. There are two experiments will be conducted in this study. Experiment 1 is a pilot study to determine the same level of difficulty in 3 EF domains, including inhibition, working memory and cognitive flexibility. Experiment 2 is carried out to investigate the effects of 3 different domains of EF which difficulties are controlled on gait performance and brain activation in dual task condition. 10 subjects will perform Stroop test (2s/3s/4s to change question), backward digit spans (3/4/5 digits) and naming test in Experiment 1. In Experiment 1, the primary outcome is the correct response speed (CRS) while secondary outcome will be the brain activity. In Experiment 2, 30 subjects will perform the single cognitive task A (SCTA, Stroop test), single cognitive task B (SCTB, backward digit spans), single cognitive task C (SCTC, naming test), single walking task (SWT), dual task A (DTA, walking while performing cognitive task A), dual task B (DTB, walking while performing cognitive task B) and dual task C (DTC, walking while performing cognitive task C). The CRS, gait performance, brain activity and the dual task costs (DTC) will be recorded in the Experiment 2. Brain activities in prefrontal cortex (PFC), premotor cortex (PMC) and supplementary motor area (SMAs) will be measured by functional near-infrared spectroscopy (fNIRS) during this study. One-way ANOVA with Tukey post-hoc test will be performed to establish the effect of different type of executive task on CRS or the brain activity. The differences of gait parameters and brain activity in different condition in the Experiment 2 will be examined by one-way ANOVA with repeated measured. Furthermore, the Pearson correlation coefficient will be used to examine the correlation of brain activation and executive function performance or gait parameters.

Interventions

None listed

Sponsors

National Taiwan University Hospital
Lead SponsorOTHER

Study design

Observational model
CASE_CROSSOVER
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
20 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* 20-30 years (Experiment 1 & 2) * Mini-Mental State Examination (MMSE) score greater than 24 points (Experiment 1 & 2) * ability to walk 10 meters independently without an assistive device (Experiment 2)

Exclusion criteria

* any neurologic, orthopedic or psychological diseases (Experiment 1 & 2) * color vision deficiency (Experiment 1 & 2) * had the fall experiences within 6 months before the study (Experiment 2)

Design outcomes

Primary

MeasureTime frameDescription
Experiment 2: dual task performance- combine mean of dual task costs(DTC)Day 1combine mean of DTC = ( DTC in mobility + DTC in executive function) / 2
Experiment 1: Executive function performance- correct response speed (CRS)Day 1CRS is the number of correct responses per unit time (correct responses/ second)
Experiment 2: Executive function performance- correct response speed (CRS)Day 1CRS is the number of correct responses per unit time (correct responses/ second)
Experiment 2: walking performance- gait speedDay 1The unit is m/s
Experiment 2: walking performance- cadenceDay 1The unit is steps/min
Experiment 2: walking performance- stride lengthDay 1The unit is m
Experiment 2: dual task performance- dual task costs(DTC) in mobilityDay 1DTC in mobility = (single task gait speed - dual task gait speed) / single task gait speed x 100%
Experiment 2: dual task performance- dual task costs(DTC) in executive functionDay 1DTC in executive function = (single task correct response speed - dual task correct response speed) / single task correct response speed x 100%

Secondary

MeasureTime frameDescription
Experiment 1: Brain activities over supplementary motor areaDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.
Experiment 1: Brain activities over premotor cortexDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.
Questionnaire in Chinese versionDay 1used for the participants to sort the task by the difficulty level based on their own experiences.The participants will be asked to grade the tasks from 1-10 scale. Scale one is the simplest and 10 is the hardest.
Experiment 2: Brain activities over prefrontal cortexDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.
Experiment 2: Brain activities over supplementary motor areaDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.
Experiment 2: Brain activities over premotor cortexDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.
Experiment 1: Brain activation over prefrontal cortexDay 1The unit is micro mole (μmol). A multichannel wearable fNIRS imaging system (NIRSport2, NIRx Medical Technologies LLC, Glen Head, NY, USA) is used to detect the hemodynamics, including oxygenated-hemoglobin and de-oxygenated hemoglobin.

Countries

Taiwan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026