Does inability to allocate attention contribute to balance constraints during gait in older adults?
BACKGROUND
Recent research has explored dual-task deficits during locomotion in older adults, yet the mechanisms underlying these deficits are poorly understood. In the current study, we examined one possible factor contributing to these deficits, the inability to flexibly allocate attention between two tasks.


METHODS
Twelve healthy young adults and 12 healthy elderly adults performed obstacle avoidance while walking and an auditory Stroop task either alone or simultaneously.


RESULTS
Using an attentional allocation index (AAI) to compare performance of healthy young and older adults and to measure the flexibility of allocation of attention, results showed a tendency in older adults toward a decreased ability to flexibly allocate their attention between the two tasks, with small AAI values. The decreased ability to allocate attention in older adults was found to be more prominent in the auditory Stroop task performance than in the obstacle avoidance task.


CONCLUSIONS
This study suggests that an important factor contributing to decreased dual-task performance in older adults when simultaneously performing a postural and secondary cognitive task is a reduced ability to flexibly allocate attention between the two tasks, with the general ability to switch attention flexibly being predictive of the ability to adhere to a prioritized focus.
Siu
Ka-Chun
KC
University of Nebraska at Omaha, Omaha, NE 68182, USA. ksiu@mail.unomaha.edu
Chou
Li-Shan
LS
Mayr
Ulrich
U
Donkelaar
Paul van
Pv
Woollacott
Marjorie H
MH
D000328:Adult; D000367:Age Factors; D000368:Aged; D001288:Attention / Q000502:physiology*; D005163:Factor Analysis, Statistical; D005260:Female; D005684:Gait; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology*; D004856:Postural Balance / Q000502:physiology*; D013647:Task Performance and Analysis; D014145:Trail Making Test; D016138:Walking / Q000502:physiology*; D055815:Young Adult