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Dual Task Interference in Parkinson’s Disease
tasks. Some neural resources might be shared by the component
Tao Wu is an Associate Professor of Neurobiology in the
tasks in order to execute the dual task efficiently.
Department of Neurobiology at the Beijing Institute of
Geriatrics, Xuanwu Hospital. His main research interests
Our studies demonstrated that practice can diminish dual task
are using functional neuroimaging methods and other
techniques of clinical neurophysiology to understand
interference and improve performance in PD patients. Moreover,
the physiology of normal human voluntary movement
dual task interference in PD is due to multiple reasons: first, the and the pathophysiology of different movement
limitation of attentional resources capacity is exceeded; second, PD
disorders, especially Parkinson’s disease.
patients perform the tasks less automatically compared with
Mark Hallett is Chief of the Human Motor Control
normal subjects; and third, the central executive may be defective
Section in the Intramural Program of the National
in PD. These findings are really helpful to our understanding of dual Institute of Neurological Disorders and Stroke at the
task interference in PD. However, our knowledge of this
National Institutes of Health (NIH). His laboratory
investigates mechanisms of normal human movement
phenomenon is still far from complete. For example, why PD
and the pathophysiology of movement disorders. Dr
patients have difficulty in switching attentional resource between Hallett is an Associate Editor of Brain and Editor in Chief
tasks is unclear, and the central mechanism of this problem needs
of World Neurology.
further investigation. n
1. Pashler H, Dual-task in simple tasks: data and theory, 18. Bond JM, Morris M, Goal-directed secondary motor tasks: in dual-task performance, Brain Res Cogn Brain Res,
Psychol Bull, 1994;2:220–44. their effects on gait in subjects with Parkinson disease, 2005;24:237–51.
2. Friedman A, Polson MC, Dafoe DG, Gaskill S, Dividing Arch Phys Med Rehabil, 2000;81:110–16. 35. Szameitat AJ, Schubert T, Müller K, Von Cramon DY,
attention within and between hemispheres: testing a 19. Morris M, Iansek R, Smithson F, Huxham F, Postural Localization of executive functions in dual-task
multiple resources approach to limited-capacity instability in Parkinson’s disease: a comparison with and performance with fMRI, J Cogn Neurosci, 2002;14:1184–99.
information processing, J Exp Psychol Hum Percept Perform, without a concurrent task, Gait Posture, 2000;12:205–16. 36. Erickson KI, Colcombe SJ, Wadhwa R, et al., Neural
1982;8:625–50. 20. Asburn A, Stach E, Pickering RM, Ward CD, A community- correlates of dual-task performance after minimizing task-
3. Wickens CD, The structure of attentional resources. In: dwelling sample of people with Parkinson’s disease: preparation, Neuroimage, 2005;28:967–79.
Nickerson R (ed.), Attention and Performance VIII, Hillsdale, NJ: characteristics of fallers and non-fallers, Age Ageing, 37. Jueptner M, Stephan KM, Frith CD, et al., Anatomy of
Erlbaum, 1980;239–57. 2001;30:47–52. motor learning. I. Frontal Cortex and attention to action,
4. Navon D, Gopher D, On the economy of the human 21. Ashburn A, Stack E, Fallers and non-fallers with J Neurophysiol, 1997;77:1313–24.
processing system, Psychol Rev, 1979;86:214–55. Parkinson’s disease (PD): the influence of a dual task on 38. Owen AM, Evans AC, Petrides M, Evidence for a two-stage
5. Pashler H, Perception and production of brief durations: standing balance, Mov Disord, 2000;15(Suppl. 3):78. model of spatial working memory processing within the
beat-based versus interval-based timing, J Exp Psychol Hum 22. Marchese R, Bove M, Abbruzzese G, Effect of cognitive lateral frontal cortex: a positron emission tomography
Percept Perform, 2001;27:485–93. and motor tasks on postural stability in Parkinson’s study, Cereb Cortex, 1996;6:31–8.
6. Navon D, Miller J, Role of outcome conflict in dual task disease: a posturographic study, Mov Disord, 39. Corbetta M, Shulman GL, Control of goal-directed and
interference, J Exp Psychol Hum Percept Perform, 1987;13: 2003;18(6):652–8. stimulus-driven attention in the brain, Nat Rev Neurosci,
435–48. 23. Woodward T, Bubc D, Hunter M, Task switching deficits 2002;3:201–15.
7. Frith CD, Bloxham CA, Carpenter KN, Impairments in the associated with Parkinson’s disease reflect depleted 40. Woldorff MG, Hazlett CJ, Fichtenholtz HM, et al., Functional
learning and performance of a new manual skill in attentional resources, Neuropsychologia, 2002;40:1948–55. parcellation of attentional control regions of the brain,
patients with Parkinson’s disease, J Neurol Neurosurg 24. Caligiuri MP, Heindel WC, Lohr JB, Sensorimotor J Cogn Neurosci, 2004;16:149–65.
Psychiatry, 1986;49:661–8. disinhibition in Parkinson’s disease: effects of levodopa, 41. Halsband U, Ito N, Tanji J, Freund HJ, The role of premotor
8. Schwab RS, Chaftez ME, Walker S, Control of two Ann Neurol, 1992;31:53–8. cortex and the supplementary motor area in the temporal
simultaneous motor tasks in normals and in 25. Dalrymple-Alford JC, Kalders AS, Jones RD, et al., A central control of movement in man, Brain, 1993;116:243–66.
Parkinsonism, Arch Neurol Psychiatry, 1954;72:591–8. executive deficit in patients with Parkinson’s disease, 42. Ivry RB, The representation of temporal information in
9. Benecke R, Rothwell JC, Dick JP, et al., Performance of J Neurol Neurosurg Psychiatry, 1994;57:360–67. perception and motor control, Curr Opin Neurobiol,
simultaneous movements in patients with Parkinson’s 26. O’Shea S, Morris ME, Iansek R, Dual task interference 1996;6:851–7.
disease, Brain, 1986;109:739–57. during gait in people with Parkinson disease: effects of 43. Klingberg T, Roland PE, Interference between two
10. Benecke R, Rothwell JC, Dick JP, et al., Disturbance of motor versus cognitive secondary tasks, Phys Ther, concurrent tasks is associated with activation of
sequential movements in patients with Parkinson’s 2002;82:888–97. overlapping fields in the cortex, Brain Res Cogn Brain Res,
disease, Brain, 1987;110:361–79. 27. Wu T, Hallett M, Neural correlates of dual task 1997;6:1–8.
11. Benecke R, Rothwell JC, Dick JP, et al., Simple and complex performance in patients with Parkinson’s disease, J Neurol 44. D’Esposito M, Detre JA, Alsop DC, et al., The neural basis
movements off and on treatment in patients with Neurosurg Psychiatry, 2008;79:760–66. of the central executive system of working memory,
Parkinson’s disease, J Neurol Neurosurg Psychiatry, 28. Wu T, Hallett M, A functional neuroimaging study of Nature, 1995;378:279–81.
1987;50:296–303. automatic movements in patients with Parkinson’s 45. Dreher J, Grafman J, Dissociating the roles of the rostral
12. Stelmach GE, Worringham CJ, The preparation and disease, Brain, 2005;128:2250–59. anterior cingulate and the lateral prefrontal cortices in
production of isometric force in Parkinson’s disease, 29. Levy J, Pashler H, Is dual task slowing instruction performing two tasks simultaneously or successively,
Neuropsychology, 1988;26:93–103. dependent?, J Exp Psychol Hum Percept Perform, Cereb Cortex, 2003;13:329–39.
13. Castiello U, Bennett KM, The bilateral reach-to-grasp 2001;27:862–9. 46. Schubert T, Szameitat AJ, Functional neuroanatomy of
movement of Parkinson’s disease subjects, Brain, 30. Ruthruff E, Johnston JC, Van Selst MA, Why practice interference in overlapping dual tasks: an fMRI study, Brain
1997;120:593–604. reduces dual task interference, J Exp Psychol Hum Percept Res Cogn Brain Res, 2003;17:733–46.
14. Johnson MT, Kipnis AN, Lee MC, et al., Modulation of the Perform, 2001;27:3–21. 47. Adcock RA, Constable RT, Gore JC, Goldman-Rakic SG,
stretch reflex during volitional sinusoidal tracking in 31. D’Esposito M, Detre JA, Alsop CD, et al., The neural basis Functional neuroanatomy of executive processes involved
Parkinson’s disease, Brain, 1991;114:443–60. of the central executive of working memory, Nature, in dual task performance, Proc Natl Acad Sci U S A,
15. Brown RG, Marsden CD, Dual task performance and 1995;378:279–81. 2000;97:3567–72.
processing resources in normal subjects and patients with 32. Sohn MH, Ursu S, Anderson JR, et al., Inaugural article: the 48. Wu T, Hallett M, The influence of normal human ageing on
Parkinson’s disease, Brain, 1991;114:215–31. role of prefrontal cortex and posterior parietal cortex in automatic movements, J Physiol, 2005;562:605–15.
16. Oliveira RM, Gurd JM, Nixon P, et al., Hypometria in task switching, Proc Natl Acad Sci U S A, 2000;97:13448–53. 49. Wu T, Kansaku K, Hallett M, How self-initiated memorized
Parkinson’s disease: automatic vs. controlled processing, 33. Dreher JC, Grafman J, Dissociating the roles of the rostral movements become automatic: a fMRI study, J Neurophysiol,
Mov Disord, 1998;13:422–7. anterior cingulate and the lateral prefrontal cortices in 2004;91:1690–98.
17. Morris ME, Iansek R, Matyas TA, Summers JJ, Stride performing two tasks simultaneously or successively, 50. Wenderoth N, Debaere F, Sunaert S, Swinnen SP, The role
length regulation in Parkinson’s disease: normalisation Cereb Cortex, 2003;13:329–39. of anterior cingulate cortex and precuneus in the
strategies and underlying mechanisms, Brain, 1996;119: 34. Collettea F, Olivier L, Van der Lindena M, et al., coordination of motor behaviour, Eur J Neurosci,
551–68. Involvement of both prefrontal and inferior parietal cortex 2005;22:235–46.
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