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Closed head injury and perceptual processing in dual-task situations

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Abstract

Using a classical psychological refractory period (PRP) paradigm we investigated whether increased interference between dual-task input processes is one possible source of dual-task deficits in patients with closed-head injury (CHI). Patients and age-matched controls were asked to give speeded motor reactions to an auditory and a visual stimulus. The perceptual difficulty of the visual stimulus was manipulated by varying its intensity. The results of Experiment 1 showed that CHI patients suffer from increased interference between dual-task input processes, which is related to the salience of the visual stimulus. A second experiment indicated that this input interference may be specific to brain damage following CHI. It is not evident in other groups of neurological patients like Parkinson’s disease patients. We conclude that the non-interfering processing of input stages in dual-tasks requires cognitive control. A decline in the control of input processes should be considered as one source of dual-task deficits in CHI patients.

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Acknowledgements

The research was supported by the Bundesministerium für Bildung und Forschung (BMB+F), Interdisciplinary Center for Clinical Research (IZKF) at the University of Leipzig (01KS9504, project C09). Many thanks go to Katja Werheid for help in recruiting and testing of the PD patients. We also thank Mike Reuter, Martina Muengersdorf, Antje Mueller and Michael Joebges for the neurological assessment of the PD group. Further, we thank Corinna Kossack for help in recruiting the CHI patients and Franziska Korb and Tina Jentzsch for help in data collection.

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Correspondence to G. Hein.

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The reported experiments are part of the doctoral dissertation by Grit Hein, which was conducted at the Department of Cognitive Neurology, University of Leipzig, and supervised by T.S.

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Hein, G., Schubert, T. & von Cramon, D.Y. Closed head injury and perceptual processing in dual-task situations. Exp Brain Res 160, 223–234 (2005). https://doi.org/10.1007/s00221-004-2006-y

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