I Can’t Stand Thinking Anymore: An Analysis of Directed Attention on Posture

Maintaining upright balance and postural control is a task that most individuals perform everyday with ease and without much thought. Although it may be a relatively easy task to perform, research has shown that changes in cognitive (or “attentional”) processes are reflected in the movements of sway. The purpose of this dissertation is to understand the relationship between attention and posture when attention is directly or indirectly shifted away from posture. Using a dual-task paradigm, attention was shifted directly by instructing participants to prioritize the balance task (minimize sway in a unipedal stance) or prioritize the cognitive task (minimize errors in an auditory n-back task) and indirectly by changing the difficulty level of the cognitive task (0-back vs. 2-back task). Postural sway was assessed using sample entropy (SampEn), standard deviation, (SD) and sway path (SP) of trunk movements to measure the regularity, variability, and overall distance of sway travelled, respectively. Dual-task behavior was examined when participants were in a controlled (i.e., non-fatigued) state (Experiment 1), in a state of physical fatigue (Experiment 2), and in a state of mental fatigue (Experiment 3). Across all three experiments, indirectly shifting attention away from posture in the more difficult 2-back task induced less regularity (higher SampEn) and variability (smaller SD) in postural sway. Directly shifting attention away from posture, by prioritizing the cognitive task, induced less regularity (higher SampEn) and a longer path length (higher SP) in Experiment 1, however this effect was not significant for the fatigued participants in Experiments 2 and 3. Neither physical fatigue (Experiment 2) or mental fatigue (Experiment 3) negatively affected postural sway or cognitive performance. Overall, the findings from this dissertation contribute to the relationship between movement regularity and attention in posture, and that the postural behavior that emerges is sensitive to methods in which attention is manipulated (direct, indirect) and fatigue (physical, mental).