Cognitive Dual Tasking – Stroop and Hurdles
Occupational Therapy Intervention : Cognitive Dual Tasking
Documentation and Activity Rationale
The patient engaged in a dual-tasking activity requiring the ability to recruit executive functioning components while alternating between movement-based performance. This task utilized the stroop color and word test (SCWT) to maximize the ability to inhibit cognitive interference when the processing of a specific stimulus feature impedes the simultaneous processing of a second stimulus attribute. The movement-based component required the ability for the patient to clear 5/5 hurdles approximately 8″ in height to improve reaction time, visual-perceptual functions, reaction time, eye-foot coordination, neuromuscular communication, and the ability to process sensory-motor stimuli s/p executive-function based activity in order to elicit neuronal excitation and maintain cognitive reserve.
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Grading Strategies
Grading Up:
- more complex stroop
- more hurdles
Grading Down:
- begin with larger stroop with less words
- decrease amount of hurdles
- start with just the stroop
Appropriate Diagnoses / Deficits
- Alzheimer’s
- Dementias
- Memory Changes
- Attention deficits [alternating/divided]
- CVA
- TBI
