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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