Pacientes com doença de Parkinson (DP) apresentam diversos sintomas não motores, dentre eles, alterações cognitivas. Déficits de função executiva podem ser observados desde os estágios iniciais da DP e impactam na independência funcional e na qualidade de vida. A função executiva é essencial para a realização de atividades de vida diária, que requerem integração cognitivo-motora. A realização de atividades cotidianas depende não só do sistema motor, mas também da interpretação e do processamento sensorial/ perceptual e da seleção e do planejamento da melhor estratégia motora. Sendo assim, um grande número de atividades de vida diária pode ser afetado por déficits na função executiva em pacientes com DP. Nessas tarefas, os componentes cognitivos e motores competem por recursos atencionais, o que pode prejudicar o desempenho em um ou em ambos os componentes. Entretanto, os estudos são muito direcionados para a análise de tarefas-duplas que envolvam equilíbrio em ortostatismo e marcha, mas contemplam pouco outras tarefas motoras. Os objetivos desse estudo foram (1) comparar o desempenho de pacientes com DP com o de um grupo controle nos testes de função executiva (Trail Making Test) e de fluência verbal (fluência semântica e fonêmica e diadococinesia oral /pataka/) e (2) investigar possíveis correlações entre função executiva e fluência verbal. O estudo foi realizado de maneira transversal, em uma única sessão, em uma avaliação de cerca de 50 minutos. Quarenta pacientes com DP (idade entre 50 e 79 anos, Hoehn & Yahr entre 2 e 3) e quarenta controles (com idade e escolaridade semelhantes) foram avaliados com o Trail Making Test, a fluência verbal semântica e fonêmica e o teste de diadococinesia oral. Na parte A do TMT, os participantes conectaram círculos numerados de 1 a 25, em sequência. Na parte B, os participantes conectaram círculos alternando números e letras (1-A-2-B-3-C-4-D-5-E-6-F-7-G-8-H-9-I-10-J-11-K-12-L-13). No teste de fluência verbal fonêmica, foi solicitado que os participantes dissessem palavras começando com a letra F. No teste de fluência verbal semântica, os participantes disseram o maior número de animais possível, em 60 segundos. No teste de diadococinesia oral, os participantes repetiram a sequência /pataka/ o mais rápido possível. Os grupos foram comparados por meio de análises de variância e as relações entre as variáveis foram investigadas pelo teste de correlação de Pearson. A análise de variância mostrou diferenças significativas entre grupos (F1,78=10,55; p=0,002) e entre partes do Trail Making Test (F1,78=154,02; p < 0,001). A parte B apresentou tempos maiores que a parte A (p < 0,001). Pacientes com DP disseram menos palavras nos testes de fluência verbal, em comparação aos controles (p < 0,001). Pacientes com DP repetiram a sequência /pataka/ menos vezes que os controles (p=0,019). Houve forte correlação entre o teste de fluência verbal fonêmica e a parte B do Trail Making Test (valor de r=-0,874 e p=0,001) e entre a diadococinesia oral e as partes A e B do Trail Making Test (valor de r=-0,824 e p=0,001). A correlação entre a parte B do Trail Making Test, que é uma medida de função executiva e reflete a habilidade de integração cognitivo-motora e as tarefas de fluência verbal, evidencia a importância do controle motor para as tarefas de fala. A tarefa da fala fornece não somente sobrecarga cognitiva, mas também motora para pacientes com DP. Esse conhecimento é importante para a prática clínica, uma vez que é necessário detectar a natureza do acometimento e da tarefa para usá-las de maneira adequada em programas de reabilitação / Patients with Parkinson´s disease (PD) can present several non-motor symptoms, including cognitive deficits. Executive function deficits can be observed since the early stages of PD and impact on functional independence and quality of life. The executive function is essential to the activities of daily living, which require cognitive-motor integration. The performance of activities of daily living depends not only on the motor system, but also on the sensory/ perceptual interpretation and processing and the selection and planning of the best motor strategy. Therefore, many activities of daily living can be affected by deficits in the executive function in patients with PD. In such tasks, cognitive and motor components compete for attentional resources, which may impair the performance of one or both tasks. However, most studies focus on to the analysis of dual-tasks involving orthostatic balance and gait, but they do not approach other motor tasks. The objectives of this study were (1) to compare the performance of patients with PD with a control group in executive function (Trail Making Test) and verbal fluency tests (semantic and phonemic and oral diadochokinesis /pataka/) and (2) to investigate possible correlations between executive function and verbal fluency. This was a cross-sectional study and the tests were performed individually in a 50-minute single session. Forty people with PD (aged 50 - 79 years, Hoehn & Yahr 2 - 3) and forty controls (with similar age and education) were evaluated with Trail Making Test (TMT, executive function), phonemic/semantic verbal fluency and oral diadochokinesis (/pataka/) tests. In part A of Trail Making Test, participants connected circles with the numbers 1-25, in sequence. In part B, participants connected circles in a sequence with alternated numbers and letters (1-A-2-B-3-C-4-D-5-E-6-F-7-G-8-H-9-I-10-J-11-K-12-L-13). In the phonemic verbal fluency test, participants were instructed to say words beginning with the letter F. In the semantic verbal fluency test, participants were instructed to say out loud as many animals as they could remember, in 60 seconds. In the oral diadochokinesis test, participants were asked to say the /pataka/ sequence as fast as they could. Groups were compared by analyses of variance and the relationships between the variables were investigated by Pearson correlation tests. Analysis of variance showed significant differences between groups (F1,78=10.55; p=0.002) and between Trail Making Test parts (F1,78=154.02; p < 0.001). Part B showed longer times than part A (p < 0.001). People with PD said fewer words in both fluency tests, compared to controls (p < 0.001). People with PD repeated the sequence /pataka/ less times than controls (p=0.019). There was a strong correlation between the phonemic verbal fluency test and the part B of Trail Making Test (r=-0.874 and p=0.001) and between the oral diadochokinesis test and both parts of the Trail Making Test (r=-0.824 e p=0.001). The correlation between the part B of Trail Making Test, which is an executive function measure and reflects the cognitive-motor integration ability, and the verbal fluency tests, evidences the importance of motor control for speech tasks. Speech tasks not only provide cognitive overload, but also motor overload in patients with PD. This knowledge is important in clinical practice, in which therapists must detect the nature of the disability and the task to use this information properly in rehabilitation programs

<p><font face="Times New Roman" size="3"><font face="Times New Roman" size="3"> <p align="left">The study made use of cross-sectional design that compared the performance of younger children (6- to 7-year-olds) with that of older children (12- to 13-year-olds) on various measures of executive function. Within this, it made use of a natural experimental design, with children exposed to alcohol<i><font face="Times New Roman" size="3"> as the experimental group and non-exposed children as the control group.</font></i></p> </font></font></p>

Tradicionalmente, el concepto de función ejecutiva se ha utilizado para hacer referencia a un comportamiento adaptativo (Mesulam, 2002), que integra y combina habilidades cognitivas que están dirigidas a meta (Welsh, Friedman, y Spieker, 2005). Durante los últimos años se ha asistido a un creciente interés en el estudio de la función ejecutiva en la infancia y niñez (Garon, Bryson, y Smith, 2008). Sin embargo, su exploración ha estado limitada por las dificultades para diseñar tareas adaptadas al nivel de desarrollo de los niños. En general, estas tareas se fundamentan principalmente en el seguimiento de reglas verbales abstractas y analizan el control ejecutivo de los niños en base a sus errores directos. Por el contrario, nuestras tareas permiten la construcción de unas reglas de actuación específicas a partir de las dinámicas que se establecen en el proceso de resolución entre la información perceptiva y la información de la acción, siendo un aspecto fundamental el feedback directo que el sujeto recibe de sus acciones. Asimismo, nuestro diseño metodológico trata de minimizar el papel del lenguaje en la construcción y consecución de la meta. El objetivo general de nuestro estudio fue analizar el desarrollo de la función ejecutiva en niños pequeños en base a las dinámicas entre percepción-acción que se establecen en la resolución de una tarea y que ponen de manifiesto la capacidad del niño para manipular ambas fuentes de información. La muestra estuvo integrada por 150 sujetos de 2.5, 3.5 y 4.5 años de edad, a los que se les administraron tres tareas de distinta dificultad, consistente en la inserción de piezas en unos ejes. Los resultados de este estudio ponen de manifiesto que no sólo la edad guarda una estrecha relación con la habilidad para discernir el criterio adecuado y en concreto, los procesos de cambio y control inhibitorio, sino que la complejidad de la tarea desempeña un papel fundamental. Evidentemente, se producen importantes mejoras con la edad en esas capacidades, pero es realmente la comprensión de la naturaleza de la tarea la que parece desempeñar un papel muy importante en la "voluntad" del niño para querer seguir buscando cómo llegar a la resolución del conflicto. / Traditionally, the concept of executive function has been used to refer to appropriate behaviours (Mesulam, 2002), that integrate and combine cognitive abilities oriented to a goal (Welsh, Friedman, & Spieker, 2005). In last years, a growing interest in the study of executive function in infancy and childhood has developed (Garon, Bryson, & Smith, 2008). However, its study has been limited due to difficulties in designing tasks that are adapted to the subjects' developmental level. In general, these tasks are mainly based in following abstract, verbal rules and analyze executive control based on direct errors. In contrast to this sort of tasks, our tasks allowed the subjects to build their own rules from the dynamics established between perceptual and action information in the resolution process, so that the direct feedback that children received from their action is crucial. Moreover, our procedure tries to minimize the role of language during goal construction and attainment. The general aim of this study was analysing the development of executive function in young children through the dynamics between perception and action established in the resolution of a task. These will show children's ability to work with both information sources. 150 children (2.5, 3.5, and 4.5 years of age) participated in this study. They were asked to complete three different tasks with an increasing difficulty based on inserting wooden pieces in their axes. Results showed that not only age is related to the ability to discriminate the right criterion to solve the task, but also the processes of change, inhibitory control and task complexity are key questions. Obviously, there's an improvement with age in these abilities, but what seems to be the most relevant aspect in this sort of tasks is that children were able to understand the nature of the task and this contribute to their "willing" to keep looking for a solution to the problem.

Background Research has shown that people need to be pre-informed about the ambiguity in order to perceive both interpretations (reverse) of an ambiguous figure. Children younger than 4 years mostly do not experience reversal even when informed. This suggests that the processes involved in reversal develop at this age. Aim The aim of the studies reported here was to disentangle the cognitive processes (metarepresentation, executive function, mental imagery) and the role of eye-movements involved in reversal. Method Four studies (7 experiments), each involving around sixty 3-, 4- and 5-year-old children, using multiple tasks, were conducted. The primary tasks used were the Ambiguous Figures Production and Reversal tasks. The secondary tasks used were metacognitive, executive function and mental imagery tasks. New tasks were also implemented in order to assess reversal abilities. Results Between the ages of 3 and 4 children develop the basic conceptual understanding for reversal (Study 1), that an ambiguous figure can have two interpretations. This is associated with the understanding of false belief, synonymy and homonymy. Between the ages of 4 and 5 children develop inhibitory (Study 3) and image generation abilities (Study 4). These are key cognitive processes necessary for reversal. Contrary to previous research, when task demands were changed (Reversal Task Revised) children’s reversal is at ceiling by the age of 5 (Studies 3 and 4). Eye-tracking data suggests that appropriate eye-movements, focusing on particular parts of the ambiguous figure, are not a primary causal factor in the development of reversal abilities (Study 4). Conclusion The ability to reverse develops in two stages. During stage 1 (between 3 and 4 years) children develop the necessary conceptual understanding that an ambiguous figure can have two interpretations (top-down knowledge). During stage 2 (between 4 and 5 years) children develop the necessary cognitive processes for reversal to occur (inhibition and image generation).

A growing body of literature suggests that aging causes restrictions in mobility, gaze, and cognitive functions, increasing the risk of falls and adverse health events. A novel Dual-Task Treadmill walking (DT-TW) program was designed to train balance, gaze, cognition, and gait simultaneously. Eleven healthy community-dwelling older adults (age 70-80 yrs) were recruited to play a variety of computer games while standing on a sponge surface and walking on a treadmill. Data on centre of pressure (COP) excursion for core balance, spatio-temporal gait variability parameters, head tracking performances, and neuropsychological tests were collected pre and post intervention. A significant improvement in balance, gaze, cognition, and gait performance was observed under dual-task conditions. The study thus concludes that DT-TW is a novel intervention program which combines interactive games with exercises to train dual-task abilities in community dwelling older adults. / October 2015

Neuropsychological deficits may perpetuate the risk and chronicity of psychiatric disorder. Borderline Personality Disorder, characterized by significant suicide risk, intense affect and behavioural dysregulation, is frequently associated with the executive function (EF) deficits of decision making and inhibitory control. However, the role of inhibitory control on decision making remains poorly understood. This study examined the relationships among working memory, cognitive and motor inhibitory control, and IGT decision-making performance in 41 women with BPD and 41 healthy controls. Associations among EF and suicide risk were also explored. Experimental tasks included the Iowa Gambling Task, Digit Span, Stroop and Stop Tasks, and Raven’s Matrices. Only IGT decision-making deficits distinguished BPD subjects from healthy controls. Weaker yet normal range IQ and EFs in BPD women did not explain their disadvantageous IGT performance. Contrary to expectations, IGT deficits in BPD women did not predict any suicidal risk; however, intact interference control was as sensitive to suicidal risk as was depression. Normal interference control was associated with a reduction in suicide risk. While IGT decision making may be a marker for BPD, Stroop interference control is more sensitive to suicide risk and may represent a vulnerability for suicide that exists beyond psychiatric diagnosis.

Objectif: Cette étude visait à évaluer les effets aigus d’une session d’exercice aérobie sur la performance à une tâche sollicitant les fonctions cognitives exécutives et à déterminer la durée de ces effets. Méthode: Quarante-huit participants universitaires ont été divisés en deux groupes expérimentaux et un groupe contrôle. L'intervention expérimentale consistait à 30 minutes d'exercice à une intensité sous-maximale sur tapis roulant. Les deux groupes expérimentaux ont complété la tâche de Stroop soit immédiatement (groupe 1) ou 10 minutes (groupe 2) après la session d’exercice. Le groupe contrôle a complété la même tâche cognitive mais sans pratique d'exercice. Résultats: Les analyses statistiques indiquent qu’il n’y a pas d’effet d’amélioration de la performance cognitive et ce, peu importe le délai d’exécution de la tâche de Stroop suite à l’exercice. Conclusion : Une seule session d’exercice n’a aucun effet sur les fonctions exécutives. Les limites de l’étude sont présentées en relation avec les résultats obtenus. Les implications des résultats sont discutées en terme de retombées pour les recherches futures. / Objective: The purpose of this study was to evaluate the effects of a brief bout of physical exercise on executive cognitive functions and to determine the duration of these effects. Method: Forty-eight healthy, undergraduate male students were divided into two experimental groups and one control group. The experimental intervention was a 30 minutes aerobic exercise on a treadmill. Both groups completed the Stroop test either immediately after the exercise (group 1) or 10 minutes later (group 2). The control group performed the same cognitive task but without any exercise. Results: Statistical analyses did not indicate an effect of exercise on cognitive functioning, whether the cognitive task was performed immediately or 10 minutes after the exercise. Conclusion: One bout of exercise did not influence performance on a cognitive functions task. Results are discussed in terms of methodological limitations and future research implications.

<p><font face="Times New Roman" size="3"><font face="Times New Roman" size="3"> <p align="left">The study made use of cross-sectional design that compared the performance of younger children (6- to 7-year-olds) with that of older children (12- to 13-year-olds) on various measures of executive function. Within this, it made use of a natural experimental design, with children exposed to alcohol<i><font face="Times New Roman" size="3"> as the experimental group and non-exposed children as the control group.</font></i></p> </font></font></p>

Neuropsychological deficits may perpetuate the risk and chronicity of psychiatric disorder. Borderline Personality Disorder, characterized by significant suicide risk, intense affect and behavioural dysregulation, is frequently associated with the executive function (EF) deficits of decision making and inhibitory control. However, the role of inhibitory control on decision making remains poorly understood. This study examined the relationships among working memory, cognitive and motor inhibitory control, and IGT decision-making performance in 41 women with BPD and 41 healthy controls. Associations among EF and suicide risk were also explored. Experimental tasks included the Iowa Gambling Task, Digit Span, Stroop and Stop Tasks, and Raven’s Matrices. Only IGT decision-making deficits distinguished BPD subjects from healthy controls. Weaker yet normal range IQ and EFs in BPD women did not explain their disadvantageous IGT performance. Contrary to expectations, IGT deficits in BPD women did not predict any suicidal risk; however, intact interference control was as sensitive to suicidal risk as was depression. Normal interference control was associated with a reduction in suicide risk. While IGT decision making may be a marker for BPD, Stroop interference control is more sensitive to suicide risk and may represent a vulnerability for suicide that exists beyond psychiatric diagnosis.

Objective: The Six Elements Task (SET; Shallice and Burgess, 1991; Burgess et al., 1996) measures examinees’ ability to plan and organize their behaviour, form strategies for novel problem solving, and self-monitor. The task has adequate specificity (Wilson et al., 1996), but questionable sensitivity to mild impairments in executive function (Jelicic, et al., 2001). The SET is vulnerable to practice effects. There is a limited range in possible scores, and ceiling effects are observed. This dissertation sought to evaluate the validity and clinical utility of a modification of the SET by increasing the difficulty of the test, and expanding the range of possible scores in order to make it more suitable for serial assessments. Participants and Methods: The sample included 26 individuals with mixed acquired brain injury, and 26 healthy matched controls (20 – 65 years). Participants completed a battery of neuropsychological tests on two occasions eight weeks apart. To control for confounding variables in executive function test performance, measures of memory, working memory, intelligence, substance abuse, pain, mood and personality were included. Self and informant reports of executive dysfunction were also completed. The two groups’ performances on the various measures were compared, and the external validity of the 12ET was examined. In addition, normative data and information for reliable change calculations were tabulated. Results: The ABI group exhibited very mild executive function deficits on established measures. The matched control group attempted more tasks on the 12ET, but the difference was non significant. Neither group tended to break the rule of the task. The 12ET showed convergent validity with significant correlations with measures of cognitive flexibility (Trailmaking B and Ruff Figural Fluency), and a measure of planning (Tower of London). The 12ET and published measures were also significantly correlated with intelligence in the brain-injured group. The 12ET did not show divergent validity with a test of visual scanning speed (Trailmaking A). No demographic variables were found to be significant predictors of 12ET performance at Time 2 over and above performance at Time 1, and both participant groups obtained the same benefit from practice. The 12ET did not suffer from ceiling effects on the second administration, and the test-retest reliability of the 12ET variables ranged from low (r = .22 for Rule Breaks in the brain-injured group) to high (r = .78 for Number of Tasks Attempted in the control group). Conclusions: Despite their (often severe) brain injuries, this sample of brain injured participants did not demonstrate executive impairments on many published tests and their scores were not significantly different from the control group’s scores. Therefore, it was not possible to determine if the 12ET was a more sensitive measure of mild executive deficits than the SET. However, the increase in range did reduce the tendency for participants to perform at ceiling levels. The 12ET showed a number of significant correlations with other executive measures, particularly for the brain-injured group, though these correlations may have been moderated by general intelligence. Two variables of the 12ET, deviation from the optimal amount of time per task and Number of Tasks Completed, showed promise as measures of reliable change in this sample over an 8-week interval.