음악의 요소 중 불협화음은 많은 연구 결과에 따라 불쾌를 일으킨다고 여겨져 왔지만, 불협화음의 종류에 따른 인지적 역할에 대해 살펴본 연구는 희소하다. 본 연구는 불협화음의 음정 간격에 따라 특정한 정서를 일으키는지, 인지 간섭에 영향을 주는지 알아보고자 두 가지 실험을 진행하였다. 실험 1에서는 불협화음의 종류에 따라 다른 부 정적 정서가 느껴질 것이라고 예상하였다. 131명을 대상으로 설문조사를 시행한 결과 불협화음은 저 각성 부적정서 보다 고 각성 부적정서를 많이 일으켰다. 특히 장 7도의 음정이 다른 불협화음보다 무섭다는 응답이 유의하게 많았 다. 실험 2에서는 불협화음의 불협화 정도에 따라 인지간섭에 차등적인 영향을 미치는지 알아보고자 하였다. 81명을 대상으로 색-단어 스트룹 과제를 실시한 결과 불협화음은 모두 소리가 없는 조건에서보다 응답 시간이 느렸고, 오답 률 또한 높았다. 특히 단 2도는 실험에 사용된 불협화음 중 가장 느린 응답 시간을 나타냈다. 본 연구는 불협화음의 종류가 부적정서와 인지간섭에 유의한 영향을 주는 것을 보여주었다.

The purpose of this study was to examine the effect of three cognitive tasks on gait at a preferred walking speed, and at a fast speed, using dual-task methodology. A total of 29 stroke patients participated in the study. All 29 subjects performed 2 motor tasks (10-meter walk task and timed up and go task each at a preferred and a fast speed) and three cognitive tasks [Stroop, word list generation (WLG), serial subtraction (SS)] under dual-task conditions [cognitive-motor interference (CMI)] in a randomized order. Gait speeds were measured in six different conditions. A repeated-measure analysis of variance was employed to compare the results of the Stroop training, WLG, and SS tasks during preferred and fast walking. A Bonferroni adjustment use for post hoc analysis. The level of statistical significance was set at α=.05. A CMI effect occurred for performance of a 10-meter walking task at two different speed and a cognitive task (p＜.05). Stroop had a significantly greater effect than SS and WLG (p＜.05). The timed up and go task was affected when performed with fast walking speed during Stroop cognitive task (p＜.05), but was not affected if performed with preferred walking speed during a cognitive task (p＞;.05). This study showed that CMI of Stroop can be used as a rehabilitation program for stroke patients.

Previous studies have reported that decreased cognitive ability has been consistently associated with significant declines in performance of one or both tasks under a dual-task walking condition. This study examined the relationship between specific cognitive abilities and the dual-task costs (DTCs) of spatio-temporal gait parameters in stroke patients. The spatio-temporal gait parameters were measured among 30 stroke patients while walking with and without a cognitive task (Stroop Word-Color Task) at the study participant's preferred walking speed. Cognitive abilities were measured using Computerized Neuropsychological Testing. Pearson's correlation coefficients (r) were calculated to quantify the associations between the neuropsychological measures and the DTCs in the spatio-temporal gait parameters. Moderate to strong correlations were found between the Auditory Continuous Performance test (ACPT) and the DTCs of the Single Support Time of Non-paretic (r=.37), the Trail Making A (TMA) test and the DTCs of Velocity (r=.71), TMA test and the DTCs of the Step Length of Paretic (r=.37), TMA test and the DTCs of the Step Length Non-paretic (r=.36), the Trail Making B (TMB) test and the DTCs of Velocity (r=.70), the Stroop Word-Color test and the DTCs of Velocity (r=-.40), Visual-span Backward (V-span B) test and the DTCs of Velocity (r=-.41), V-span B test and the DTCs of the Double Support Time of Non-paretic (r=.38), Digit-span Forward test and the DTCs of the Step Time of Non-paretic (r=-.39), and Digit-span Backward test and the DTCs of the Single Support Time of Paretic (r=.36). Especially TMA test and TMB test were found to be more strongly correlated to the DTCs of gait velocity than the other correlations. Understanding these cognitive features will provide guidance for identifying dual- task walking ability.