Tibor Karaszi explains each window in the Management Studio Activity Monitor:
The idea here is to show where SQL Server is waiting, “wait stats”.
It uses the same procedure as the “Waiting Tasks” diagram uses, #am_generate_waitstats, to get the information. See the above section for “Waiting Tasks” to understand the time dimension for this. For simplicity, we can say that it shows only wait stats for the past 30-60 seconds. This is important. Imagine that you had loads of a certain wait stats, but none just for the last minute. This pane can now fool you that you didn’t have any waits of that kind, just because you didn’t for the past minute. Note, though, that the “Cumulative Wait Time” column is the sum of wait in the group since SQL Server was re-started or since we last cleared the wait state (DBCC SQLPERF(“sys.dm_os_wait_stats”,CLEAR)).
In an attempt to be friendly, it will group and summarize wait stats into various groups. That would be fine if there were some documentation about which individual wait type is in each group. Also, some wait types are ignored. One of the ignored wait types is CXPACKET, another is THREADPOOL.
Activity Monitor isn’t very good, but sometimes you can’t get the good tools installed on a server and need to check something quickly. In those cases, it’s a handy thing to know.