Effects of a dual-task training on dynamic and static balance control of pre-frail elderly: a pilot study

Targino, Viviane Ribeiro; Freire, Aline do Nascimento Falcão; Sousa, Ana Carolina Patrício de Albuquerque; Maciel, Nícia Farias Braga; Guerra, Ricardo Oliveira

doi:10.1590/s0103-51502012000200013

Cited by 11 publications

(14 citation statements)

References 32 publications

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“…Although the changes in the CoP based parameters, especially in the maximum CoP displacement in the ML direction and in the mean CoP velocity, across tasks were greater for the individuals with PD, the values of these parameters did not significantly differ from the ones presented by the controls. Some studies [28,29] have found that individuals with PD have greater standing balance difficulties in dual-task conditions because they need to assign resources previously recruited in order to compensate the deficits in postural control. However, considering that the participants in this study were in early to middle stages of the disease, it is arguable that they did not have the need to recruit significantly more attentional strategies to maintain the postural stability than the controls.…”

Section: Discussionmentioning

confidence: 99%

Standing balance in individuals with Parkinson's disease during single and dual-task conditions

et al. 2015

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This study aimed to examine the differences in standing balance between individuals with Parkinson's disease (PD) and subjects without PD (control group), under single and dual-task conditions. A cross-sectional study was designed using a non-probabilistic sample of 110 individuals (50 participants with PD and 60 controls) aged 50 years old and over. The individuals with PD were in the early or middle stages of the disease (characterized by Hoehn and Yahr as stages 1-3). The standing balance was assessed by measuring the centre of pressure (CoP) displacement in single-task (eyes-open/eyes-closed) and dual-task (while performing two different verbal fluency tasks). No significant differences were found between the groups regarding sociodemographic variables. In general, the standing balance of the individuals with PD was worse than the controls, as the CoP displacement across tasks was significantly higher for the individuals with PD (p<0.01), both in anteroposterior and mediolateral directions. Moreover, there were significant differences in the CoP displacement based parameters between the conditions, mainly between the eyes-open condition and the remaining conditions. However, there was no significant interaction found between group and condition, which suggests that changes in the CoP displacement between tasks were not influenced by having PD. In conclusion, this study shows that, although individuals with PD had a worse overall standing balance than individuals without the disease, the impact of performing an additional task on the CoP displacement is similar for both groups.

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Section: Discussionmentioning

confidence: 99%

Standing balance in individuals with Parkinson's disease during single and dual-task conditions

et al. 2015

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“…Gregory et al 29 held a 26-week group training with elders involving dual task activities, and at the end, they concluded that exercises combined with a dual task can improve gait performance. Targino et al 11 proposed an activity in which during four weeks, elders carried out a training that consisted of walking on the treadmill (simple task) and walking on the treadmill with visual stimuli (dual task), which showed improvement in static balance at the end.…”

Section: Discussionmentioning

confidence: 99%

“…Number of research to improve balance in order to prevent falls of the aged is growing, especially of the institutionalized ones, as this fact entails an autonomy damage for this population, making it more fragile 9,10 . Studies have been finding that using dual-task training results in a balance improvement in the older women of the community 11 . However, studies verifying effects of dual-task training in institutionalized elders have not been found so far.…”

Section: Introductionmentioning

confidence: 99%

Desempenho em atividades de simples e dupla tarefas de idosos institucionalizados que realizam e não realizam fisioterapia

Silva¹,

Dias²,

Piazza³

2017

Fisioter. Pesqui.

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| Was compared the performance in simple and dual task in institutionalized older adults who perform and do not perform Physical Therapy. The study involved 60 institutionalized older adults, 30 that performed Physical Therapy (PTG) and 30 that did not perform (NPTG). To assess the performance in simple and dual tasks activities, all participants performed the subsequent activities: one-foot stance test, walking in a corridor for 30 seconds, stepping up and down for 30 seconds, stand up and sit down on a chair for 30 seconds (simple task).After that, the older adults performed the same activities while holding a plastic cup with water (motor dual task), speaking the days of the week in opposite way (cognitive dual task), and holding a plastic cup with water while speaking the days of the week in opposite way (motor and cognitive dual task). The data were analyzed using descriptive and inferential statistics with significance value p≤0,05. We observed differences between the walking tests and in the get up and sit down tests and, the greater the complexity of the task, the lower was the performance of the participants. In the stepping up and down activity, there was difference between groups where the PTG had a better performance compared with the NPTG group. We observed no differences between groups in the one-foot stance test. The dual task led to a reduction in functional performance in both groups: 1 4 9 the institutionalized older adults that performed Physical Therapy and that did not perform.

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“…The results indicated that these exercises improve the function of individuals, especially regarding static balance. 12 On the other hand, most of the other studies have less dealt with investigating the effect of hybrid exercises on motor skills. It seems that identifying the effect of exercises, which mostly considers systems involved in the movement especially balance, remains understudied.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effect of Cognitive and Sensorimotor Exercises on the Functional Balance of the Elderly

Shaykh

Vanani

Bagherzadeh³

2019

Int J Epidemiol Res

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Background and aims: The elderly living in nursing homes have different motor situations compared with their peers, which can affect different motor functions. Investigating the characteristics of balance has always been of interest to researchers due to its importance in the functional independence of the elderly. Thus, the present research aimed to investigate the effect of cognitive and sensorimotor exercises on the functional balance of the elderly. Methods: This quasi-experimental study was performed with the intragroup comparison design, as well as pre-and post-test measurement stages in Iran during 2017. A total of 60 elders were chosen through the convenience sampling method. Accordingly, the subjects were matched in four groups after performing the pretest with demographic, physical activity readiness, and Mini-Mental State Examination questionnaires and Tinetti test. Each group performed eight exercise situations lasting for 5-10 seconds by taking the overload principle into account throughout 24 sessions. The statistical population of this research consisted of the elderly living in nursing homes under the supervision of the Welfare Organization of Shiraz, including 875 individuals. In general, 60 subjects were chosen through a voluntary method (age: 61.7 ± 7.6 years old, weight: 65.2 ± 16.2 kg, and height: 157.7 ± 6.7 cm). During the data collection, 14 subjects left the study for different reasons. The balance characteristics were measured by the Tinetti test. Finally, statistical analysis was performed through the difference of the scores of measurement stages and by one-way ANOVA and Tukey post hoc tests. Results: The comparison of cognitive, sensorimotor, and combined groups with the control group regarding the dependent variables of the research indicated that cognitive exercises have no significant effect on balance (P = 0.103), while the sensorimotor (P = 0.002) and combined (P = 0.002) exercises were effective on balance. Conclusion: In general, the significance of the balance following sensorimotor and combined exercises compared to the insignificance of cognitive exercises can highlight the importance of sensorimotor exercises in the balance of the elderly living in nursing homes.

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Effects of a dual-task training on dynamic and static balance control of pre-frail elderly: a pilot study

Cited by 11 publications

References 32 publications

Standing balance in individuals with Parkinson's disease during single and dual-task conditions

Standing balance in individuals with Parkinson's disease during single and dual-task conditions

Desempenho em atividades de simples e dupla tarefas de idosos institucionalizados que realizam e não realizam fisioterapia

Investigating the Effect of Cognitive and Sensorimotor Exercises on the Functional Balance of the Elderly

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