Dual-Task Walking Performance in Older Persons With Hearing Impairment: Implications for Interventions From a Preliminary Observational Study

Wollesen, Bettina; Scrivener, Katharine; Soles, Kirsty; Billy, Yaw; Leung, Ada; Martin, Felicity C; Iconomou, Nicholas; McMahon, Catherine M.; Dean, Catherine M.

doi:10.1097/aud.0000000000000489

Cited by 17 publications

(13 citation statements)

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“…There are also findings on gait parameters that accompany hearing impairment. An increasing deficit of auditory perception has been found to negatively affect stride length as well as gait speed and cadence under dual-task conditions, independent of age and comorbidities ( Wollesen et al, 2018 ). The effects of hearing impairment on gait even exceed the influence of age, disease, and previous falls ( Lin and Ferrucci, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

“…Cognitive-motor dual-task (CMDT) studies usually compare a single-task condition, such as a postural or walking task, with a dual-task condition, which combines the same motor task with a synchronous cognitive task. By comparing performance in both conditions, we can then calculate dual-task costs (DTCs: single-task minus dual-task performance divided by single-task performance) which indicate the degree of performance decline in one or both tasks due to limited cognitive capacity ( Li and Lindenberger, 2002 ; Marusic et al, 2015 ; Janouch et al, 2018 ; Wollesen et al, 2018 ). CMDT studies have shown that as cognitive load increases during the manipulation of sensory information, older adults show greater postural performance decrements compared to their younger counterparts ( Redfern et al, 2001 ; Doumas et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, a visual dual-task condition while walking will be used as one experimental manipulation of this study. Furthermore, growing evidence indicates that hearing has an important influence on walking performance as well ( Chang et al, 2009 ; Viljanen et al, 2009a ; Gopinath et al, 2016 ; Wollesen et al, 2018 ). Moreover, daily situations requiring executive decision-making are often solved by a multi-sensory integration including hearing (e.g., the sound of approaching cars) and not only by vision ( Wollesen et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Dual-Task Performance in Hearing-Impaired Older Adults—Study Protocol for a Cross-Sectional Mobile Brain/Body Imaging Study

Wunderlich

Vogel²,

Šömen

et al. 2021

Front. Aging Neurosci.

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Background: Hearing impairments are associated with reduced walking performance under Dual-task (DT) conditions. Little is known about the neural representation of DT performance while walking in this target group compared to healthy controls or younger adults. Therefore, utilizing the Mobile Brain/Body Imaging approach (MoBI), we aim at gaining deeper insights into the brain dynamics underlying the interaction of cognitive and motor processes during different DT conditions (visual and auditory) controlling for age and the potential performance decrements of older adults with hearing impairments.Methods: The cross-sectional study integrates a multifactorial mixed-measure design. Between-subject factors grouping the sample will be age (younger vs. older adults) and hearing impairment (mild vs. not hearing impaired). The within-subject factors will be the task complexity (single- vs. DT) and cognitive task modality (visual vs. auditory). Stimuli of the cognitive task will vary according to the stimulus modality (visual vs. auditory), presentation side (left vs. right), and presentation-response compatibility (ipsilateral vs. contralateral). Analyses of DT costs and underlying neuronal correlates focus either on gait or cognitive performance. Based on an a priori sample size calculation 96 (48 healthy and 48 mildly hearing impaired) community-dwelling older adults (50–70 years) and 48 younger adults (20–30 years) will be recruited. Gait parameters of speed and rhythm will be captured. EEG activity will be recorded using 64 active electrodes.Discussion: The study evaluates cognitive-motor interference (CMI) in groups of young and older adults as well as older adults with hearing impairment. The underlying processes of the interaction between motor and cognitive tasks will be identified at a behavioral and neurophysiological level comparing an auditory or a visual secondary task. We assume that performance differences are linked to different cognitive-motor processes, i.e., stimulus input, resource allocation, and movement execution. Moreover, for the different DT conditions (auditory vs. visual) we assume performance decrements within the auditory condition, especially for older, hearing-impaired adults. Findings will provide evidence of general mechanisms of CMI (ST vs. DT walking) as well as task-specific effects in dual-task performance while over ground walking.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dual-Task Performance in Hearing-Impaired Older Adults—Study Protocol for a Cross-Sectional Mobile Brain/Body Imaging Study

Wunderlich

Vogel²,

Šömen

et al. 2021

Front. Aging Neurosci.

Self Cite

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“…Seventeen of the included studies examined postural stability in older adults with hearing impairment ( Bruce et al, 2019a ; Chen et al, 2015 ; Gorecka et al, 2018 ; Kamil et al, 2016 ; Koh et al., 2015 ; Kowalewski et al, 2018 ; Mikkola et al, 2015 ; Sakurai et al, 2021 , 2022 ; Szeto et al, 2021 ; Thomas et al, 2018 ; Tomioka et al., 2015 ; Viljanen et al, 2009a , 2009b ; Vitkovic et al, 2016 ; Wollesen et al, 2018 ; Yévenes-Briones et al, 2021 ). One study investigated the association between hearing impairment and physical activity ( Gispen et al, 2014 ).…”

Section: Resultsmentioning

confidence: 99%

The Association between Hearing Impairment and Postural Stability in Older Adults: A Systematic Review and Meta-analysis

et al. 2022

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There is growing evidence linking hearing impairment to higher falls risk through alterations in postural stability, with studies showing mixed results. The primary aim of this systematic review and meta-analysis was to determine the association between hearing impairment and postural instability in older adults, including differences based on severity of hearing impairment. This review was pre-registered in PROSPERO and performed in accordance with PRISMA guidelines across six databases. Primary research on adults aged 60 years and older with hearing loss and an objective measure of postural stability or gait were eligible for inclusion. Methodological quality was assessed using the modified Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data were analysed using meta-analyses and a narrative synthesis. Inclusion in the meta-analyses required clearly defined audiometrically-assessed hearing impairment, and two subgroups of participants: mild (25–40 dB HL) and moderate to-severe (>40 dB HL) hearing impairment. Twenty-five eligible studies (n = 27,847) were included in the narrative synthesis, with quality ratings ranging from unsatisfactory to very good on the modified NOS. Eight studies were included in the meta-analysis which showed individuals with moderate to-severe hearing impairment were significantly slower on the 5 x sit-to-stand test (mean difference[95%CI] = 0.50 s [0.04, 0.97], p = .03), had a slower gait speed (mean difference[95%CI] = −0.11 s [−0.16, −0.05], p < .001) and had lower total Short Physical Performance Battery scores (mean difference[95%CI] = −0.79[−1.17, −0.41], p < .001) than those with normal hearing. This review provides evidence there is an inverse association between increasing severity of hearing impairment and poorer postural stability across both the meta-analysis and narrative synthesis.

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“…There are several hypotheses, first, that movement may be dependent on sound input from the external environment and that hearing loss may reduce the ability to perform complex movements effectively ( 51 ). Second, factors such as social participation and mental health are mediating variables between hearing loss and physical function ( 52 – 55 ). Also, more indirect confounding pathways may exist ( 56 ).…”

Section: Discussionmentioning

confidence: 99%

Trajectories of physical functioning and its predictors in older adults: A 16-year longitudinal study in China

Zhao

Duan

Feng

et al. 2022

Front. Public Health

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ObjectiveMaintaining and delaying a decline in physical function in older adults is critical for healthy aging. This study aimed to explore trajectories, critical points of the trajectory changes, and predictors among older people in the Chinese community.DesignThis study was one with a longitudinal design performed in China.Setting and participantsThe target population was community-dwelling older adults aged over 65 years. A total of 2,503 older adults from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included in this study.MethodsPhysical functioning was measured by instrumental activities of daily living (IADL). Population-based trajectory models were used to identify potential heterogeneity in longitudinal changes over 12 years and to investigate associations between baseline predictors and different trajectories for different cohort members using LASSO regression and logistic regression.ResultsFour trajectories of physical function were identified: slow decline (33.0%), poor function and moderate decline (8.1%), rapid decline (23.5%), and stable function (35.4%). Older age, male sex, worse self-reported health status, worse vision status, more chronic diseases, worse cognitive function, and a decreased frequency of leisure activity influenced changes in the trajectory of physical function. Having fewer teeth, stronger depressive symptoms, a lack of exercise, and reduced hearing may increase the rate of decline.Conclusion and implicationsFour trajectories of physical function were identified in the Chinese elderly population. Early prevention or intervention of the determinants of these trajectories can maintain or delay the rate of decline in physical function and improve healthy aging.

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Dual-Task Walking Performance in Older Persons With Hearing Impairment: Implications for Interventions From a Preliminary Observational Study

Cited by 17 publications

References 35 publications

Dual-Task Performance in Hearing-Impaired Older Adults—Study Protocol for a Cross-Sectional Mobile Brain/Body Imaging Study

Dual-Task Performance in Hearing-Impaired Older Adults—Study Protocol for a Cross-Sectional Mobile Brain/Body Imaging Study

The Association between Hearing Impairment and Postural Stability in Older Adults: A Systematic Review and Meta-analysis

Trajectories of physical functioning and its predictors in older adults: A 16-year longitudinal study in China

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