The existential reality of elderly is that their physical efficiency is challenged as per their changes in living environment and degree of socialization. Numerous elements of every task performed unconsciously to intervene dual task (cognitive & motor or motor & motor) and so dual task activity training is essential.Aim: To find the influence of dual task activity training in indoor versus outdoor environment on physical activity and social activity self-efficacy measure among elderly. Objectives: a) To study the influence of dual task training in indoor environment on physical function & social activity self-efficacy measures among elderly. b) To study the influence of dual task training in outdoor environment on physical function & social activity self-efficacy measures among elderly. c) To compare the influence of dual task training in indoor & outdoor environment on physical function & social activity self-efficacy measures among elderly. Material and Method: Group A subjects were treated in indoor (closed) environment and Group B subjects were treated in outdoor (open) environment with 38 subjects under each group. The duration of training intervention in each group is 60 minutes per session of exercise program including warm up & cool about period administered twice per week for 12 weeks duration. The pre-test measures was recorded on the first day at the start of treatment and the post-test measures after 12 weeks duration from the start of intervention for statistical analysis. Results:The study predicted significant results of outdoor dual task activity with relation to timed 10 meter walk test promoting physical function and motivation to participate in social activities.

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It is a well-established fact that patients of Covid 19 have musculoskeletal dysfunctions in addition to cardiorespiratory and psychosocial problems. Musculoskeletal system is amongst the most common systems found to be affected in patients admitted in ICU for prolonged periods and some patients of Covid 19 do have to spend a reasonably long period in ICU’s. Prolonged hospital stay may be needed in Covid 19 patients having ARDS or pneumonia and symptoms of fever, cold and cough to monitor their recovery. This may result in musculoskeletal dysfunctions as demonstrated in some studies. Thus, treating the musculoskeletal system becomes a vital part of the regimen to be followed during the patients stay in the ICU which needs to be followed up even after the patient is shifted from the ICU by keeping a track of Physical Functional performance of the subjects after discharge. This experimental study was done on 150 Covid-19 positive subjects to see the long term effectiveness of a structured exercise protocol on the Physical Functional performance of Covid 19 patients. The results of the study were analysed statistically and both the outcome measures FIMS and POMA showed significant changes with p value <0.05 and <0.05 respectively. The study thus shows that the structured exercise protocol helped in maintaining the Physical Functional performance of the subjects through-out the hospital stay and also after discharge during follow up.

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