Background and objectives: The successful execution of dual task situations depends on many factors and is affected by physiological degenerative processes. The completion of a secondary task while walking can be considered as key contributor for falls in the elderly. The aim of the study was to investigate the impact of dual task performance on gait parameters, fear of fall among different age groups of elderly.Methods: Sixty elderly subjects with independent gait were evaluated while doing simple walking and dual task walking with cognitive, motor and cognitive motor gait demand in the study. The gait parameters namely time, speed and cadence were assessed using 10 meter walk test. Followed by every task, fear of fall was assessed using visual analog scale-fear of fall.Results: All the groups showed statistically significant difference in the gait parameters with addition of dual tasks. There was statistically significant difference among groups for number of step, time, speed and fear of fall (p value <0.01) for both simple and dual task. The mean dual task cost was highest in the dual task with cognitivemotor demand (49.35 ±0.418). Conclusion:The findings of the present study suggest that under dual task demand, elderly population shows greater variability of gait and increase in fear of fall. The deficits in dual task walking increases proportionally with age.
Background: Postural control is defined as the act of maintaining, achieving or restoring a state of balance during any posture or activity. STS is a movement of the body's center of mass (CoM) upward from a sitting position to a standing position without losing balance. STS requires skills, such as coordination between trunk and lower limb movements, muscle strength, control of equilibrium and stability, which is gained from postural control training. The aim is to assess the effect of postural control training and education on sit to stand ability and balance in patients with stroke.Methods: 40 subjects were trained for postural control by verbal commands and demonstration for correction of their posture. They were trained for 10 days,5 days a week for 2 weeks. Berg balance scale(BBS) and Five Times Sit to Stand test(FTSTS) were used to measure balance and time required for sit to stand before and after the training.Results: There was a significant statistical difference with the pre intervention and post intervention in balance(p=0.001) and FTSTS(p<0.001). This demonstrated an overall clinical and statistical improvement in the balance and time to perform sit to stand task after the intervention. Interpretation and Conclusion:The present study demonstrates the improvement in the sit to stand transition and balance in stroke after the postural control training.
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