Accuracy of the figure of 8 walk test with and without dual-task to predict falls in older adults

Nualyong, Tidarat; Siriphorn, Akkradate

doi:10.1016/j.jbmt.2022.02.001

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…Activated channels were located in the frontopolar PFC (channels 5, 6, 9, and 11). Curved walking requires more cognitive processing and attention than straight walking because of the need to fine-tune the asymmetric foot placement and direction changes [27]. Performing new motor patterns and movements can help form and strengthen neural connections in the brain, which are linked to improved cognitive function and increased brain activity in older adults [48].…”

Section: Discussionmentioning

confidence: 99%

“…In real-life situations, navigating curved paths or maneuvering around obstacles requires adjusting one's path, changing direction, and maintaining a balance [25,26]. Therefore, curved walking, which demands greater attention and working memory compared with straight walking, could play a significant role in training for stable and flexible gait, particularly in high-risk fall situations [26,27].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Influence of Dual-Task Activities on Prefrontal Activation and Gait Variables in Older Adults with Mild Cognitive Impairment during Straight and Curved Walking

Lee,

Jung,

Kim

et al. 2024

Medicina

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Background and Objectives: Mild cognitive impairment (MCI) is an early stage of dementia in which everyday tasks can be maintained; however, notable challenges may occur in memory, focus, and problem-solving skills. Therefore, motor-cognitive dual-task training is warranted to prevent cognitive decline and improve cognition in aging populations. This study aimed to determine the influence of such dual-task activities during straight and curved walking on the activities of the prefrontal cortex and associated gait variables in older adults with MCI. Materials and Methods: Twenty-seven older adults aged ≥65 years and identified as having MCI based on their scores (18–23) on the Korean Mini-Mental State Examination were enrolled. The participants performed four task scenarios in random order: walking straight, walking straight with a cognitive task, walking curved, and walking curved with a cognitive task. The activation of the prefrontal cortex, which is manifested by a change in the level of oxyhemoglobin, was measured using functional near-infrared spectroscopy. The gait speed and step count were recorded during the task performance. Results: Significant differences were observed in prefrontal cortex activation and gait variables (p < 0.05). Specifically, a substantial increase was observed in prefrontal cortex activation during a dual task compared with that during a resting-state (p < 0.013). Additionally, significant variations were noted in the gait speed and step count (p < 0.05). Conclusions: This study directly demonstrates the impact of motor-cognitive dual-task training on prefrontal cortex activation in older adults with MCI, suggesting the importance of including such interventions in enhancing cognitive function.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Influence of Dual-Task Activities on Prefrontal Activation and Gait Variables in Older Adults with Mild Cognitive Impairment during Straight and Curved Walking

Lee,

Jung,

Kim

et al. 2024

Medicina

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“…Functional mobility was assessed using the Time-Up-and-Go Test [ 26 ]. The ability to walk on a curved path was measured using the Figure-of-8-Walk Test [ 27 ] with and without a concurrent cognitive task (counting backwards by ones from fifty while walking).…”

Section: Methodsmentioning

confidence: 99%

The Potential for Effect of a Six-Week Training Program for Gait Aid Use in Older People with Dementia with Unsteadiness of Gait: A Pilot Study

Lee

Burton

Meyer

et al. 2023

JCM

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This study examined the potential for effect of a six-week gait aid training program for people with dementia on spatiotemporal gait outcomes, perception of use, and falls with gait aid use. The program utilised four 30-min physiotherapy home visits, scheduled at weeks 1/2/3/6, and was enhanced by carer-supervised practice. Falls and the physiotherapist’s clinical judgement of participants achieving safe gait aid use during and after the program were described. Perception ratings at each visit were measured using Likert scales which, along with the spatiotemporal outcomes using the gait aid (Time-Up-and-Go-Test, 4-m-walk-test, Figure-of-8-Walk-Test with/without a cognitive task) at weeks 1 and 6, and at weeks 6 and 12 (6-week post-program), were examined with ordinal logistic regression analyses. Twenty-four community-dwelling older people with dementia and their carers participated. Twenty-one (87.5%) older people achieved safe gait aid use. Twenty falls occurred, and only one faller was using their gait aid when they fell. Walking speed, step length, and cadence significantly improved when walking with the gait aid at week 6 compared with week 1. No significant improvements in spatiotemporal outcomes were retained at week 12. Physiotherapists were more likely to agree that gait aid use had improved walking safety among older people with dementia with subsequent training visits. Larger studies of the gait aid training program are needed for this clinical group.

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“…Furthermore, it has been established as a valid indicator of motor skill in people with Parkinson’s disease ( Lowry et al, 2022 ) and also an assessing indicator for the mobility of lower limb amputation ( Schack et al, 2021 ). Increasing the complexity of the Infinity walk by incorporating dual-tasking can also aid in predicting falls among older adults ( Nualyong and Siriphorn, 2022 ). The support rail design of the Infinity Walk would help in enhancing the postural stability, gait, and navigational performance of not only the physically weak participant but also the visually impaired population ( Rogge et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

A feasibility study investigating cortical hemodynamic changes during infinity walk with fNIRS

Khan,

Naseer,

Mirtaheri

2024

IBRO Neuroscience Reports

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Accuracy of the figure of 8 walk test with and without dual-task to predict falls in older adults

Cited by 6 publications

References 35 publications

Comparison of the Influence of Dual-Task Activities on Prefrontal Activation and Gait Variables in Older Adults with Mild Cognitive Impairment during Straight and Curved Walking

Comparison of the Influence of Dual-Task Activities on Prefrontal Activation and Gait Variables in Older Adults with Mild Cognitive Impairment during Straight and Curved Walking

The Potential for Effect of a Six-Week Training Program for Gait Aid Use in Older People with Dementia with Unsteadiness of Gait: A Pilot Study

A feasibility study investigating cortical hemodynamic changes during infinity walk with fNIRS

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