Dual Tasking With the Timed “Up &amp; Go” Test Improves Detection of Risk of Falls in People With Parkinson Disease

Vance, Roisin; Healy, Dan G.; Galvin, Rose; French, Helen

doi:10.2522/ptj.20130386

Cited by 95 publications

(78 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to this interpretation, it was possible that older women compensated with a slowing gait when carrying out the additional cognitive task required. The nature of the manual task that required additional motor ability rather than cognitive resources was probably not sufficiently complex to reach the threshold attention required to negatively impact the performance . The results show that the additional manual task was less demanding than the cognitive task.…”

Section: Discussionmentioning

confidence: 86%

“…Indeed, the results showed that the DTC in the TUGM generally required less DTC among the age groups, probably suggesting a different response strategy of the secondary tasks. These findings might suggest that the automaticity of the movements showed a greater degree of decline with cognitive task rather than with manual task . According to this interpretation, it was possible that older women compensated with a slowing gait when carrying out the additional cognitive task required.…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Age‐related differences in dual task performance: A cross‐sectional study on women

Brustio

Magistro

Rabaglietti

et al. 2015

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim Simultaneous performances of motor and attention‐demanding tasks are common in activities of everyday life. The present cross‐sectional study examined the changes and age‐related differences on mobility performance with an additional cognitive or motor task, and evaluated the relative dual‐task cost (DTC) on the motor performance in young, middle‐aged and older women. Methods A total of 30 young (mean age 25.12 ± 3.00 years), 30 middle‐aged (mean age 47.82 ± 5.06 years) and 30 older women (mean age 72.74 ± 5.95 years) were recruited. Participants carried out: (i) single task: Timed Up & Go Test; (ii) cognitive dual‐task: Timed Up & Go Test while counting backwards by three; (iii) manual dual‐task: Timed Up & Go Test while carrying a glass of water. A repeated measures anova with between‐factor as age groups and within‐factor as tasks was carried out to assess the effect of aging on the performance of mobility tasks. DTC was calculated as ([performance in single‐task − performance in dual‐task] / performance in single task) × 100%. One‐way ancova were carried out to compare the DTC among the three age groups. Results A significant interaction between age groups and task (F4,172 = 6.716, P < 0.001, partial η2 = 0.135) was observed. Specifically, older women showed a worse mobility performance under dual‐task condition compared with young and middle‐aged groups. Furthermore, DTC differences in cognitive task were observed in older women compared with younger and middle‐aged women (F2,86 = 7.649, P < 0.001, partial η2 = 0.151), but not in manual task. Conclusion Dual‐task conditions might affect mobility performance differently across the lifespan, and could be particularly challenging in older women. Geriatr Gerontol Int 2017; 17: 315–321.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 93%

Age‐related differences in dual task performance: A cross‐sectional study on women

Brustio

Magistro

Rabaglietti

et al. 2015

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…[6][7][8][9][10][11][12] In these previous works, older adults with a higher risk of falling took longer to complete the dual-TUG test, resulting in higher DTC values. [6][7][8][9][10][11][12] However, the participants in most of those studies were frail or had a neurological disease, such as Parkinson's disease, and could be classified as lower-functioning older adults. [6][7][8][9]11,12 In contrast, most of the participants in the present study were not in the lower-functioning category.…”

Section: Discussionmentioning

confidence: 90%

“…5 Several studies have investigated the usefulness of the TUG test under the dual-task condition as a fall risk assessment, but the results have been inconsistent. [6][7][8][9][10][11][12] Additionally, potential confounders were not properly adjusted in these previous studies, because the sample sizes were too small for multivariate analyses, and the characteristics of the study participants differed widely; thus, the association between fall risk and TUG test score in the dual-task condition has not been adequately studied. [6][7][8][9][10][11][12] Furthermore, a mini-review summarizing the effectiveness of the balance tests under the dual-task condition for fall risk assessment stated that "an added value of dual balance tasks for fall prediction or assessing fall intervention effects cannot be made due to incomplete comparisons of single and dual balance tasks."…”

Section: Introductionmentioning

confidence: 99%

Association of fall history with the Timed Up and Go test score and the dual task cost: A cross‐sectional study among independent community‐dwelling older adults

Asai

Oshima

Fukumoto

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…Mobility outcome measures were time (s) to complete the TUG and distance (m) covered during the 6MWT. These tests are valid and reliable in people with PD (Falvo & Earhart, 2009; Morris, Morries, & Iansek, 2001; Vance et al, 2015). …”

Section: Methodsmentioning

confidence: 99%

Investigation of factors impacting mobility and gait in Parkinson disease

Christofoletti

McNeely

Campbell

et al. 2016

Human Movement Science

View full text Add to dashboard Cite

Mobility and gait limitations are major issues for people with Parkinson disease (PD). Identification of factors that contribute to these impairments may inform treatment and intervention strategies. In this study we investigated factors that predict mobility and gait impairment in PD. Participants with mild to moderate PD and without dementia (n=114) were tested in one session ‘off’ medication. Mobility measures included the 6-Minute Walk test and Timed-Up-and-Go. Gait velocity was collected in four conditions: forward preferred speed, forward dual task, forward fast as possible and backward walking. The predictors analyzed were age, gender, disease severity, balance, balance confidence, fall history, self-reported physical activity, and executive function. Multiple regression models were used to assess the relationships between predictors and outcomes. The predictors, in different combinations for each outcome measure, explained 55.7% to 66.9% of variability for mobility and 39.5% to 52.8% for gait velocity. Balance was the most relevant factor (explaining up to 54.1% of variance in mobility and up to 45.6% in gait velocity). Balance confidence contributed to a lesser extent (2.0% to 8.2% of variance) in all models. Age explained a small percentage of variance in mobility and gait velocity (up to 2.9%). Executive function explained 3.0% of variance during forward walking only. The strong predictive relationships between balance deficits and mobility and gait impairment suggest targeting balance deficits may be particularly important for improving mobility and gait in people with PD, regardless of an individual’s age, disease severity, fall history, or other demographic features.

show abstract

Dual Tasking With the Timed “Up & Go” Test Improves Detection of Risk of Falls in People With Parkinson Disease

Abstract: The addition of a cognitive task to the TUG enhanced the identification of fall risk in people with PD. The TUG-cognitive should be considered a component of a multifaceted fall risk assessment in people with PD.

Cited by 95 publications

References 29 publications

Age‐related differences in dual task performance: A cross‐sectional study on women

Age‐related differences in dual task performance: A cross‐sectional study on women

Association of fall history with the Timed Up and Go test score and the dual task cost: A cross‐sectional study among independent community‐dwelling older adults

Investigation of factors impacting mobility and gait in Parkinson disease

Contact Info

Product

Resources

About