Effects of individual progressive single- and dual-task training on gait and cognition among older healthy adults: a randomized-controlled comparison study

Horata, Emel Taşvuran; Çetin, Sebahat Yaprak; Erel, Suat

doi:10.1007/s41999-020-00429-5

Cited by 15 publications

(14 citation statements)

References 26 publications

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“…The observed improvements were expected and desirable changes in terms of improved gait performance after a training intervention, and have also been described in several patient studies with various disorders such as PD [15,56] and stroke [57], or for healthy (mostly older) adults after different kinds of training [58][59][60][61][62].…”

Section: Gait Performancesupporting

confidence: 66%

System Comparison for Gait and Balance Monitoring Used for the Evaluation of a Home-Based Training

Rentz

Far

Boltes

et al. 2022

Sensors

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There are currently no standard methods for evaluating gait and balance performance at home. Smartphones include acceleration sensors and may represent a promising and easily accessible tool for this purpose. We performed an interventional feasibility study and compared a smartphone-based approach with two standard gait analysis systems (force plate and motion capturing systems). Healthy adults (n = 25, 44.1 ± 18.4 years) completed two laboratory evaluations before and after a three-week gait and balance training at home. There was an excellent agreement between all systems for stride time and cadence during normal, tandem and backward gait, whereas correlations for gait velocity were lower. Balance variables of both standard systems were moderately intercorrelated across all stance tasks, but only few correlated with the corresponding smartphone measures. Significant differences over time were found for several force plate and mocap system-obtained gait variables of normal, backward and tandem gait. Changes in balance variables over time were more heterogeneous and not significant for any system. The smartphone seems to be a suitable method to measure cadence and stride time of different gait, but not balance, tasks in healthy adults. Additional optimizations in data evaluation and processing may further improve the agreement between the analysis systems.

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Section: Gait Performancesupporting

confidence: 66%

System Comparison for Gait and Balance Monitoring Used for the Evaluation of a Home-Based Training

Rentz

Far

Boltes

et al. 2022

Sensors

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“…Therefore, the training program was able to reduce the interference of competitive demands generated by motor and cognitive tasks, increasing the ability of DT group members to allocate attention between two or more tasks performed simultaneously [ 90 ]. Another positive point of the applied training was the reciprocal benefits for the GP [ 91 ], BB control [ 92 ], LEMS [ 44 ], as well as the efficiency of the functions cognitive [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The Effects of 12-Week Dual-Task Physical–Cognitive Training on Gait, Balance, Lower Extremity Muscle Strength, and Cognition in Older Adult Women: A Randomized Study

Nascimento

Maduro

Rios

et al. 2023

IJERPH

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This study aims to investigate the effects of dual-task physical–cognitive the training on body balance (BB), gait performance (GP), lower limb muscle strength (LEMS), and cognitive performance (CP) in a group of cognitively normal older adult women (n = 44; 66.20 ± 4.05 years). Of these, 22 were randomly allocated to the dual-task training (DT) group, and 22 participated in the control group (CG). Assessments were performed at baseline, after 12 weeks of intervention, and at the end of 12 weeks of follow-up, using the following instruments: Timed Up & Go (TUG), Timed Up & Go manual (TUGm), Timed Up & Go cognitive (TUGc), Balance Test (TEC), sit-to-stand test (STS), and verbal fluency test (VF). After 12 weeks of DT training, participants showed a significant time × group interaction in all motor assessments (BB, GP, LEMS), as well as in three cognitive tests (VF-grouping, VF-exchange, VF-total). No time–group interaction effect was indicated for the VF-category test. At all evaluation times, CG members maintained constant physical and cognitive performance. We conclude that 12 weeks of physical–cognitive DT training was effective in promoting BB, GP, and LEMS, as well as CP in cognitively normal older adult women, with lasting effects up to 12 weeks after the intervention.

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“…Social isolation defined using 6-item Lubben social network scale (Cut-off: < Score of 12). are better than single-task in improving gait speed, cadence, and other cognitive variables (47).…”

Section: Discussionmentioning

confidence: 99%

Possible Sarcopenia and Impact of Dual-Task Exercise on Gait Speed, Handgrip Strength, Falls, and Perceived Health

et al. 2021

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Background: Sarcopenia is defined as a progressive age-related loss in muscle mass and strength affecting physical performance. It is associated with many negative outcomes including falls, disability, cognitive decline, and mortality. Protein enriched diet and resistance training have shown to improve muscle strength and function but there is limited evidence on impact of dual-task exercise in possible sarcopenia.Objective: To evaluate impact of community-based dual-task exercise on muscle strength and physical function in possible sarcopenia defined by either slow gait (SG) or poor handgrip strength (HGS). The secondary aims include effect on cognition, frailty, falls, social isolation, and perceived health.Methods: Community-dwelling older adults ≥60 years old were recruited from screening program intended to identify seniors at risk, and invited to participate in dual-task exercise program called HAPPY (Healthy Aging Promotion Program for You). One hundred and eleven participants with possible sarcopenia completed 3 months follow-up. Questionnaire was administered on demographics, frailty, sarcopenia, falls, perceived health, social network, functional, and cognitive status. Physical performance included assessment of HGS, gait speed, and Short Physical Performance Battery test (SPPB).Results: The mean age of the Exercise group was 75.9 years old and 73.0% were women. The Exercise group had more female (73.0 vs. 47.5%), were older (75.9 vs. 72.5 years old), had higher prevalence of falls (32.4 vs. 15.0%), lower BMI (23.7 vs. 25.8), and education (4.0 vs. 7.2 years). The gait speed of the Exercise group increased significantly with significant reduction in the prevalence of SG and poor HGS. All components of SPPB as well as the total score increased significantly while the prevalence of pre-frailty and falls dropped by half. The risk of social isolation reduced by 25% with significant improvement in perceived health and cognition in the Exercise group. Significant impact on improvement gait speed and SPPB persisted after adjustment for baseline factors.Conclusion: Dual-task exercise program is effective in improving gait speed, SPPB score, and reducing the prevalence of poor HGS with significant improvement in perceived health, cognition, and reduction in falls and frailty. Future prospective randomized control trials are needed to evaluate the effectiveness of dual-task interventions in reversing sarcopenia.

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Effects of individual progressive single- and dual-task training on gait and cognition among older healthy adults: a randomized-controlled comparison study

Cited by 15 publications

References 26 publications

System Comparison for Gait and Balance Monitoring Used for the Evaluation of a Home-Based Training

System Comparison for Gait and Balance Monitoring Used for the Evaluation of a Home-Based Training

The Effects of 12-Week Dual-Task Physical–Cognitive Training on Gait, Balance, Lower Extremity Muscle Strength, and Cognition in Older Adult Women: A Randomized Study

Possible Sarcopenia and Impact of Dual-Task Exercise on Gait Speed, Handgrip Strength, Falls, and Perceived Health

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