Journal of Kerman University of Medical Sciences

Current Issue

By Issue

By Author

Author Index

Keyword Index

About Journal

Aims and Scope

JKMU Ethical Policies

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

News

Metric

Editorial Policies

Data Sharing Policy

The Effect of Different Dual-Task Balance Training Methods on Balance and Cognitive Function of Older Adults

Document Type : Original Article

Authors

1 Motor Behavior, Sport Science, Ferdowsi University of Mashhad, Iran

2 Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences

3 Department of Knowledge and Cognitive Intelligence, Imam Hossein University, Tehran, Iran

Abstract

Background: The purpose of this research is to investigate the effectiveness of different training methods of dual task on balance and cognitive function in the elderly.
Method: The participants in this study were 36 elderly individuals aged 65 years and older, who met the research's entry criteria. The selected individuals were divided into three groups of 12 people each based on the pre-test Berg balance scores. The research groups included dual task balance training with fixed and variable priority and a control group. The Berg balance test was used to assess functional balance in the elderly, and the Serial reaction time test was used to assess cognitive function. Data analysis was conducted using covariance analysis and the Bonferroni post hoc test.
Result: The results of the data analysis showed that in the balance test, there was no significant difference between the control group and the dual task group with fixed and variable priority (P≥0.05). In addition, the serial reaction time test results showed that the dual task groups performed significantly better than the control group (P≤0.05), And the variable priority dual-task group had a significantly lower reaction time than the fixed priority dual-task training group (P≤0.05).
conclusion: The results of this research demonstrated that dual task training, particularly with variable priority, resulted in faster information processing in the elderly. Therefore, it appears that, in addition to the theory of limited attention capacity, other mechanisms such as the allocated attention ability can effectively impact balance and cognitive performance

Keywords

Main Subjects

References
  1. Sarter M, Albin RL, Kucinski A, Lustig C. Where attention falls: increased risk of falls from the converging impact of cortical cholinergic and midbrain dopamine loss on striatal function. Exp Neurol. 2014;257:120-9. doi: 10.1016/j. expneurol.2014.04.032.
  2. Amboni M, Barone P, Hausdorff JM. Cognitive contributions to gait and falls: evidence and implications. Mov Disord. 2013;28(11):1520-33. doi: 10.1002/mds.25674.
  3. Yuzlu V, Oguz S, Timurtas E, Aykutoglu E, Polat MG. The effect of 2 different dual-task balance training methods on balance and gait in older adults: a randomized controlled trial. Phys Ther. 2022;102(3):pzab298. doi: 10.1093/ptj/ pzab298.
  4. Costenoble A, Knoop V, Vermeiren S, Vella RA, Debain A, Rossi G, et al. A comprehensive overview of activities of daily living in existing frailty instruments: a systematic literature search. Gerontologist. 2021;61(3):e12-22. doi: 10.1093/ geront/gnz147.
  5. Wang X, Pi Y, Chen P, Liu Y, Wang R, Chan C. Cognitive motor interference for preventing falls in older adults: a systematic review and meta-analysis of randomised controlled trials. Age Ageing. 2015;44(2):205-12. doi: 10.1093/ageing/afu175.
  6. Wollesen B, Schulz S, Seydell L, Delbaere K. Does dual-task training improve walking performance of older adults with concern of falling? BMC Geriatr. 2017;17(1):213. doi: 10.1186/s12877-017-0610-5.
  7. Agmon M, Belza B, Nguyen HQ, Logsdon RG, Kelly VE. A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults. Clin Interv Aging. 2014;9:477-92. doi: 10.2147/ cia.s54978.
  8. Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006;86(2):269-81.
  9. Trombini-Souza F, de Moura VTG, da Silva LW, Dos Santos Leal I, Nascimento CA, Silva PS, et al. Effects of two different dual-task training protocols on gait, balance, and cognitive function in community-dwelling older adults: a 24-week randomized controlled trial. PeerJ. 2023;11:e15030. doi: 10.7717/peerj.15030.
  10. Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy. 2016;102(1):29-40. doi: 10.1016/j. physio.2015.04.011.
  11. Li F, Harmer P, Eckstrom E, Fitzgerald K, Chou LS, Liu Y. Effectiveness of Tai Ji Quan vs multimodal and stretching exercise interventions for reducing injurious falls in older adults at high risk of falling: follow-up analysis of a randomized clinical trial. JAMA Netw Open. 2019;2(2):e188280. doi: 10.1001/jamanetworkopen.2018.8280.
  12. Pichierri G, Wolf P, Murer K, de Bruin ED. Cognitive and cognitive-motor interventions affecting physical functioning: a systematic review. BMC Geriatr. 2011;11:29. doi: 10.1186/1471-2318-11-29.
  13. Silsupadol P, Shumway-Cook A, Lugade V, van Donkelaar P, Chou LS, Mayr U, et al. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Arch Phys Med Rehabil. 2009;90(3):381-7. doi: 10.1016/j.apmr.2008.09.559.
  14. Wollesen B, Wanstrath M, van Schooten KS, Delbaere K. A taxonomy of cognitive tasks to evaluate cognitive-motor interference on spatiotemoporal gait parameters in older people: a systematic review and meta-analysis. Eur Rev Aging Phys Act. 2019;16:12. doi: 10.1186/s11556-019-0218-1.
  15. Bayatlu A, Salavati M, Akhbari B. Comparison the allocated attention in walking and motor and cognitive dual-task in older adults with and without background of falling. Iran J Ageing. 2010;5(4):14-20. [Persian].
  16. Silsupadol P, Lugade V, Shumway-Cook A, van Donkelaar P, Chou LS, Mayr U, et al. Training-related changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled trial. Gait Posture. 2009;29(4):634-9. doi: 10.1016/j. gaitpost.2009.01.006.
  17. Bayot M, Dujardin K, Tard C, Defebvre L, Bonnet CT, Allart E, et al. The interaction between cognition and motor control: a theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning. Neurophysiol Clin. 2018;48(6):361-75. doi: 10.1016/j.neucli.2018.10.003.
  18. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14. doi: 10.1016/s0966- 6362(01)00156-4.
  19. Amini A, Vaezmousavi M, Shirvani H. The effectiveness of cognitive-motor training on reconstructing cognitive health components in older male adults, recovered from the COVID-19. Neurol Sci. 2022;43(2):1395-403. doi: 10.1007/ s10072-021-05502-w.
  20. Amini A, Vaezmousavi M, Shirvani H. Comparing the effect of individual and group cognitive-motor training on reconstructing subjective well-being and quality of life in older males, recovered from the COVID-19. Cogn Process. 2023;24(3):361-74. doi: 10.1007/s10339-023-01136-2.
  21. Westland JC. Lower bounds on sample size in structural equation modeling. Electron Commer Res Appl. 2010;9(6):476-87. doi: 10.1016/j.elerap.2010.07.003.
  22. Soper DM, Villafranca N, Dieffenthaller JP, Dieffenthaller M, Tompkins H, Weglarz M, et al. Growth and cyclin-E expression in the stony coral species Orbicella faveolata post-microfragmentation. Biol Bull. 2022;242(1):40-7. doi: 10.1086/717926.
  23. Sawilowsky SS. New effect size rules of thumb. J Mod Appl Stat Methods. 2009;8(2):597-9. doi: 10.22237/ jmasm/1257035100.
  24. Kornetti DL, Fritz SL, Chiu YP, Light KE, Velozo CA. Rating scale analysis of the Berg Balance Scale. Arch Phys Med Rehabil. 2004;85(7):1128-35. doi: 10.1016/j.apmr.2003.11.019.
  25. Salavati M, Negahban H, Mazaheri M, Soleimanifar M, Hadadi M, Sefiddashti L, et al. The Persian version of the Berg Balance Scale: inter and intra-rater reliability and construct validity in elderly adults. Disabil Rehabil. 2012;34(20):1695- 8. doi: 10.3109/09638288.2012.660604.
  26. Lam WK, Maxwell JP, Masters RS. Analogy versus explicit learning of a modified basketball shooting task: performance and kinematic outcomes. J Sports Sci. 2009;27(2):179-91. doi: 10.1080/02640410802448764.
  27. Iranmanesh H, Saberi Kakhki A, Taheri H, Shea CH, Fazilat- Pour M. The role of sleep in children’s motor memory consolidation in a motor sequence task. J Cogn Psychol. 2020;8(2):17-32. [Persian].
  28. Robertson EM. The serial reaction time task: implicit motor skill learning? J Neurosci. 2007;27(38):10073-5. doi: 10.1523/jneurosci.2747-07.2007.
  29. Abrahamse EL, Jiménez L, Verwey WB, Clegg BA. Representing serial action and perception. Psychon Bull Rev. 2010;17(5):603-23. doi: 10.3758/pbr.17.5.603.
  30. Mostamand J, Shafizadegan Z, Tarrahi MJ, Hosseini ZS. Comparing the effect of kinesiology taping on dynamic balance and pain of men and women with unilateral patellofemoral pain syndrome. Arch Rehabil. 2021;21(4):470- 87. doi: 10.32598/rj.21.4.3071.1. [Persian].
  31. Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance? Neural Plast. 2005;12(2-3):211-9. doi: 10.1155/np.2005.211.
  32. Buragadda S, Alyaemni A, Melam GR, Alghamdi MA. Effect of dual-task training (fixed priority-versus-variable priority) for improving balance in older adults. World Appl Sci J. 2012;20(6):884-8. doi: 10.5829/idosi. wasj.2012.20.06.71190.
  33. Mirelman A, Herman T, Brozgol M, Dorfman M, Sprecher E, Schweiger A, et al. Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition. PLoS One. 2012;7(6):e40297. doi: 10.1371/journal.pone.0040297.
  34. Gobbo S, Bergamin M, Sieverdes JC, Ermolao A, Zaccaria M. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Arch Gerontol Geriatr. 2014;58(2):177-87. doi: 10.1016/j.archger.2013.10.001.
  35. Smith E, Cusack T, Cunningham C, Blake C. The influence of a cognitive dual-task on the gait parameters of healthy older adults: a systematic review and meta-analysis. J Aging Phys Act. 2017;25(4):671-86. doi: 10.1123/japa.2016-0265.
  36. Liu-Ambrose T, Nagamatsu LS, Graf P, Beattie BL, Ashe MC, Handy TC. Resistance training and executive functions: a 12-month randomized controlled trial. Arch Intern Med. 2010;170(2):170-8. doi: 10.1001/archinternmed.2009.494.
  37. Mirelman A, Rochester L, Maidan I, Del Din S, Alcock L, Nieuwhof F, et al. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. Lancet. 2016;388(10050):1170-82. doi: 10.1016/s0140- 6736(16)31325-3.

 

 

Journal of Kerman University of Medical Sciences
Volume 31, Issue 2 - Serial Number 2
May and June 2024
Pages 79-86
Files
Share
How to cite
Statistics