The dual task-cost of standing balance affects quality of life in mildly disabled MS people

IntroductionMethods for measuring cognitive reserve (CR) are limited and controversial. Dual task cost (DTC) paradigms, assessing links between gait and cognition, are increasingly regarded as robust measures of CR.ObjectivesHere, we aimed to validate a simplified methodology for a DTC paradigm in healthy volunteers for application in clinical settings as a measurement of CR.MethodsWe tested if subtracting by 7's (cognitive task) while walking (motor task) induced a DTC in a sample of 39 healthy young adults. For the cognitive task, we recorded the number of correct and incorrect subtractions, as well as the latency between subtractions. Gait parameters were recorded on a tri-axial accelerometer fixed to the left ankle. Both tasks were performed separately (single task) and simultaneously (double task) to assess the DTC. A battery for neuropsychological assessment and questionnaires to assess quality of life and affective symptoms were also applied, to measure possible correlations with the DTC.ResultsSubtracting 7's while walking caused significant changes in gait parameters and in cognitive task performance. A significant decrease in the autocorrelation of the accelerometer signal during the dual task was also found (DTC = 37.92 ± 7.56%; P < 0.0001). This measure has not been previously used and may be a more sensitive measure of the dual task induced disturbance of the gait periodic signal pattern. Correlations between DTC and quality of life, affective or cognitive measures were not significant.ConclusionOur study provides an effective, portable and non-intrusive DTC experimental protocol that can be easily applied in clinical settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Standing balance and health-related quality of life in children who are obese

Appetite ◽

10.1016/j.appet.2014.12.030 ◽

2015 ◽

Vol 89 ◽

pp. 309

Author(s):

G. O'Malley ◽

R. Keating ◽

M. Elmes ◽

S. Killeen ◽

N. Sheridan ◽

...

Keyword(s):

Quality Of Life ◽

Standing Balance ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Download Full-text

Dual-Task Exercise to Improve Cognition and Functional Capacity of Healthy Older Adults

Frontiers in Aging Neuroscience ◽

10.3389/fnagi.2021.589299 ◽

2021 ◽

Vol 13 ◽

Author(s):

Naina Yuki Vieira Jardim ◽

Natáli Valim Oliver Bento-Torres ◽

Victor Oliveira Costa ◽

Josilayne Patricia Ramos Carvalho ◽

Helen Tatiane Santos Pontes ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Exercise Training ◽

Physical Exercise ◽

Dual Task ◽

Cognitive Stimulation ◽

Moderate Intensity ◽

Healthy Older Adults ◽

Physical Exercise Training

BackgroundIt has been suggested that physical inactivity and lack of stimulating cognitive activity are the two most significant modifiable risk factors to impair cognitive function. Although many studies that investigated the cognitive effects of physical exercise and cognitive stimuli in dual-task conditions showed improved cognitive performance, others have not confirmed these findings. The main aim of the present work is to analyze the effects of a dual-task multimodal physical exercise training, at moderate intensity, and cognitive stimulation on cognitive and physical function in healthy older adults.MethodsThis clinical trial was registered on the Brazilian Registry of Clinical Trials (RBR-9zrx3d). Here we tested the effects of a dual-task multimodal physical exercise training, at moderate intensity, on cognitive and physical function and quality of life in community dwelling older adults. The training protocol included 24 group sessions, 2/week, per 75 min. Cognition was assessed using CANTAB automated neuropsychological tests and Functional Capacity to Exercise tests. Performance was compared from baseline to post intervention and to a non-exercise control group using Mixed Linear Model for repeated measures.ResultsControl (CG) and dual-task (DTEx) groups progressed differentially over time on performance of episodic memory, sustained visual attention, functional mobility, cardiorespiratory fitness, lower limbs strength resistance, agility, quality of life and dual-task performance with significant improved DTEx performance. Control group did not show any significant changes on these tests except for showing a reduction in dual-task performance.ConclusionWe suggest that the dual-task combination of multisensory cognitive stimulation and multimodal moderate physical exercise training, twice a week, may be adopted as an effective program to reduce progression of age-related cognitive decline and improve physical fitness and quality of life on healthy older adults.Clinical Trial RegistrationBrazilian Registry of Clinical Trials: https://ensaiosclinicos.gov.br/rg/RBR-9zrx3d -UTN code: U1111-1233-6349.

Download Full-text

Effects of activities of daily living-based dual-task training on upper extremity function, cognitive function, and quality of life in stroke patients

Osong Public Health and Research Perspectives ◽

10.24171/j.phrp.2021.0177 ◽

2021 ◽

Author(s):

Hee-Su An ◽

Deok-Ju Kim

Keyword(s):

Quality Of Life ◽

Cognitive Function ◽

Activities Of Daily Living ◽

Dual Task ◽

Daily Living ◽

Stroke Patients ◽

Task Training ◽

Dual Task Training ◽

Upper Extremity Function

Download Full-text

Association of Pain and Impact of Dual-Task Exercise on Function, Cognition and Quality of Life

The journal of nutrition health & aging ◽

10.1007/s12603-021-1671-x ◽

2021 ◽

Author(s):

Reshma A. Merchant ◽

L. Au ◽

S. Seetharaman ◽

S. E. Ng ◽

J. Nathania ◽

...

Keyword(s):

Quality Of Life ◽

Dual Task

Download Full-text

Correlates of dual task cost of standing balance in individuals with multiple sclerosis

Gait & Posture ◽

10.1016/j.gaitpost.2014.04.209 ◽

2014 ◽

Vol 40 (3) ◽

pp. 352-356 ◽

Cited By ~ 25

Author(s):

Douglas A. Wajda ◽

Robert W. Motl ◽

Jacob J. Sosnoff

Keyword(s):

Multiple Sclerosis ◽

Dual Task ◽

Standing Balance ◽

Dual Task Cost

Download Full-text

Effects of Dual-Task Group Training on Gait, Cognitive Executive Function, and Quality of Life in People With Parkinson Disease: Results of Randomized Controlled DUALGAIT Trial

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2020.07.008 ◽

2020 ◽

Vol 101 (11) ◽

pp. 1849-1856.e1

Author(s):

Constanza San Martín Valenzuela ◽

Lirios Dueñas Moscardó ◽

Juan López-Pascual ◽

Pilar Serra-Añó ◽

José M. Tomás

Keyword(s):

Quality Of Life ◽

Executive Function ◽

Parkinson Disease ◽

Dual Task ◽

Task Group ◽

Group Training ◽

Randomized Controlled

Download Full-text

Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: the Ageing-ONDUAL-TASK randomized controlled study

Age and Ageing ◽

10.1093/ageing/afz105 ◽

2019 ◽

Vol 48 (6) ◽

pp. 817-823 ◽

Cited By ~ 5

Author(s):

Chloe Rezola-Pardo ◽

Haritz Arrieta ◽

Susana María Gil ◽

Idoia Zarrazquin ◽

José Javier Yanguas ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Performance ◽

Cognitive Training ◽

Dual Task ◽

Exercise Program ◽

Randomized Controlled ◽

Task Conditions

Abstract Background the potential benefits of dual-task interventions on older adults living in long-term nursing homes (LTNHs) from a multidimensional perspective are unknown. We sought to determine whether the addition of simultaneous cognitive training to a multicomponent exercise program offers further benefits to dual-task, physical and cognitive performance, psycho-affective status, quality of life and frailty in LTNH residents. Design: a single-blind randomized controlled trial. Setting nine LTNHs in Gipuzkoa, Spain. Subjects 85 men and women (ACTRN12618000536268). Methods participants were randomly assigned to a multicomponent or dual-task training group. The multicomponent group performed two sessions per week of individualized and progressive strength and balance exercises for 3 months. The dual-task group performed simultaneous cognitive tasks to the same tasks as in the multicomponent group. Gait speed under single- and dual-task conditions, physical and cognitive performance, psycho-affective status, quality of life and frailty were measured at baseline and after 3 months of intervention. Results both groups showed clinically significant improvements on gait performance under single- and dual-task conditions and on the short physical performance battery (P < 0.05). Both interventions were effective in maintaining cognitive function (P > 0.05). Only the multicomponent group significantly improved quality of life, and reduced anxiety and Fried frailty score (P < 0.05). No group-by-time interactions were found except for the chair-stand test in favour of the multicomponent group (P < 0.05). Conclusions the addition of simultaneous cognitive training does not seem to offer significantly greater benefits to the evaluated multicomponent exercise program in older adults living in LTNHs.

Download Full-text