scholarly journals Training of Balance Under Single- and Dual-Task Conditions in Older Adults With Balance Impairment

2006 ◽  
Vol 86 (2) ◽  
pp. 269-281 ◽  
Author(s):  
Patima Silsupadol ◽  
Ka-Chun Siu ◽  
Anne Shumway-Cook ◽  
Marjorie H Woollacott

Background and Purpose. Traditionally, rehabilitation programs emphasize training balance under single-task conditions to improve balance and reduce risk for falls. The purpose of this case report is to describe 3 balance training approaches in older adults with impaired balance. Case Descriptions. Three patients were randomly assigned to 1 of 3 interventions: (1) single-task balance training, (2) dual-task training under a fixed-priority instructional set, and (3) dual-task training under a variable-priority instructional set. Outcomes. The patients who received balance training under dual-task conditions showed dual-task training benefits; these training benefits were maintained for 3 months. The patient who received variable-priority training showed improvement on novel dual tasks. Discussion. Older adults may be able to improve their balance under dual-task conditions only following specific types of balance training. This case report gives insight on how this intervention might be combined with more traditional physical therapy intervention. [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;86:269–281.]

Author(s):  
Meenakshi Verma ◽  
Supriya Awasthi ◽  
Bhavna Sharma

<p style="text-align: justify;"><strong>Background </strong>and Purpose: Balance is controlled through a complex process involving sensory, visual, vestibular and cerebral functioning which get affected by various neurological disorders such as fall. The purpose of the study was to compare the efficiency of three different balance training strategies in an effort to understand the mechanisms underlying training-related changes in dual task balance performance of older adults with balance impairment.</p> <p style="text-align: justify;"><strong>Methods:</strong> 45 older adults with balance impairment were recruited and randomly assigned to three groups. Group one received single task balance training, group two received dual task training balance training under fixed priority, group three received dual task balance training under variable priority. Subjects received one-hour individualized training sessions, five times in a week for two weeks. Berg balance scale and time up and go test were the outcome measure and their scores for all groups were taken prior and after the training.</p> <p style="text-align: justify;"><strong>Results:</strong> One-way analysis of variance was used to analyse the difference among the balance improvement in Group one, two and three. And the results revealed that post intervention scores were highly significant (p£ 0.05) in group two and group three performed better than group one.</p> <p style="text-align: justify;"><strong>Conclusion:</strong> In conclusion, dual task training is effective in improving balance under dual task context in older adults with balance impairment, and single task training may not generalize to balance performance under dual task conditions.</p>


2007 ◽  
Vol 40 ◽  
pp. S124
Author(s):  
P Silsupadol ◽  
V.A. Lugade ◽  
L-S Chou ◽  
A Shumway-Cook ◽  
P van Donkelaar ◽  
...  

Author(s):  
Mark C. Detweiler ◽  
David H. Lundy

In two experiments we examined the effects of single- and dual-task training on the acquisition and transfer of dual-task skill. Subjects performed two consistently mapped (CM) visual search tasks (word-category search and spatial-pattern search). Experiment 1 demonstrated benefits in both reaction time and accuracy for dual-task practice over comparable single-task practice when the two search tasks were combined. Experiment 2 examined the effects of task timing under single-task, synchronous dual-task, and asynchronous dual-task conditions. Benefits similar to those found in the first experiment were obtained. These results suggest that dual-task training can be more effective than single-task training when two dissimilar CM search tasks need to be performed together.


2021 ◽  
pp. 136099
Author(s):  
Hossein Bagheri ◽  
Roya Khanmohammadi ◽  
Gholamreza Olyaei ◽  
Saeed Talebian ◽  
Mohammad Reza Hadian ◽  
...  

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Priyanka Yadav

The ability of human beings to perform more than one task at a time has long been focus of study in the literature on human attention and memory. Older adults are more penalized when they must divide their attention between two input resources i.e input and holding or holding and responding. Falls have potentially devastating physical, social and psychological consequences. Falling is one of the most serious problems associated with ageing. Sensory system deteriorates with age, increased attention is allocated to “HIGHTEN” the signal coming from this system in order to gain necessary information for postural control. Older adults show marked reduction in the ability to perform the postural and cognitive task simultaneously. A study was conducted by physiotherapy and psychology students in a small town of Haryana on institutionalized older adults in which Dual task training under various sets of instruction that is Fixed priority and Variable priority instruction sets effects the balance who are living in residential care facilities. Tinneti Performance Oriented Mobility Assessment (POMA) and Mini mental status examination were used as tools to assess balance and cognitive abilities. Various studies related to the role of cognitive factors in balance impairments were reviewed. Data was analyzed using SPSS 13.0 software packages and paired sample t –test within the group and independent sample t – test between the groups with p – value at a significance level of p < 0.05 was used. The result of the study supported the hypothesis that there is significant improvement in balance of institutionalized elderly people who received dual task training with variable priority instruction set. (p < 0.001). The use of validated measurement tool like Tinnetti performance oriented mobility assessment on balance allowed clearer interpretation of the results. There is improvement in TPOMA Scores after 4 weeks training program in both groups. This shows that cognitive factors do play an important role in maintaining balance and coordination. Any impairment related to sensory system or cognition leads to balance impairments and increased risk for falls.


IEEE Access ◽  
2021 ◽  
pp. 1-1
Author(s):  
Rebeca Sarai ◽  
Francis Trombini-Souza ◽  
Vitoria Thaysa Gomes De Moura ◽  
Rafael Caldas ◽  
Fernando Buarque

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