The Effect of Motor Dual-task Balance Training on Balance and Gait of Elderly Women

Purpose. Persons with Parkinson disease (PD) demonstrate deficits in motor learning as well as bidirectional interference (the performance of one task concurrently interferes with the performance of another task) during dual-task performance. Few studies have examined the practice dosages necessary for behavioral change in rehabilitation relevant tasks. Therefore, to compare the effects of age and PD on motor learning during dual-task performance, this pilot study examined persons with PD as well as neurologically healthy participants during concurrent performance of postural and speaking tasks.Methods. Seven persons with PD and 7 healthy age-matched and 10 healthy young control subjects were tested in a motion capture facility. Task performances were performed concurrently and recorded during 3 time periods (acquisition (beginning and ending), 48-hour retention, and 1-week retention). Postural control and speech articulatory acoustic variables were measured.Results. Healthy young participants consistently performed better than other groups on all measured postural and speech variables. Healthy young participants showed decreased variability at retention, while persons with PD and healthy age-matched controls were unable to consistently improve their performance as a result of practice. No changes were noted in the speech variables.Conclusion. The lack of consistent changes in motor performance in any of the tasks, except in the healthy young group, suggests a decreased efficiency of motor learning in the age-matched and PD groups and argues for increased practice dosages during balance training.

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

Physical Therapy ◽

10.1093/ptj/86.2.269 ◽

2006 ◽

Vol 86 (2) ◽

pp. 269-281 ◽

Cited By ~ 138

Author(s):

Patima Silsupadol ◽

Ka-Chun Siu ◽

Anne Shumway-Cook ◽

Marjorie H Woollacott

Keyword(s):

Older Adults ◽

Case Report ◽

Dual Task ◽

Balance Training ◽

Single Task ◽

Balance Impairment ◽

Instructional Set ◽

Task Training ◽

Dual Task Training ◽

Task Conditions

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.]

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Balance Training in Elderly Women Using Public Parks

Journal of Women & Aging ◽

10.1080/08952841.2014.888220 ◽

2014 ◽

Vol 26 (3) ◽

pp. 207-218 ◽

Cited By ~ 4

Author(s):

Raquel Leiros-Rodríguez ◽

José L. García-Soidan

Keyword(s):

Elderly Women ◽

Balance Training ◽

Public Parks

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Temporal virtual reality-guided, dual-task, body trunk-balance training in a sitting position improved persistent postural-perceptual dizziness: proof of concept

10.21203/rs.3.rs-801139/v1 ◽

2021 ◽

Author(s):

Tomoya Yamaguchi ◽

Toru Miwa ◽

Kaoru Tamura ◽

Fumiko Inoue ◽

Naomi Umezawa ◽

...

Keyword(s):

Virtual Reality ◽

Dual Task ◽

Dynamic Balance ◽

Training Session ◽

Balance Training ◽

Depression Scale ◽

Definitive Treatment ◽

Balance Disorders ◽

Institutional Ethics ◽

Trunk Balance

Abstract BackgroundPersistent postural-perceptual dizziness (PPPD) is a newly defined disorder of functional dizziness. Due to its recent discovery, definitive treatment for PPPD has not been established; therefore, this study aimed to measure the effectiveness of virtual reality (VR)-guided, dual-task, body trunk balance training using the mediVR KAGURA system for the treatment of PPPD.MethodsData from patients with PPPD collected from January 1, 2021 to February 28, 2021 were reviewed. Additionally, healthy people were included as controls. VR-guided training was performed using 100 tasks for 10 min. Equilibrium tests were performed at baseline and immediately after VR-guided training to examine the effectiveness of static and dynamic balance ability. Additionally, assessments of clinical questionnaire-based surveys of balance disorders were performed at baseline and 1 week after VR-guided training to examine the effects on the symptoms related to balance disorders. The primary outcome was the usefulness of static and dynamic body balance and NPQ scores.ResultsVR-guided training using mediVR KAGURA improved objective symptoms, including static and dynamic postural stability (relating to somatosensory and visual weighting, respectively) even when the training was conducted once for 10 min. Additionally, VR-guided training improved the Hospital Anxiety and Depression Scale score and the Niigata PPPD Questionnaire score, 1 week after a 10-min training session. ConclusionVR-guided training was found to be a viable method in managing the balancing ability, anxiety, and symptoms of patients with PPPD. VR-guided training offers safety and reduction of human resources; however, its clinical efficiency warrants further evaluation in prospective studies.Trial registrationInstitutional Ethics Committee of Kitano Hospital, approval number: 1911003. Registered 18 December 2019, https://kitano.bvits.com/rinri/publish_document.aspx?ID=426

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Dual-Task Balance Training for Motor Skill Development among Children with Intelligence Quotient Discrepancy

Rehabilitation Research and Practice ◽

10.1155/2022/2822171 ◽

2022 ◽

Vol 2022 ◽

pp. 1-7

Author(s):

Ebrar Atak ◽

Zeliha Candan Algun

Keyword(s):

Motor Skills ◽

Dual Task ◽

Motor Skill ◽

Test Scores ◽

Intelligence Quotient ◽

Skill Development ◽

Balance Training ◽

Mental Disabilities ◽

Functional Reach Test ◽

Motor Skill Development

The motor skills of people with mental disabilities are reportedly reduced compared with those of their peers. Therefore, any task incorporating both motor and cognitive skills was hypothesized to provide better motor recovery. The aim of this study is to find the effect of dual-task balance training (DTBT) on motor skill development in children of 6–13 years with intelligence quotient discrepancy (IQD) (score: 50–79). Overall, 30 individuals with mental disabilities aged 6–13 years having an IQ score of 50–79 were included. The participants were randomly divided into two groups that received dual-task training and standard balance training, respectively. IQ was measured with the Wechsler Intelligence Scale for Children-Revised, motor proficiency with the Bruininks–Oseretsky test, reaction time with COGNIBOARD, and balance with Functional Reach Test scores. Intervention was provided twice a week for 12 consecutive weeks. Participants in both groups showed higher test scores in all tests after the training program. Both training programs positively affected the motor performance of the participants. The DTBT was more effective in improving balance performance than the standard balance training. DTBT is a better tool than conventional balance training for improving motor skills and balance in children of 6–13 years with IQD (score: 50–79).

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