scholarly journals Efektivitas Dual-Task Training Motorik-Kognitif dalam Menurunkan Risiko Jatuh pada Lansia

2019 ◽  
Vol 15 (3) ◽  
pp. 284
Author(s):  
Nahdiah Purnamasari
Keyword(s):  
Dual Task ◽  
Berg Balance Scale ◽  
Test Design ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

Proses penuaan menyebabkan kemunduran dari berbagai aspek tubuh baik secara fisik, mental, maupun psikologis yang secara tidak langsung mengancam kemandirian lansia serta membuat mereka rentan terhadap kejadian jatuh. Latihan kombinasi Dual-Task motorik-kognitif menggabungkan latihan fisik dan kognitif secara bersama-sama dan menginduksi efek sinergis ketika digabungkan dalam satu intervensi. Penelitian ini bertujuan mengetahui pengaruh pemberian latihan dual-task terhadap risiko jatuh pada lansia. Metode yang digunakan adalah pre-eksperimental dengan one group pre-test post-test design dengan lama waktu perlakuan selama 4 minggu dengan frekuensi 3 kali seminggu. Sebelum dan setelah perlakuan, responden diukur tingkat keseimbangan dan risiko jatuhnya menggunakan Berg Balance Scale (BBS), Timed-Up and Go Test (TUGT), serta Tinetti Balance Assesment Tool. Hasil penelitian menunjukkan peningkatan keseimbangan lansia setelah pemberian 12 kali latihan berdasarkan alat ukur BBS (p<0.001) dan TUGT (p=0.079). Risiko jatuh terlihat mengalami penurunan setelah 12 kali perlakuan (p<0.001). Penurunan risiko jatuh paling tinggi terjadi setelah 6 kali perlakuan pertama (p=0.011). Disimpulkan bahwa latihan dual-task motorik-kognitif ini secara signifikan berpengaruh dalam penurunan risiko jatuh pada lansia.

Effect of dual-task training on balance in patients with multiple sclerosis: A systematic review and meta-analysis

2021 ◽  
pp. 026921552110103
Author(s):  
Alex Martino Cinnera ◽  
Alessio Bisirri ◽  
Enza Leone ◽  
Giovanni Morone ◽  
Angela Gaeta
Keyword(s):  
Multiple Sclerosis ◽  
Systematic Review ◽  
Dual Task ◽  
Dynamic Balance ◽  
Meta Analysis ◽  
Berg Balance Scale ◽  
P Value ◽  
Balance Scale ◽  
Task Training ◽  
Dual Task Training

Objective: To evaluate the effects of dual-task training on static and dynamic balance in patients with multiple sclerosis. Data sources: PubMed/MEDLINE, EMBASE, Scopus, and PEDro databases were searched from inception to March 1, 2021. Methods: This study was conducted in agreement with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers assessed studies for inclusion and extracted data. We used the Physiotherapy Evidence Database scale to evaluate the methodological quality and the risk-of-bias. Randomized clinical trial data were pooled for the meta-analysis. The effect sizes and 95% confidence interval (CI) were calculated by random-effect models. Egger regression and Begg-Mazumdar rank correlation test were used for publication bias. Results: A total of 13 studies involving 584 patients (42.3 ± 9 years mean ± SD; 377 females) met the inclusion criteria for the systematic review, while nine were included in the meta-analysis. People who received dual-task training interventions showed significant improvements in the Timed Up & Go test 0.44 [(95% CI = 0.22; 0.65), P-value<0.001], and in the Berg Balance scale 0.46 [(95% CI = 0.07; 0.85), P-value = 0.02]. Low and moderate heterogeneity between the studies was found for the Timed Up & Go test and the Berg Balance scale, respectively. Conclusion: The findings from the current meta-analysis support dual-task training as a beneficial therapy for improving dynamic balance and functional mobility in patients with multiple sclerosis. The limited number of studies that investigated static balance performance after dual-task training do not currently allow us to draw a conclusion about any possible improvements in this ability.

scholarly journals Pengaruh Dual-Task Training (Motor-Cognitive) terhadap Keseimbangan Dinamis pada Anak Usia Sekolah

2019 ◽  
Vol 3 (2) ◽  
pp. 77-89
Author(s):  
Yulinar Anwar
Keyword(s):  
Motor Skills ◽  
Dual Task ◽  
Dynamic Balance ◽  
Wilcoxon Test ◽  
Primary Data ◽  
School Age Children ◽  
School Age ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

Background : School-age Children are characterized by agile movements and motor activity coupled with the need to begin exploring the environment so that motor skills are needed. One aspect of motor skills is dynamic balance. Dual-task training (motor-cognitive) is a method of training that combines motor and cognitive tasks. The purpose of this exercise is to activation pattern of circuits in brain to achieve an adaptive system so that automation can be generated which can affect dynamic balance. Methods : this research is experimental quasi with time series design. The sampling technique used purposive sampling with a sample size of 30 students in 10- and 11- years-old who were not flat foot, not obese, and did not experience balance disorders. Primary data collection is obtained through dynamic balance instruments with balance beam walking test. The collected data used Shapiro Wilk for the normality test and obtained a value of p <0.05, which means that the distribution of data is abnormally distributed then a difference test of the of the pre-test and post-test using Friedman post hoc Wilcoxon Test. Results : the study was conducted for four weeks with 12 training sessions. The result of the analysis were started from pre-test, post-test 1, post-test 2, post-test 3, and post-test 4. The results overall showed a changed in dynamic balance between before and after 12 times of exercise with a significant value p=0,0001 (p <0,05). Conclusion : Therefore, it can be conclused that there is an effect of dual-task training (motor-cognitive) to dynamic balance of school-age children. Keywords : Dual-Task Training (Motor Cognitive), Dynamic Balance, School-age Children

scholarly journals Perbedaan Pengaruh Pemberian Aquatic Exercise Therapy Dengan Land Exercise Therapy Terhadap Peningkatan Keseimbangan Statis Dan Dinamis Lansia

2019 ◽  
Vol 3 (1) ◽  
pp. 78-86
Author(s):  
Wika Yuniarti
Keyword(s):  
Exercise Therapy ◽  
Berg Balance Scale ◽  
Aquatic Exercise ◽  
Test Design ◽  
Balance Scale ◽  
Post Test

Penurunan fungsi tubuh pada lansia akan mengakibatkan penurunan fungsi keseimbangan, penurunan kemampuan fungsional, penurunan kemandirian dalam aktivitas kehidupan seharihari. Untuk mencegah jatuh dibutuhkan suatu latihan fisik yang dapat meningkatkan keseimbangan. Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan pengaruh antara pemberian aquatic exercise therapy dan land exercise therapy terhadap peningkatan keseimbangan statis dan dinamis pada lansia.  Subyek adalah Lansia paguyuban PEPABRI, desa Paulan, Colomadu, yang memenuhi kriteria inklusi dan eksklusi 29 orang lansia. Penelitian ini dilakukan dengan desain two group pre test and post test design. Variabel yang diukur adalah keseimbangan statis dan dinamis diukur menggunakan berg balance scale. Uji hipotesis dilakukan uji beda sebelum, sesudah perlakuan dengan uji wilcoxon. Uji beda antara kelompok I dan II menggunakan uji man withney. Hasil uji pengaruh keseimbangan pada kelompok aquatic exercise therapy didapat p = 0,001 dan pada kelompok land exercise therapy didapat p = 0,001 sehingga dapat disimpulkanbahwa aquatic exercise therapy dan land exercise therapy berpengaruh untuk meningkatkan keseimbangan lansia. Uji beda keseimbangan antara kelompok aquatic exercise therapy dan land exercise therapy didapat nilai p = 0,230 sehingga tidak ada perbedaan antara aquatic exercise therapy dan land exercise therapy untuk meningkatkan keseimbangan lansia. Kesimpulan aquatic exercise therapy sama pengaruhnya dengan land exercise therapy dalam meningkatkan keseimbangan statis dan dinamis lansia.  

scholarly journals Effects of dual task training on gait temporal-spatial parameters of children with autism

2020 ◽  
pp. 1-5
Author(s):  
Felipe Heylan Nogueira de Souza ◽  
Ana Karoline Pordeus Lisboa ◽  
Maria De Fátima Targino Maia ◽  
Mikaelle Rossane Duarte Dos Santos ◽  
Edson Meneses da Silva Filho ◽  
...  
Keyword(s):  
Motor Function ◽  
Dual Task ◽  
Rating Scale ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Children With Asd ◽  
Flat Feet ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

Background: Autism Spectrum Disorder (ASD) is neurological conditions typically identified in early childhood. Children with ASD mainly suffer from incapacities in communication and social interaction, in addition to exhibiting unusual patterns of behavior. Objective: The present study aimed to evaluate the effects of the dual task training in the temporal-spatial aspects of gait in children with ASD. Method: It is a series of case which used as assessments the Childhood Autism Rating Scale (CARS), Motor Function Measurement, Tinetti Index and Plantigraphy. The incremental treadmill test was used previously to establish the appropriate velocity of each subject for the accomplishment of the double task protocol. Initially a warm-up of three minutes was done at three km/h, then increments of 1 km/h were performed every three minutes and the maximum speed was obtained when the individual reached the speed limit of their ambulation. All subjects underwent an experimental protocol consisting of performing dual task activities on an Embreex 552® treadmill for four weeks, twice a week on alternate days and each activity lasted three minutes. Results: The sample consisted of 6 individuals. The pre- and post-test values for gait and balance, evaluated using the Tinetti Index, was 23.33 (± 2.87) for the pre-test and 24.16 (± 1.72) for the post-test with no statistical significance (p = 0.317). The types of foot of the sample were 50% flat feet, 25% high arches feet and 25% neutral feet. The axial and proximal motor function presented statistical difference in the intragroup analysis (p = 0.008). Conclusion: The protocol was not sufficient to verify improvements in the gait of children with autism.

scholarly journals The Effect of Cognitive and Motor Dual-task Training on Improvement of Balance and Some Spatiotemporal Gait Parameters in People With Idiopathic Parkinson's Disease

2019 ◽  
Vol 5 (4) ◽  
pp. 190-198
Author(s):  
Tahereh Pourkhani ◽  
◽  
Hassan Daneshmandi ◽  
Ali Asghar Norasteh ◽  
Babak Bakhshayesh Eghbali ◽  
...  
Keyword(s):  
Dual Task ◽  
Controlled Trial ◽  
Training Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Yahr Stage ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Background: Parkinson disease (PD) is characterized by motor and non-motor symptoms that affect patients’ functions, especially while performing dual-tasks a critical factor in everyday living. However, many controversies exist about the benefits of dual-task training in patients with PD. Objectives: This study assessed the efficacy of motor and cognitive dual-task training in improving balance and gait parameters in people with idiopathic PD. Materials & Methods: A single-blind controlled trial was conducted on PD patients living in Guilan Province of Iran, in 2018-2019. A total of 30 PD patients (Hoehn and Yahr stage II-III while on medication) were assigned to the cognitive dual-task training group (n=10), motor dual-task training group (n=10), and single-task control group (n=10). All groups received 30 sessions of different exercises for 10 consecutive weeks. The patients’ balance and some spatiotemporal gait parameters were respectively assessed with timed up and go test and HD VideoCam-Kinovea before and after training and then 1 month later. Results: Both dual-task and single-task trainings improved the outcome measures (timed up and go test (F=535.54; P=0.000), stride length (F=87.41; P=0.00), stride time (F=102.11; P=0.00), cadence (F=286.36; P=0.00), swing time (F=48.90; P=0.00), and stance time (F=40.56; P=0.00)). These improvements were maintained at 1-month follow-up, although the effect slightly reduced. No significant differences were found between the study groups (P>0.05). Conclusion: Motor/cognitive dual-task training and single-task training were found to be significantly and equally effective in improving balance and gait parameters in people with PD.

Effects of dual-task balance training on postural performance in patients with Multiple Sclerosis: a double-blind, randomized controlled pilot trial

2016 ◽  
Vol 31 (2) ◽  
pp. 234-241 ◽  
Author(s):  
Saeideh Monjezi ◽  
Hossein Negahban ◽  
Shirin Tajali ◽  
Nava Yadollahpour ◽  
Nastaran Majdinasab
Keyword(s):  
Multiple Sclerosis ◽  
Dual Task ◽  
Pilot Trial ◽  
Balance Training ◽  
Berg Balance Scale ◽  
Timed Up And Go ◽  
Double Blind ◽  
Single Task ◽  
Task Training ◽  
Functional Gait

Objective: To investigate the effects of dual-task balance training on postural performance in patients with multiple sclerosis as compared with single-task balance training. Design: Double-blind, pretest-posttest, randomized controlled pilot trial. Setting: Local Multiple Sclerosis Society. Subjects: A total of 47 patients were randomly assigned to two equal groups labeled as single-task training and dual-task training groups. Interventions: All patients received supervised balance training sessions, 3 times per week for 4 weeks. The patients in the single-task group performed balance activities, alone. However, patients in dual-task group practiced balance activities while simultaneously performing cognitive tasks. Main measures: The 10-Meter Walk Test and Timed Up-and-Go under single-task and dual-task conditions, in addition to Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment were assessed pre-, and post intervention and also 6-weeks after the end of intervention. Results: Only 38 patients completed the treatment plan. There was no difference in the amount of improvement seen between the two study groups. In both groups there was a significant effect of time for dual-10 Meter Walk Test (F1, 36=11.33, p=0.002) and dual-Timed Up-and-Go (F1, 36=14.27, p=0.001) but not for their single-tasks. Moreover, there was a significant effect of time for Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment ( P<0.01). Conclusions: This pilot study did not show more benefits from undertaking dual-task training than single-task training. A power analysis showed 71 patients per group would be needed to determine whether there was a clinically relevant difference for dual-task gait speed between the groups.

scholarly journals Investigation and Motivation of Impact of Motor Dual Task Training on Post Stroke Patients

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 782-786
Author(s):  
Anil Kumar I ◽  
Sudhakar M ◽  
Aqib M ◽  
Lalitha R
Keyword(s):  
Middle Cerebral Artery ◽  
Dual Task ◽  
Sensory System ◽  
Berg Balance Scale ◽  
Stroke Patients ◽  
Single Task ◽  
Post Stroke ◽  
Task Training ◽  
Dual Task Training ◽  
The Impact

The motivation of investigation was to discover the impact of motor dual task training (MDTT) vs single task training (STT) on useful parity in post stroke patients. Thirty first beginning of one-sided ischemic “Middle Cerebral Artery (MCA)” domain stroke patients are haphazardly designated into 2 gatherings the STT gathering (n=15) got single task strengthening and balance practices and MDTT (n=11) got strengthening &balance practice alongside an optional engine task. Intercession is provided 45 minutes for every session, once in a day, 5 days of week for about fourteen days. The parity was dissected utilizing Berg Balance Scale (BBS).In 2 groups, balance expressively enhanced in BBS. Compared with STT group; MDTT group reached much statistically important development. The MDTT exercises efficiently promote balance initial in stroke patients. How parity is influenced relies upon a few variables, comprising the degree of sensory system harm, the number and degree of tactile misfortunes, and the accessibility of different faculties for pay. In numerous occurrences, greater than one tactile framework is hindered.

scholarly journals PENGARUH DUAL-TASK TRAINING (MOTOR-COGNITIVE) TERHADAP MEMORI JANGKA PENDEK PADA ANAK USIA SEKOLAH

2020 ◽  
Vol 4 (1) ◽  
pp. 9-19
Author(s):  
Eka - Lestari
Keyword(s):  
Experimental Design ◽  
Dual Task ◽  
Short Term Memory ◽  
School Age Children ◽  
School Age ◽  
Short Term ◽  
Term Memory ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

ABSTRAK Anak usia sekolah merupakan masa anak terjun ke dalam lingkungan sosial yang lebih luas dan mulai menghadapi tugas-tugas baru. Perkembangan anak pada masa ini harus selalu diperhatikan, mulai dari perkembangan kognitif, motorik, sensorik, fisik, bahasa, dan emosional anak. Penelitian ini bertujuan untuk mengetahui pengaruh dual-task training (motor-cognitive) terhadap perubahan memori jangka pendek pada anak usia sekolah. Penelitian ini menggunakan quasi experimental design dengan jenis rancangan time series experimental design (post-test setiap minggu dilakukan). Subyek penelitian yaitu anak usia 10-11 tahun di SD Inpres Kera-Kera, Makassar yang dalam kondisi sehat baik secara fisik dan mental, memiliki IMT normal dan tidak mengalami gangguan keseimbangan. Jumlah repsonden sebanyak 30 orang (diluar dropout) dan menjalani pelatihan dual-task training selama 4 minggu (12 kali perlakuan). Hasil penelitian setelah dilakukan uji normalitas Shapiro Wilk diperoleh sebaran data tidak normal (p<0,05), kemudian dilakukan uji hipotesis menggunakan uji Friedman+Pos Hoc Wilcoxon dan diperoleh nilai signifikan p=0,000 (p<0,05). Hasil analisis data yang dillihat mulai dari pretest, post-test 1, post-test 2, post-test 3, dan post-test 4 menunjukkan adanya peningkatan. Hal ini menunjukkan bahwa adanya pengaruh dual-task training (motor-cognitive) terhadap perubahan memori jangka pendek pada anak usia sekolah.  Kata Kunci: dual-task training, memori jangka pendek, anak usia sekolah, digit span test  ABSTRACT School-age children are the childhood years of plunging into the wider social environment and start facing new tasks. The child's development period must always be considered, starting from cognitive, motoric, sensory, physical, language, and emotional development of children. This study aims to determine the effect of dual-task training (motor-cognitive) on changes in short-term memory in school-age children. This study uses a quasi-experimental design with the type of experimental time series design (post-test every week is done). The research subjects were children aged 10-11 years in SD Inpres Kera-Kera, Makassar who were in good health both physically and mentally, had a normal BMI and had no impaired balance.. The number of respondents was 30 peoples (out of dropout) and underwent dual-task training for 4 weeks (12 times treatments). The results of this study after Shapiro Wilk normality test obtained abnormal distribution of data (p <0.05), then carried out hypothesis testing using Friedman + Pos Hoc Wilcoxon test and obtained a significant value p = 0,0001 (p <0.05). The results of the data analysis starting from the pretest, post-test 1, post-test 2, post-test 3 and post-test 4 showed an increase.. This shows that there is an influence of dual-task training (motor-cognitive) on changes short-term memory in school-age children.  Keywords: dual-task training, short-term memory, school-age children, digit span test

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