scholarly journals Multi-components exercise associated with dual task: Effects on physical functional performance and mobility of the older adults

2020 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Janine Carvalho Valentino Camargos ◽  
Milena Razuk ◽  
Kathisuellen Reis Assis ◽  
Alex Tomé ◽  
Natalia Madalena Rinaldi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Dual Task ◽  
Functional Performance ◽  
Cognitive Task ◽  
Functional Mobility ◽  
Control Group ◽  
Timed Up And Go ◽  
Physical Functional Performance ◽  
Training Protocol

Objective: The aim of this study was to verify the effect of dual task in a training protocol in the components of physical Functional Performance and mobility of older adults Methods: Thirty older adults (twenty-three female and seven males; 66.48 ±3.85 years) were distributed into three randomized groups: Multi-component physical activity group (MC), Dual Task Group (DT) and Control Group (CG). Participants were assessed before training and after 12 weeks of training with the following tests: Mini Mental State Examination, for evaluation of cognitive functions, AAHPERD test battery - American Alliance for Health, Physical Education, Recreation and Dance, for evaluation of five physical Functional Performance components, Timed Up and Go, for evaluation of functional mobility and The Baecke Questionnaire to assess the level of physical activity. Both MC and DT groups performed the same multi-components training protocol, however DT group performed simultaneously with a second cognitive task. Results: The groups that performed the training protocol improved some aspects of physical Functional Performance and mobility compared to the CG (p < 0.01). No difference was found between the DT and MC groups. Conclusion: Performing two simultaneous tasks in a training protocol does not seem to influence the functional capacity and mobility.Keywords: dual task training, multi-components training, physical functional performance

Effects of the Addition of a Dual Task to a Supervised Physical Exercise Program on Older Adults’ Cognitive Performance

2017 ◽  
Vol 25 (2) ◽  
pp. 234-239 ◽  
Author(s):  
Juliana Hotta Ansai ◽  
Larissa Pires de Andrade ◽  
Marcele Stephanie de Souza Buto ◽  
Verena de Vassimon Barroso ◽  
Ana Claudia Silva Farche ◽  
...  
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Test Performance ◽  
Cognitive Task ◽  
Intervention Group ◽  
Exercise Program ◽  
Control Group ◽  
Timed Up And Go ◽  
Physically Active ◽  
Clock Drawing Test

The purpose of this study was to investigate the effects of the addition of a dual task to multicomponent training on cognition of active older adults. Eighty physically active older adults were divided into an intervention group (IG) and a control group (CG). Both groups performed multicomponent training over 12 weeks. The IG simultaneously performed exercises and cognitive tasks. The Mini-Mental State Examination, the Montreal Cognitive Assessment, and the Clock Drawing Test were used for cognitive assessments. The Timed Up and Go Test associated with a cognitive task was used for dual-task assessment. Significant interactions were not observed between groups in terms of the cognitive variables or the dual-task performance. An interaction was observed only for Timed Up and Go Test performance, which was better in the CG than in the IG. Active older adults showed no improvement in cognition following the addition of the dual task to the multicomponent training.

Effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions

2019 ◽  
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Dynamic Balance ◽  
The Elderly ◽  
Static Balance ◽  
Timed Up And Go ◽  
Task Conditions ◽  
And Control ◽  
Single Versus

Abstract Background: The aim of this study was to evaluate the effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions. Methods: The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1kg, 2kg and 3kg in each hand) loads on dynamic and static balance of 42 older adults (21 males and 21 females), aged ≥ 60 years were studied. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results: The TUG speed of female participants was generally slower than that of male participants. Cognitive task influenced the participants’ dynamic balance during the dual-task conditions, while the static balance was not affected in this phase. The dynamic and static balance measures were more influenced when performing the multi-tasks than when doing the dual-tasks. The effects of various levels of physical demand on the dynamic balance varied greatly under dual- and multi-task conditions. Conclusions: The findings add to the understanding of the factors influencing the elderly balance and control under cognitive and physical functioning.

scholarly journals Disseminating the Otago Exercise Program in the United States: Perceived and Actual Physical Performance Improvements From Participants

2016 ◽  
Vol 37 (1) ◽  
pp. 79-98 ◽  
Author(s):  
Tiffany E. Shubert ◽  
Matthew Lee Smith ◽  
Luohua Jiang ◽  
Marcia G. Ory
Keyword(s):  
United States ◽  
Older Adults ◽  
Physical Performance ◽  
Functional Performance ◽  
Exercise Program ◽  
The United States ◽  
Functional Mobility ◽  
Self Report ◽  
Timed Up And Go ◽  
Logistic Regression Models

The Otago Exercise Program (OEP) is an evidence-based fall prevention program disseminated internationally. Little is known about the implementation or effectiveness of the OEP in the United States. The purposes were to (a) identify characteristics of older adults enrolled in OEP, and (b) examine perceived and actual functional performance changes after participation in 8 weeks of the program. Baseline and 8-week functional and self-report data were collected on 210 older adults from 2013 to 2015. Linear mixed models and general estimating equations logistic regression models adjusted for socio-demographic factors were performed to assess changes. At 8 weeks, scores dramatically improved on self-report and physical performance tests: Timed Up-and-Go ( p < .001), 30-Second Chair Rise ( p < .001), and Four-Stage Balance ( p < .001). Findings support that participation in the U.S. OEP as part of a plan of care can result in significant improvements in objective functional mobility, balance measures, and self-reported ability.

Comparing the Effects of Single-Task versus Dual-Task Balance Training on Gait Smoothness and Functional Balance in Community-Dwelling Older Adults: A Randomized Controlled Trial

2021 ◽  
pp. 1-8
Author(s):  
Samira Javadpour ◽  
Ehsan Sinaei ◽  
Reza Salehi ◽  
Shahla Zahednejad ◽  
Alireza Motealleh
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Controlled Trial ◽  
Balance Training ◽  
Community Dwelling ◽  
Control Group ◽  
Timed Up And Go ◽  
Training Groups ◽  
Significant Difference ◽  
Community Dwelling Older Adults

To compare the effects of single- versus dual-task balance training on the gait smoothness and balance of community-dwelling older adults, 69 volunteers were randomized to single-, dual-task training, and control (no intervention) groups. Exercises were received in 18 sessions through 6 weeks. The gait smoothness was measured by the harmonic ratio of trunk accelerations using a triaxial accelerometer. Balance performance was assessed through the Fullerton Advanced Balance scale, Timed Up and Go test, Activities-specific Balance Confidence, and gait speed. After the trial, all variables improved significantly in the training groups. Moreover, differences in the mean change of all variables, except the Timed Up and Go test, were statistically significant between the interventional groups and the control group, but no significant difference was reported between the two training groups. This study suggests that balance training can improve gait smoothness as well as balance status in healthy older adults.

scholarly journals How Older Adults Cope with Cognitive Complexity and Environmental Constraints during Dual-Task Walking: The Role of Executive Function Involvement

2019 ◽  
Vol 16 (10) ◽  
pp. 1835 ◽  
Author(s):  
Roberta Forte ◽  
Caterina Pesce ◽  
Angela Di Baldassarre ◽  
John Shea ◽  
Claudia Voelcker-Rehage ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Executive Function ◽  
Cognitive Performance ◽  
Dual Task ◽  
Cognitive Complexity ◽  
Cognitive Task ◽  
Activity Level ◽  
Environmental Constraints

This cross-sectional study investigated the interactive dual-task (DT) effects of executive function demands and environmental constraints on older adults’ walking and the moderating role of habitual physical activity (PA). Locomotor performance under different environmental constraints (flat versus obstructed walking) and cognitive performance with different executive function involvement (backward counting versus random number generation) were assessed under single-task (ST) and DT conditions in 135 participants (mean age 68.1 ± 8.4). The weekly number of daily steps was measured. Reciprocal DT effects of walking on cognitive performance and of the cognitive task on gait performance were computed and submitted to analyses of covariance with age, PA level, and cognitive functioning as covariates, followed by linear regressions with PA level as predictor. Cognitive task demands and environmental constraints individually and jointly affected gait variability (p = 0.033, ηp2 = 0.08) and executive function performance (p = 0.009, ηp2 = 0.09). Physical activity level predicted a low but significant percentage of variance of DT effects on gait only in flat walking (R2 = 0.04, p = 0.027). Results suggest that older individuals may adopt variable task prioritization in dual tasking depending on the type of executive function involvement and the environmental constraints on walking. Their DT ability was slightly affected by habitual PA.

scholarly journals Impact of a dual task intervention on physical performance of older adults who practice physical exercise

2018 ◽  
Vol 20 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Larissa Borges Medeiros ◽  
Juliana Hotta Ansai ◽  
Marcele Stephanie de Souza Buto ◽  
Verena De Vassimon Barroso ◽  
Ana Claudia Silva Farche ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Dual Task ◽  
Lower Limb ◽  
Intervention Group ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Control Group ◽  
Lower Limb Strength ◽  
Physical Performances

Physical exercises, especially multicomponent training, can improve cognitive functions and physical impairments in older adults. The aim this study was to purpose of this two-arm clinical trial was to investigate the effects of the addition of a dual task to multicomponent training on physical performances of community-dwelling older adults who practice physical exercise. Seventy-one older adults were divided into a control group (CG) and intervention group (IG). Participants of the CG performed isolated multicomponent training, participants of the IG performed multicomponent training associated with cognitive tasks and both protocols lasted 12 weeks. The assessment consisted of flexibility, handgrip strength, lower limb strength, balance, functional mobility and aerobic capacity. The CG presented greater flexibility than the IG, regardless of time. There was a worse performance in lower limb strength, regardless of group. The addition of a dual task to the multicomponent training was not able to improve physical performances of older adults. Further studies are needed to confirm whether the dual task training contributes to both cognitive and physical benefits in older adults who practice physical exercise.

scholarly journals Duration or Timing? What is the Optimal Core for Older Adults to Engage in Moderate-to-vigorous Physical Activity to Prevent Disability?

2020 ◽  
Author(s):  
Ting-Fu Lai ◽  
Yung Liao ◽  
Chien-Yu Lin ◽  
Wan-Chi Huang ◽  
Ming-Chun Hsueh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Function ◽  
Gait Speed ◽  
Handgrip Strength ◽  
Vigorous Physical Activity ◽  
Total Duration ◽  
Functional Mobility ◽  
Linear Regression Models ◽  
Timed Up And Go

Abstract Background The positive association between the total duration of physical activity and performances of physical function may vary at different times of the day as circadian rhythm regulates individuals in response to external stimulations. We aimed to examine the association of timing-specific and overall moderate-to-vigorous physical activity (MVPA) with performances of physical function in older adults. Methods A cross-sectional analysis was conducted among 118 older adults (mean age = 70.0 ± 5.0 years). We assessed and identified timing-specific (morning: 06:01-12:00; afternoon: 12:01-18:00; evening: 18:01-24:00) and overall MVPA using a triaxial accelerometer. Different measures of physical function were evaluated including handgrip strength (by grip dynamometer), gait speed (five-meter walk test), basic functional mobility (timed up and go test), and lower limb strength (five times sit-to-stand test). Multivariate linear regression models adjusting for covariates were used to investigate the associations. Results Participants spent 0.4 hours in MVPA per day on average, half the time spent during the morning (47.7%), followed by during the afternoon (29.9%) and evening (21.6%). The time spent on overall MVPA was generally associated with better physical function performances. There was statistical evidence for the percentages of MVPA engagement during the morning ( B = 0.214, 95% confidence interval [CI] 0.001 to 0.428) and afternoon ( B = -0.273, 95% CI -0.518 to -0.027) associated with basic functional mobility but with contrary directions; the percentage of MVPA engagement during the evening was associated with less time spent in gait speed performance ( B = -0.237, 95% CI -0.468 to -0.006). Conclusions Our findings inform implications that the overall MVPA engagement was more important than timing-specific MVPA to older adults’ physical function performances. Strategies for accumulating time of MVPA is more practical and effective than encouraging to engage MVPA in specific timing for the enhancement of functional ability and therefore prevent disability among older adults.

scholarly journals Moderate-to-vigorous physical activity duration is more important than timing for physical function in older adults

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ting-Fu Lai ◽  
Yung Liao ◽  
Chien-Yu Lin ◽  
Wan-Chi Huang ◽  
Ming-Chun Hsueh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Function ◽  
Gait Speed ◽  
Handgrip Strength ◽  
Vigorous Physical Activity ◽  
Total Duration ◽  
Functional Mobility ◽  
Linear Regression Models ◽  
Timed Up And Go

AbstractThe positive association between the total duration of physical activity and performances of physical function may vary at different times of the day as circadian rhythm regulates individuals in response to external stimulations. We aimed to examine the association of timing-specific and overall moderate-to-vigorous physical activity (MVPA) with performances of physical function in older adults. A cross-sectional analysis was conducted among 118 older adults (mean age = 70.0 ± 5.0 years). We assessed and identified timing-specific (morning: 06:01–12:00; afternoon: 12:01–18:00; evening: 18:01–24:00) and overall MVPA using a triaxial accelerometer. Different measures of physical function were evaluated including handgrip strength (by grip dynamometer), gait speed (5-m walk test), basic functional mobility (timed up and go test), and lower limb strength (five times sit-to-stand test). Multivariate linear regression models adjusting for covariates were used to investigate the associations. Participants spent 25.0 (± 26.2) minutes in MVPA per day on average, half the time spent during the morning (47.7%), followed by during the afternoon (29.9%) and evening (21.6%). The time spent on overall MVPA was generally associated with better physical function performances. There was statistical evidence for the percentages of MVPA engagement during the morning [B = 0.214, 95% confidence interval (CI) 0.001 to 0.428] and afternoon (B = − 0.273, 95% CI − 0.518 to − 0.027) associated with basic functional mobility but with contrary directions; the percentage of MVPA engagement during the evening was associated with less time spent in gait speed performance (B = − 0.237, 95% CI − 0.468 to − 0.006). Our findings inform implications that the overall MVPA engagement was more important than timing-specific MVPA to older adults’ physical function performances. Strategies for accumulating time of MVPA is more practical and effective than encouraging to engage MVPA in specific timing for the enhancement of functional ability and therefore prevent disability among older adults.

scholarly journals Effectiveness of exergames for improving mobility and balance in older adults: A systematic review and meta-analysis.

2020 ◽  
Author(s):  
Thaiana Barbosa Ferreira Pacheco ◽  
Candice Simões Pimenta de Medeiros ◽  
Victor Hugo Brito de Oliveira ◽  
Edgar Ramos Vieira ◽  
Fabrícia Azevêdo da Costa Cavalcanti
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Center Of Pressure ◽  
Meta Analysis ◽  
Functional Mobility ◽  
Control Group ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Timed Up And Go ◽  
Perfect Agreement

Abstract Background: Exergaming is a fun, engaging, and interactive form of exercising and it may help overcome some of the traditional exercise barriers and help improve adherence by older adults providing therapeutic applications for balance recovery and functional mobility. The purpose of this systematic review is to summarize the effects of exergames in older adults’ mobility and balance. Methods: The PRISMA guidelines for systematic reviews were followed. The following databases were searched from inception to August 2019: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PEDro, CINAHL and INSPEC. We selected randomized controlled trials that assessed the effects of exergames on balance or mobility of older adults without neurological conditions, in comparison to no intervention or health education. Two review authors independently screened the trials titles and abstracts and identified trials for inclusion according to the eligibility criteria. Trial selection presented an almost perfect agreement between the authors regarding the interrater reliability (kappa = 0.84; p<0,001). Then, a descriptive analysis of the quantitative data was performed to summarize the evidence. Meta-analysis was carried using Revman. Random effects model was used to compute the pooled prevalence at 95% confidence interval. Results: After screening 822 trials, twelve trials comparing exergames with no intervention were included. A total of 1520 older adults participated in the studies, with mean age of 76±6 years for the experimental group and 76±5 years for the control group. Three studies found significant improvements in balance based on center of pressure sway and Berg Balance Scale scores. Three studies found improved mobility based on the timed up and go, 30-second chair stand, and 8-foot up and go test. Conclusions: Exergames improved balance and mobility in older adults without neurological disorders. High quality studies with standardized assessment protocols are necessary to improve evidence.

Additional Functional Performance Gains After 24-Week Unstable Strength Training With Cognitive Training in Community-Dwelling Healthy Older Adults: A Randomized Trial

2020 ◽  
pp. 1-11
Author(s):  
Valéria Mayaly Alves de Oliveira ◽  
André Luiz Torres Pirauá ◽  
Bruno Remígio Cavalcante ◽  
Natália Barros Beltrão ◽  
Wevans Monthier de Farias ◽  
...  
Keyword(s):  
Older Adults ◽  
Confidence Interval ◽  
Strength Training ◽  
Cognitive Training ◽  
Dual Task ◽  
Functional Performance ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Single Task ◽  
Performance Gains

The authors investigated the effects of unstable strength training (UST) without or with cognitive training (C+UST) on functional performance in community-dwelling older adults. A total of 50 participants were randomly assigned (1:1) to either 24 weeks of thrice-weekly UST (n = 25) or C+UST (n = 25). All participants performed moderate-intensity strength exercises using unstable surfaces, and C+UST participants simultaneously received cognitive training in addition to UST. Primary outcomes included measures of functional performance: single- and dual-task timed up and go tests. Secondary outcomes included dynamic balance, mobility, handgrip strength, flexibility, quality of life, and concern about falling. The authors observed similar improvements on functional performance through the interventions. The C+UST group experienced additional gains at completion (single-task timed up and go: −0.90 s, 95% confidence interval [–2.38, –0.03]; dual-task timed up and go: –4.80 s, 95% confidence interval [–8.65, –0.95]) compared with the UST group. Moreover, significant differences were observed in mobility (sitting-rising test: −1.34, 95% confidence interval [−2.00, −0.20]) at 24 weeks. Both exercise modes improved single-task functional performance, while adding cognitive-training-optimized dual-task functional performance gains.

Sign in / Sign up

Export Citation Format

Share Document