Effects of Single-Task Versus Dual-Task Training on Balance Performance in Elderly Patients With Knee Osteoarthritis

Background 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. Methods: 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. Results: 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. Conclusion: 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.

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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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Benefits of Cognitive Dual-Task Training on Balance Performance in Healthy Older Adults

The Journals of Gerontology Series A ◽

10.1093/gerona/glq151 ◽

2010 ◽

Vol 65A (12) ◽

pp. 1344-1352 ◽

Cited By ~ 86

Author(s):

K. Z. H. Li ◽

E. Roudaia ◽

M. Lussier ◽

L. Bherer ◽

A. Leroux ◽

...

Keyword(s):

Older Adults ◽

Dual Task ◽

Balance Performance ◽

Healthy Older Adults ◽

Task Training ◽

Dual Task Training

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Do motor-cognitive and motor–motor dual task training effect differently balance performance in older adults?

European Geriatric Medicine ◽

10.1007/s41999-020-00434-8 ◽

2021 ◽

Author(s):

Hayrunnisa Akin ◽

Aybike Senel ◽

Hanifegul Taskiran ◽

Ebru Kaya Mutlu

Keyword(s):

Older Adults ◽

Dual Task ◽

Training Effect ◽

Balance Performance ◽

Task Training ◽

Dual Task Training

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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

Caspian Journal of Neurological Sciences ◽

10.32598/cjns.5.19.190 ◽

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.

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Effects of Single- and Dual-Task Practice on Acquiring Dual-Task Skill

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1518/001872095779049534 ◽

1995 ◽

Vol 37 (1) ◽

pp. 193-211 ◽

Cited By ~ 14

Author(s):

Mark C. Detweiler ◽

David H. Lundy

Keyword(s):

Dual Task ◽

Pattern Search ◽

Single Task ◽

Search Tasks ◽

Search Experiment ◽

Task Practice ◽

Task Training ◽

Category Search ◽

Dual Task Training ◽

Task Conditions

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.

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

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.4068 ◽

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.

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