To Compare the Effect Between Two Different Priorities Dual Task Balance Training in Older Adults with Balance Impairment

Authors

  • Meenakshi Verma  Assistant Professor, Department of Physiotherapy, Sharda University, India
  • Supriya Awasthi  Assistant Professor, Department of Physiotherapy, Sharda University, India
  • Bhavna Sharma  Assistant Professor, Department of Physiotherapy, Sharda University, India

DOI:

https://doi.org/10.32628/IJSRST207472

Keywords:

Balance, Fall, Berg balance scale, Time up and go test, Dual task, Fixed priority, Variable priority

Abstract

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.

References

  1. Brian E. Maki, Pamela J. Holiday, Anne K. Topper (1991). Fear of falling and Postural control performance in the elderly. Journal of Gerontology, 46 (4), M 123 –67131.
  2. Michael C. Nevitt, Steven R. Cummings, Estie S. Hudes (1991). Risk factors For injurious falls: A prospective study. Journal of Gerontology, 46 (5), M 164-170.
  3. Mary E. Tinrtti and Mark Speechley (1989). Prevention of falls among the Elderly. The New England Journal Of Medicine, 320 (16), 1055- 1059.
  4. Richard C. Nelson and Murlidhar A. Amin (1990). Emergency care of the Eldery. Falls in elderly, 8 (2), 309-324.
  5. Wolfson L., Whipple R, Derby C.A., Amerman, P., Murphy, T., Tobin,
  6. J.N., and Nashner, L. (1992). A dynamic posturography study of balance in healthy eldery. Neurology, 42, 2069-2075.
  7. Vellas B.J., Wayne S.J., Romero, L.J., Baumgatner R.N. and Garry , P.J (1997). Fear of falling restriction of miobility in elderly fallers. Age and Ageing, 26, 189-193.
  8. Mathias S., Nayak and Isaacs, B. (1986). Balance in eldery patients: The “Get- up and Go” Test. Archives of physical medicine and rehabilitation, 67, 387-389.
  9. Campbell AJ, Borrie MJ, Spears GF, et al. (1990) Circumstances and consequences of falls experienced by a community populations 70 years and over during a prospectives study. Age and ageing, 19, 136-141. 
  10. Tinetti ME., Baker D.I., McAvay G., et al.(1994) A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal Medicine, 331, 821-827.
  11. Sattin RW. (1992) Falls among older persons: a persons: a public health perspective. Annual Review Public Health, 13, 489-508.
  12. Tinetti M.E., Williams T.F., and Mayewski R. (1986). Fall risk index for elderly patients based on number of chronic disabilities. The American Journal Of Medicine, 80, 429- 435
  13. Granek E., Baker S.P., Abbey H., Robinson E., Myers A.H. Samkoff, J.S. and Klein, L.E. (1987). Medications and diagnosis in relation to falls in long term care facility. Journal Of America Geriatric Society, 35, 503-511.
  14. Whipple R.H., Wolfson L.I. and Amerman P.M.(1987). The relationship of knee and ankle weakness to falls in nursing home residents: An isokinetic study. Journal Of American Geriatric Society, 35, 13-20.
  15. Buchner, D.M. and Larson E.B.(1987). Falls and fractures in patients with Alzheimer-Type Dementia. Journal Of American Medical Association, 257, 1492-1495.
  16. Tobis J.S., Reinsch S., Swanson J.M., Byrd M and Scharf T. (1985). Visual perception dominance of fallers among community-dwelling older adults. Journal Of American Geriatric Society, 33, 330-333.
  17. Nelson R.C., Amin M.A. (1990). Falls in the elderly. Emergency Med Clinical North America, 8, 309-399.
  18. Tinetti M.E., Speechley M., Ginter S.F.(1988). Risk factors for falls among elderly persons living in the community. New England Journal Of medicine, 319, 1701-1707.
  19. Overstall PW, Exton-Smith A.N., Imms F.J., Johnson A.L. (1977). Falls In the elderly realated to postural imbalance. British Medical Journal, 1, 261-264.
  20. Nickens H.(1985). Intrinsic factors in falling among the elderly. Archives Internal Medicine, 145, 1089-1093.
  21. Tinetti M.E., Speechley M. (1989). Prevention of falls among the elderly. New England Journal Of Medicine, 320, 1055-1059.
  22. Dawn A., Skelton and Susie M. Dinan (1999). Exercise for falls management: Rationale for an exercise programme aimed at reducing postural instability. Physiotherapy Theory and Practice, 15, 105-120.
  23. James O Judge, Carleen Lindsey, Michael Underwood (1993). Balance Improvement in older women: effects of exercise training, 73, 254-265.
  24. Alexander NB, Galecki AT, Grenier ML et al (2001). Task-specific resistance training to improve the ability of activities of daily living-impaired older adults to rise from a bed and from a chair. Journal of American Geriatric Society. 49, 1418-1427.
  25. Lord SR, Castell S. Physical activity program for older persons: effect on balance, strength, neuromuscular control, and reaction time. Archives of Physical Medicine Rehabilitation, 75, 648-652.
  26. Brown L.A., Shumway-Cook A. (1999). Attentional demands and postural recovery: the effects of aging. Journal of Gerontology, 54, M165-171.
  27. Kerr B., Condon S.M., McDonald L.A.(1985). Cognitive spatial processing and the regulation of posture Journal Experimental Psychology Human Perceptual Performance, 11, 617-622.
  28. Brauser S.G., Woollacott M, Shumway-Cook A. (2002). The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. Journal of Gerontology, 56, M489-496.
  29. Shumway-Cook A., Woollacott M., Kerns K.A. (1997). The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. Journal of Gerontology, 52, M 232-240.
  30. Connell B.R., Wolf S.L., Atlanta FICSIT Group. (1997). Environmental and behavioural circumstances associated with falls at home among healthy elderly individuals. Archives of Physical Medicine and Rehabilitation, 78, 179-186.
  31. Verghese J., Buschke H., Viola L., et al (2002). Validity of divided attention tasks in predicting falls in older individuals: a preliminary study. Journal of American Geriatric Society, 50, 1572-1576.
  32. Kramer A.F., Larish J.F., Strayer D.L. (1995). Training for attentional control in dual task settings: a comparison of young and old adults. Journal of Experimental Application, 1, 50-76.
  33. Patima Silsupadol, Vipul Lugade, Shumway-Cook et al (2009). Training related changes in dual task walking performance of elderly persons with balance impairment: A double blind randomised controlled trial. Gait and Posture.
  34. Patima Silsupadol, Ka-Chun Siu, Shumway-Cook. (2006). Training of balance under single and dual task condition in older adults with balance impairment. Physical therapy, 86, 269-281
  35. Patima Silsupadol, Vipul Lugade, Shumway-Cook et al (2009). Effects of single task versus dual task training on balance performance in adults: A double blind, randomised controlled trail.
  36. Steffen T.M., Hacker, T.A. and Mollinger L. (2002). Age and gender related test performance in community-dwelling elderly people: Six minute walk test, berg balance scale, time up and go test, and gait speeds. Physical therapy, 82, 128-137.
  37. Choi JH, Kim BR, Han EY, Kim SM. The effect of dual-task training on balance and cognition in patients with subacute post-stroke. Ann Rehabil Med. 2015;39(1):81–90. doi:10.5535/arm.2015.39.1.81
  38. Shumway-Cook A., Woollacott H. Assessment and treatment of the patient with mobility disorders. Chapter 14, Motor control, 322-324.

International Journal of Scientific Research in Science and Technology

Downloads

Published

2020-08-30

Issue

Volume 7, Issue 4, July-August-2020

Section

Research Articles

License

Copyright (c) IJSRST

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

[1]
Meenakshi Verma, Supriya Awasthi, Bhavna Sharma "To Compare the Effect Between Two Different Priorities Dual Task Balance Training in Older Adults with Balance Impairment" International Journal of Scientific Research in Science and Technology(IJSRST), Online ISSN : 2395-602X, Print ISSN : 2395-6011,Volume 7, Issue 4, pp.238-250, July-August-2020. Available at doi : https://doi.org/10.32628/IJSRST207472