Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial

© 2016 Elsevier B.V. The purpose of this study was to compare the efficacy of four different home-based interventions on dual-task balance performance and to determine the generalizability of the four trainings to untrained tasks. Sixty older adults, aged 65 and older, were randomly assigned to one...

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Main Authors: Suleeporn Wongcharoen, Somporn Sungkarat, Peeraya Munkhetvit, Vipul Lugade, Patima Silsupadol
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/56799
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-567992018-09-05T03:49:23Z Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial Suleeporn Wongcharoen Somporn Sungkarat Peeraya Munkhetvit Vipul Lugade Patima Silsupadol Biochemistry, Genetics and Molecular Biology Medicine © 2016 Elsevier B.V. The purpose of this study was to compare the efficacy of four different home-based interventions on dual-task balance performance and to determine the generalizability of the four trainings to untrained tasks. Sixty older adults, aged 65 and older, were randomly assigned to one of four home-based interventions: single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive–cognitive training. Participants received 60-min individualized training sessions, 3 times a week for 4 weeks. Prior to and following the training program, participants were asked to walk under two single-task conditions (i.e. narrow walking and obstacle crossing) and two dual-task conditions (i.e. a trained narrow walking while performing verbal fluency task and an untrained obstacle crossing while counting backward by 3 s task). A nine-camera motion capture system was used to collect the trajectories of 32 reflective markers placed on bony landmarks of participants. Three-dimensional kinematics of the whole body center of mass and base of support were computed. Results from the extrapolated center of mass displacement indicated that motor-cognitive training was more effective than the single-task motor training to improve dual-task balance performance (p = 0.04, ES = 0.11). Interestingly, balance performance under both single-task and dual-task conditions can also be improved through a non-motor, single-task cognitive training program (p = 0.01, ES = 0.13, and p = 0.01, ES = 0.11, respectively). However, improved dual-task processing skills during training were not transferred to the novel dual task (p = 0.15, ES = 0.09). This is the first study demonstrating that home-based dual-task training can be effectively implemented to improve balance performance during gait in older adults. 2018-09-05T03:30:24Z 2018-09-05T03:30:24Z 2017-02-01 Journal 18792219 09666362 2-s2.0-84998829059 10.1016/j.gaitpost.2016.11.036 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84998829059&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/56799
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Suleeporn Wongcharoen
Somporn Sungkarat
Peeraya Munkhetvit
Vipul Lugade
Patima Silsupadol
Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
description © 2016 Elsevier B.V. The purpose of this study was to compare the efficacy of four different home-based interventions on dual-task balance performance and to determine the generalizability of the four trainings to untrained tasks. Sixty older adults, aged 65 and older, were randomly assigned to one of four home-based interventions: single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive–cognitive training. Participants received 60-min individualized training sessions, 3 times a week for 4 weeks. Prior to and following the training program, participants were asked to walk under two single-task conditions (i.e. narrow walking and obstacle crossing) and two dual-task conditions (i.e. a trained narrow walking while performing verbal fluency task and an untrained obstacle crossing while counting backward by 3 s task). A nine-camera motion capture system was used to collect the trajectories of 32 reflective markers placed on bony landmarks of participants. Three-dimensional kinematics of the whole body center of mass and base of support were computed. Results from the extrapolated center of mass displacement indicated that motor-cognitive training was more effective than the single-task motor training to improve dual-task balance performance (p = 0.04, ES = 0.11). Interestingly, balance performance under both single-task and dual-task conditions can also be improved through a non-motor, single-task cognitive training program (p = 0.01, ES = 0.13, and p = 0.01, ES = 0.11, respectively). However, improved dual-task processing skills during training were not transferred to the novel dual task (p = 0.15, ES = 0.09). This is the first study demonstrating that home-based dual-task training can be effectively implemented to improve balance performance during gait in older adults.
format Journal
author Suleeporn Wongcharoen
Somporn Sungkarat
Peeraya Munkhetvit
Vipul Lugade
Patima Silsupadol
author_facet Suleeporn Wongcharoen
Somporn Sungkarat
Peeraya Munkhetvit
Vipul Lugade
Patima Silsupadol
author_sort Suleeporn Wongcharoen
title Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
title_short Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
title_full Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
title_fullStr Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
title_full_unstemmed Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial
title_sort home-based interventions improve trained, but not novel, dual-task balance performance in older adults: a randomized controlled trial
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84998829059&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/56799
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