Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial

The purpose of this 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. Elderly individuals with balance impairment,...

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Main Authors: Patima Silsupadol, Vipul Lugade, Anne Shumway-Cook, Paul van Donkelaar, Li Shan Chou, Ulrich Mayr, Marjorie H. Woollacott
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/59366
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-593662018-09-10T03:22:12Z Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial Patima Silsupadol Vipul Lugade Anne Shumway-Cook Paul van Donkelaar Li Shan Chou Ulrich Mayr Marjorie H. Woollacott Biochemistry, Genetics and Molecular Biology Medicine The purpose of this 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. Elderly individuals with balance impairment, age 65 and older, were randomly assigned to one of three individualized training programs: single-task (ST) balance training; dual-task training with fixed-priority (FP) instruction; and dual-task training with variable-priority (VP) instruction. Balance control during gait, under practiced and novel conditions, was assessed by calculating the center of mass and ankle joint center inclination angles in the frontal plane. A smaller angle indicated better balance performance. Other outcomes included gait velocity, stride length, verbal reaction time, and rate of response. All measures were collected at baseline and the end of the 4-week training. Results indicated that all training strategies were equally effective (P > .05) at improving balance performance (smaller inclination angle) under single-task contexts. However, the VP training strategy was more effective (P = .04) in improving both balance and cognitive performance under dual-task conditions than either the ST or the FP training strategies. Improved dual-task processing skills did not transfer to a novel dual-task condition. Results support Kramer et al.'s proposal that VP training improves both single-task automatization and the development of task-coordination skills. © 2009 Elsevier B.V. All rights reserved. 2018-09-10T03:14:22Z 2018-09-10T03:14:22Z 2009-06-01 Journal 09666362 2-s2.0-63249102281 10.1016/j.gaitpost.2009.01.006 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=63249102281&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/59366
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
Patima Silsupadol
Vipul Lugade
Anne Shumway-Cook
Paul van Donkelaar
Li Shan Chou
Ulrich Mayr
Marjorie H. Woollacott
Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
description The purpose of this 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. Elderly individuals with balance impairment, age 65 and older, were randomly assigned to one of three individualized training programs: single-task (ST) balance training; dual-task training with fixed-priority (FP) instruction; and dual-task training with variable-priority (VP) instruction. Balance control during gait, under practiced and novel conditions, was assessed by calculating the center of mass and ankle joint center inclination angles in the frontal plane. A smaller angle indicated better balance performance. Other outcomes included gait velocity, stride length, verbal reaction time, and rate of response. All measures were collected at baseline and the end of the 4-week training. Results indicated that all training strategies were equally effective (P > .05) at improving balance performance (smaller inclination angle) under single-task contexts. However, the VP training strategy was more effective (P = .04) in improving both balance and cognitive performance under dual-task conditions than either the ST or the FP training strategies. Improved dual-task processing skills did not transfer to a novel dual-task condition. Results support Kramer et al.'s proposal that VP training improves both single-task automatization and the development of task-coordination skills. © 2009 Elsevier B.V. All rights reserved.
format Journal
author Patima Silsupadol
Vipul Lugade
Anne Shumway-Cook
Paul van Donkelaar
Li Shan Chou
Ulrich Mayr
Marjorie H. Woollacott
author_facet Patima Silsupadol
Vipul Lugade
Anne Shumway-Cook
Paul van Donkelaar
Li Shan Chou
Ulrich Mayr
Marjorie H. Woollacott
author_sort Patima Silsupadol
title Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
title_short Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
title_full Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
title_fullStr Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
title_full_unstemmed Training-related changes in dual-task walking performance of elderly persons with balance impairment: A double-blind, randomized controlled trial
title_sort training-related changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled trial
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=63249102281&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59366
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