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Changes in dual-task performance after 5 months of karate and fitness training for older adults to enhance fall prevention

Aging Clinical and Experimental Research volume 28, pages 1179–1186 (2016)Cite this article

Abstract

Background

Demographic changes resulting in an aging population are major factors for an increase of fall-related injuries. Especially in situations where dual tasks such as walking whilst talking have to be performed simultaneously the risk of a fall-related injury increases. It is well known that some types of martial art (e.g. Tai Chi) can reduce the risk of a fall. It is unknown if the same is true for karate.

Aim and methods

In this randomized, controlled study 68 people with a mean age of 69 years underwent 5-month karate training, 5-month fitness training or were part of a control group. Before and after the time of intervention a gait analysis with normal walk, a cognitive dual task and a motor dual task were performed. The gait parameter step frequency, walking speed, single-step time and single-step length were investigated.

Results

It could be seen that all groups improved their gait parameters after a 5-month period, even the control group. A sporty intervention seems to affect mainly the temporal gait parameters positively. This effect was especially demonstrated for normal walk and cognitive dual task.

Conclusions

An improvement of the human walk seems to be possible through karate and fitness training, even under dual-task conditions. A prolonged intervention time with multiple repetitions of gait analysis could give better evidence if karate is a useful tool to increase fall prevention.

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References

  1. Stevens JA, Rudd RA (2014) Circumstances and contributing causes of fall deaths among persons aged 65 and older. J Am Geriatr Soc 62:470–475

    Article  PubMed  PubMed Central  Google Scholar 

  2. Granacher U, Mühlbauer T, Bridenbaugh S et al (2010) Age-related differences during single and multi-task walking. German J Sports Med 61:258–263

    Google Scholar 

  3. Winkler J, Regelin P (2011) Sturdy and stable. Meyer & Meyer, Aachen

    Google Scholar 

  4. Wolf I, Bridenbaugh S, Gschwind Y et al (2012) Gait changes and fall risk. Praxis 101:175–181

    CAS  Article  PubMed  Google Scholar 

  5. Guimaraes RM, Isaacs B (1980) Characteristics of the gait in old people who fall. Int Rehab Med 2:177–180

    CAS  Google Scholar 

  6. Verghese J, Lipton RB, Katz MJ, Hall CB, Derby CA, Kuslansky G, Ambrose AF, Sliwinski M, Buschke H (2013) Leisure activities and the risk of dementia in the elderly. N Engl J Med 348:2508–2516

    Article  Google Scholar 

  7. Mahlknecht P, Kiechl S, Bloem BR et al (2013) Prevalence and burden of gait disorders in elderly men and women aged 60–97 years: a population-based study. PLoS One 8:e69627. doi:10.1371/journal.pone.0069627

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  8. Gschwind Y, Bridenbaugh S (2011) The role of gait analysis. Early detection of dementia and risk of falling. Der informierte Arzt 6:39–41

    Google Scholar 

  9. Borel L, Alescio-Lautier B (2004) Posture and cognition in the elderly: interaction and contribution to the rehabilitation strategies. Neurophysiol Clin 44:95–107

    Article  Google Scholar 

  10. Shik ML, Orlovsky GN (1976) Neurophysiology of locomotor automatism. Am Physiol Soc 56:465–501

    CAS  Google Scholar 

  11. Mergl R, Tigges P, Schröter A et al (1999) Digitized analysis of handwriting and drawing movements in healthy subjects: methods, results and perspectives. J Neurosci Methods 90:157–169

    CAS  Article  PubMed  Google Scholar 

  12. Priest AW, Salamon KB, Hollman J (2008) Age-related differences in dual task walking: a cross sectional study. J Neuroeng Rehab. doi:10.1186/1743-0003-5-29

    Google Scholar 

  13. Van Lersel B, Kessels R, Bloem B et al (2008) Executive function influences gait and balance in community-living elderly people. J Gerontol Med Sci 63:1344–1349

    Article  Google Scholar 

  14. Brodie MAD, Menz HB, Lord SR (2014) Age associated changes in head jerk while walking reveal altered dynamic stability in older people. Exp Brain Res 232:51–60

    Article  PubMed  Google Scholar 

  15. Kim WS, Kim EY (2014) Comparing self-selected speed walking of the elderly with self-selected slow, moderate, and fast speed walking of young adults. Ann Rehabil Med 38:101–108

    Article  PubMed  PubMed Central  Google Scholar 

  16. Engelhard KM (2009) The part of attention for increased frequency of falls in elderly—an experimental study with special reference for ability to shift attention. Dissertation, University of Cologne

  17. Doi T, Shimada H, Makizako H et al (2014) Cognitive function and gait speed under normal and dual-task walking among older adults with mild cognitive impairment. BMC Neurol 14:1–8

    Article  Google Scholar 

  18. Yoon JE, Lee SM, Lim HS et al (2013) The Effects of cognitive activity combined with active extremity exercise on balance, walking activity, memory level and quality of life of an older adult sample with dementia. J Phys Ther Sci 25:1601–1604

    Article  PubMed  Google Scholar 

  19. Goodman F (2006) Martial arts. All techniques step by step; Taekwon-do, Karate, Aikido, Jiu-Jitsu, Judo, Kung Fu, Tai Chi Chuan, Kendo, Iaido, Shinto Ryu. Premio, Münster

  20. Wagner HJ (2009) Influence of combined coordination and strength training on falls, cognition and quality of life based on karate. Dissertation, University of Munich

  21. Jansen P, Dahmen-Zimmer K (2012) Effects of cognitive, motor, and karate training on cognitive functioning and emotional well-being of elderly people. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282502/. Accessed 21 July 2013

  22. Wolf SL, Barnhart HX, Kutner NG, et al (1996) Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. http://www.ncbi.nlm.nih.gov/pubmed/8617895?dopt=Abstract&holding=f1000,f1000m,isrctn. Accessed 21 July 2013

  23. Jahnke R, Larkey L, Rogers C, Etnier J, Lin F (2011) A comprehensive review of health benefits of Qigong and Tai Chi. Am J Health Promot 24(6): 1–25. doi:10.4278/ajhp.081013-LIT-248

    Article  Google Scholar 

  24. Logghe IHJ, Zeeuwe PEM, Verhagen AP, et al (2008) Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02064.x/abstract;jsessionid=2E805F5C02C125CD9180E1DB1C71607A.d03t03. Accessed 21 July 2013

  25. Emmermacher P, Witte K (2013) Movement with a difference. Shaker, Aachen

    Google Scholar 

  26. Steinhöfer D (2008) Athletics training in sport games—theory and practice for endurance, corrdination and training control. Philippka, Münster

    Google Scholar 

  27. Mechling H (1997) Training in sports for elderly—athletic performance and fitness in aging process. Hofmann, Schorndorf

    Google Scholar 

  28. Broich J (1997) Games for seniors. Maternus, Cologne

    Google Scholar 

  29. Baur R, Egeler R (1981) Gymnastics, games and sports for seniors. Hofmann, Schorndorf

    Google Scholar 

  30. Bridenbaugh SA, Kressig RW (2015) Motor cognitive dual tasking: early detection of gait impairment, fall risk and cognitive decline. Z Gerontol Geriatr 48:15–21

    Article  PubMed  Google Scholar 

  31. Laessoe U, Hoeck HC, Simonsen O et al (2008) Residual attentional capacity amongst young and elderly during dual and triple task walking. Hum Move Sci 27:496–512

    Article  Google Scholar 

  32. Donath L, Faude O, Bridenbaugh SA et al (2013) Transfer effects of fall training on balance performance and spatiotemporal gait parameters in healthy community-dwelling seniors: a pilot study. J Aging Phys Act 22:324–333

    Article  PubMed  Google Scholar 

  33. Cromwell RL, Meyers PM, Meyers PE, Newton RA (2007) Tae Kwon Do: an effective exercise for improving balance and walking ability in older adults. J Gerontol 62A(6):641–646

  34. Hausdorff JM, Schweiger A, Herman T et al (2008) Dual-task decrements in gait: contributing factors among healthy older adults. J Gerontol A Biol Sci Med Sci 63:1335–1343

    Article  PubMed  PubMed Central  Google Scholar 

  35. Manor B, Lough M, Gagnon MM et al (2014) Functional benefits of Tai Chi training within senior housing facilities. J Am Geriatr Soc 62:1484–1489

    Article  PubMed  PubMed Central  Google Scholar 

  36. Guedes RC, Dias RC, Pereira LSM et al (2014) Influence of dual task and frailty on gait parameters of older community-dwelling individuals. Braz J Phys Ther 18:445–452

    Article  PubMed  PubMed Central  Google Scholar 

  37. Agmon M, Belza B, Nguyen HQ et al (2014) A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults. Clin Interv Aging 9:477–492

    Article  PubMed  PubMed Central  Google Scholar 

  38. Shin SS, An DH (2014) The effect of motor dual-task balance training on balance and gait of elderly women. J Phys Ther Sci 26:359–361

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Affiliations

  1. Department of Sports Science, Otto-von-Guericke University, Magdeburg, Zschokkestraße 32, 39104, Magdeburg, Germany

    Gerald Pliske, Peter Emmermacher, Veronika Weinbeer & Kerstin Witte

  2. Department of Traumatology, Otto-von-Guericke University, Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany

    Gerald Pliske

Authors
  1. Gerald Pliske
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  2. Peter Emmermacher
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  3. Veronika Weinbeer
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  4. Kerstin Witte
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Corresponding author

Correspondence to Gerald Pliske.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was conducted in accordance with the guidelines proposed in the Declaration of Helsinki and was approved by the Local University and Hospital Ethics Committee.

Informed consent

All patients gave their informed consent.

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Cite this article

Pliske, G., Emmermacher, P., Weinbeer, V. et al. Changes in dual-task performance after 5 months of karate and fitness training for older adults to enhance fall prevention. Aging Clin Exp Res 28, 1179–1186 (2016). https://doi.org/10.1007/s40520-015-0508-z

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  • DOI: https://doi.org/10.1007/s40520-015-0508-z

Keywords

  • Older adults
  • Fall prevention
  • Gait analysis
  • Karate
  • Dual task