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

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Key summary points

AbstractSection Aim

The aim of this study was to compare the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults.

AbstractSection Findings

The 8-week mCdtt and mMdtt program did not differ significantly in the balance fear of falling, walking functionality and muscle strength in older adults, however, both training programs had improved the balance ability. Thus, both DTTs can be suggested to use for enhancing abovementioned parameters in older adults.

AbstractSection Message

Future studies with the systematic DTT program, longer intervention duration and a follow-up period comparing the mCdtt and mMdtt should be planned to elucidate the difference of clinical outcomes between the mCdtt and mMdtt program in older adults.

Abstract

Purpose

Dual-task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study was to compare the effect of motor-cognitive DTT (mCdtt) and motor–motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults.

Methods

A total of 50 participants aged 60 and over (mean age: 67.72 ± 7.33 years), having a score ≥ 24 on the Mini-Mental State Exam (MMSE), being in the category of walking ability ≥ 4 according to the Functional Ambulation Category (FAC), having no problem in visual ability and hearing were included for this study. The participants who received mCdtt (Group 1) counted back from the two-digit number; and the participants who received mMdtt (Group 2) held half-filled glasses with both hands near the trunk with 90° flexion of elbow while performing exercises. The intervention program had lasted for 8 weeks. To assess balance, fear of falling, walking functionality and muscle strength of participants; Berg Balance Scale (BBS), Falls Efficacy Scale International (FES-I), Timed Up and Go (TUG) and the Hand-held dynamometer were used, respectively.

Results

The results of our study showed that 8-week mCdtt and mMdtt program did not differ in balance fear of falling, walking functionality and muscle strength in older adults, although both trainings had improved balance ability.

Conclusion

It can be interpreted that both training programs can be suggested to enhance abovementioned parameters in older adults. Further studies are needed to elucidate the difference of clinical outcomes between the mCdtt and mMdtt program in older adults.

Trial registration number

NCT04577092.

Date of registration

09/30/2020 “Retrospectively registered”.

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Availability of data and material

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

No funds, grants, or other support was received.

Author information

Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Istanbul Aydin University, Institute of Health Sciences, Istanbul, Turkey

    Hayrunnisa Akin

  2. Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Institute of Graduate Studies, Istanbul, Turkey

    Aybike Senel

  3. Department of Physiotherapy and Rehabilitation, Istanbul Aydin University, Faculty of Health Sciences, Istanbul, Turkey

    Hanifegul Taskiran

  4. Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Faculty of Health Sciences, Buyukcekmece, Istanbul, Turkey

    Ebru Kaya Mutlu

Authors
  1. Hayrunnisa Akin
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  2. Aybike Senel
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  3. Hanifegul Taskiran
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  4. Ebru Kaya Mutlu
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Contributions

The study was planned and designed by HA, HT and EKM and; data were collected by HA, HT and EKM; data were analyzed and interpreted by AS, HT and EKM; manuscript draft was prepared by AS, HT and EKM. All authors finalized, provided critical review, and approved the final manuscript.

Corresponding author

Correspondence to Ebru Kaya Mutlu.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted the Clinical Research Ethics Committee of Istanbul Aydin University (Date: 16.08.2017/No.: 2017/59).

Consent to participate

Each participant provided written informed consent to participate in this study.

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Akin, H., Senel, A., Taskiran, H. et al. Do motor-cognitive and motor–motor dual task training effect differently balance performance in older adults?. Eur Geriatr Med 12, 371–378 (2021). https://doi.org/10.1007/s41999-020-00434-8

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  • DOI: https://doi.org/10.1007/s41999-020-00434-8

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