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IJPR.2018.171

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Type of Article:  Original Research

Volume 6; Issue 5 (October 2018)

Page No.: 2891-28896

DOI: https://dx.doi.org/10.16965/ijpr.2018.171

IMPACT OF DUAL TASK PERFORMANCE ON FEAR OF FALL AND GAIT PARAMETERS IN ELDERLY

Binita Lama *1, Paul Daniel Vk 2, Priya Desai 3.

*1 Student, RV College of Physiotherapy, Bangalore, Karnataka, India.

2 Professor, RV College of Physiotherapy, Bangalore, Karnataka, India.

3 Student, RV College of Physiotherapy, Bangalore, Karnataka, India.                                                         

Address for Correspondence: Binita Lama,  RV College of Physiotherapy, #CA 2/83-3, 9th main, 4th Block, Jayanagar, Bangalore- 560011, Karnataka, India. E-Mail: bntaso7@gmail.com

ABSTRACT

Background and objectives: The successful execution of dual task situations depends on many factors and is affected by physiological degenerative processes. The completion of a secondary task while walking can be considered as key contributor for falls in the elderly. The aim of the study was to investigate the impact of dual task performance on gait parameters, fear of fall among different age groups of elderly.

Methods: Sixty elderly subjects with independent gait were evaluated while doing simple walking and dual task walking with cognitive, motor and cognitive motor gait demand in the study. The gait parameters namely time, speed and cadence were assessed using 10 meter walk test. Followed by every task, fear of fall was assessed using visual analog scale-fear of fall.

Results: All the groups showed statistically significant difference in the gait parameters with addition of dual tasks. There was statistically significant difference among groups for number of step, time, speed and fear of fall (p value <0.01) for both simple and dual task. The mean dual task cost was highest in the dual task with cognitive-motor demand (49.35 ±0.418).

Conclusion: The findings of the present study suggest that under dual task demand, elderly population shows greater variability of gait and increase in fear of fall. The deficits in dual task walking increases proportionally with age.

Key words: Dual task. Elderly, Fear of fall, Gait parameters.

REFERENCES

  1. Maciel M, Silva A, Cyrillo F, Santos S, Torriani-Pasin C. Impact of Dual Task on Parkinson’s Disease, Stroke and Ataxia Patients’ Gait: A Comparative Analysis. Psicologia: Reflexão e Crítica. 2014; 27(2): 351-357.
  2. Gothe K, Oberauer K, Kliegl R. Age differences in dual-task performance after practice. Psychology and Aging. 2007; 22(3): 596-606.
  3. Montero-Odasso M, Bergman H, Phillips NA, Wong CH, Sourial N, Chertkow H. Dual tasking and gait in people with mild cognitive impairment. The effect of a memory-work. BMC Geriatrics. 2009; 41(9): 1-8.
  4. Bridenbaugh SA, Kressig RW. Laboratory review: the role of gait analysis in seniors’ mobility and fall prevention. Gerontology. 2011; 57(3): 256-64.
  5. Kressig RW, Herrmann FR, Grandjean R, Michel JP, Beauchet O. Gait variability while dual-tasking: fall predictor in older inpatients? Aging Clin Exp Res. 2008; 20(2): 123-30.
  6. Verghese J, Kuslansky G, Holtzer R, Katz M, Xue X, Buschke H . Walking while talking: effect of task prioritization in the elderly. Arch Phys Med Rehabil. 2007; 88(1): 50-3.
  7. Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J, Cognitive motor interference while walking: a systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews 2011; 35(3): 715-28.
  8. Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol. 1993; 48: 35–38.
  9. Legters K. Fear of falling. Phys Ther 2002; 82(3): 264–272.
  10. Scheffer A, Schuurmans M, vanDijk N, van der Hooft T, de Rooij S. Psychometric properties of the VAS-FOF, a visual analogue scale for fear of falling in older persons. International Journal Geriatric Psychiatry. 2011; 26(3): 284-91.
  11. Beurskens R, Bock O. Age-Related Deficits of Dual-Task Walking: A Review. Neural Plasticity. 2012: 1-9.
  12. W. Nordahl, C. Ranganath, A. P. Yonelinas, C. DeCarli, E. Fletcher, and W. J. Jagust. White matter changes compromise prefrontal cortex function in healthy elderly individuals. Journal of Cognitive Neuroscience.2006;18(3): 418–429.
  13. Raz, F. M. Gunning, D. Head et al. Selective aging of the human cerebral cortex observed in vivo: differential vulnerability of the prefrontal gray matter. Cerebral Cortex. 1997;7(3): 268–282
  14. C. Park and P. Reuter-Lorenz. The adaptive brain: aging and neurocognitive scaffolding. Annual Review of Psychology.2009;60: 173–196.
  15. L. Grady and F. I. Craik. Changes in memory processing with age. Current Opinion in Neurobiology.2000;10(2):224–231
  16. Guedes RC, Dias RC, Pereira LSM, Silva SLA, Lustosa LP, Dias JMD. Influence of dual task and frailty on gait parameters of older community-dwelling individuals. Braz J Phys Ther. 2014 Sept-Oct; 18(5):445-452
  17. HausdorffS J, Schweiger A, Herman T, Yogev-Seligmann G, Giladi N. Dual-Task Decrements in Gait: Contributing Factors Among Healthy Older Adults. J Gerontol A Biol Sci Med Sci. 2008; 63(12): 1335-1343.
  18. Moraes H, Deslandes A, Silveira H, Arcoverde C, Alve H, Laks J. Effects of motor and cognitive dual-task performance in depressive elderly, healthy older adults, and healthy young individuals: Dement Neuropsychol 2011; 5(3): 198-202.
  19. Neider, M. B., Gaspar, J. G., McCarley, J. S. et al. Walking and Talking: Dual-Task Effects on Street Crossing Behavior in Older Adults. Psychology and Aging. 2011.
  20. Priest A, Salamon K, Hollman J. Age-related differences in dual task walking: a cross sectional study. Journal of NeuroEngineering and Rehabilitation. 2008; 5(1): 29.
  21. Meyer, Kirsten, “Gait Speed as a Fall Predictor for Elderly Patients in Rehabilitation” (2010).PT Critically Appraised Topics. Paper 20
  22. Lindenberger, M. Marsiske, and P. B. Baltes. Memorizing while walking: increase in dual-task costs from young adulthoodtooldage. Psychology and Aging. 2000;15(3):417– 436
  23. Maciel M, Silva A, Cyrillo F, Santos S, Torriani-Pasin C. Impact of Dual Task on Parkinson’s Disease, Stroke and Ataxia Patients’ Gait: A Comparative Analysis. Psicologia: Reflexão e Crítica. 2014; 27(2): 351-357.

Cite this article: Binita Lama, Paul Daniel VK, Priya Desai. IMPACT OF DUAL TASK PERFORMANCE ON FEAR OF FALL AND GAIT PARAMETERS IN ELDERLY. Int J Physiother Res 2018;6(5):2891-2896. DOI: 10.16965/ijpr.2018.171
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