Dual-task and risk of falls in elderly people a cross-sectional study

  1. Costa, Isabel Rodríguez 1
  2. Vanesa Abuin Porras 2
  3. Blanco Morales M 2
  4. Susana Nunez Nagy 1
  1. 1 Universidad de Alcalá
    info

    Universidad de Alcalá

    Alcalá de Henares, España

    ROR https://ror.org/04pmn0e78

  2. 2 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

Revista:
International Physical Medicine & Rehabilitation Journal

ISSN: 2574-9838

Año de publicación: 2019

Volumen: 4

Número: 5

Páginas: 261-263

Tipo: Artículo

DOI: 10.15406/IPMRJ.2019.04.00213 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International Physical Medicine & Rehabilitation Journal

Resumen

Older adult population has been increasing in the last decades. The Time Up and Go (TUG) is used in the exploration of elders and can discriminate the risk of falls. The aim of the study is to understand if aging people have more risk of falls while performing a dual-task in their daily life activities.A cross-sectional study with older people of the general community between 60-85 years was done. Participants were instructed to perform the TUG without Dual Task (DT), and with a cognitive and a motor secondary task.TUG with and without DT (motor and cognitive) presented shows statistical significance. There is an increase in time to perform TUG associated with a second task in elderly people. TUG tests can help in the multifactorial assessment of risk of falling.

Referencias bibliográficas

  • Fhon JRS, Rodrigues RAP, Neira WF, et al. Fall and its association with the frailty syndrome in the elderly: systematic review with meta-analysis. Rev Esc Enferm USP. 2016;50(6):1005-1013.
  • Landinez PNS, Contreras VK, Castro VA. Aging, exercise and physiotherapy process. Rev Cub Salud Pública. 2012;38(4):542-580.
  • https://www.who.int/es/news-room/fact-sheets/detail/falls
  • Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64-68.
  • Podsiadlo D, Richardson S. The timed up & go: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148.
  • Bennie S, Bruner K, Dizon A, et al. Measurements of balance: comparison of the timed "up and go" test and functional reach test with the berg balance scale. J Phys Ther Sci. 2003;15:93-97.
  • Van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Arch Phys Med Rehabil. 2005;86:190-196.
  • Bischoff HA, Stähelin HB, Monsch AU, et al. Identifying a cut-off point for normal mobility: a comparison of the timed 'up and go' test in community-dwelling and institutionalized elderly women. Age Ageing. 2003; 32:315-320.
  • Shumway-Cook, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther. 2000;80:896-903.
  • Gomes GDC, Teixeira-Salmela LF, Fonseca BE, et al. Age and education influence the performance of elderly women on the dual-task timed up and go test. Arq Neuropsiquiatr. 2015;73(3):187-193.
  • Woolacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14.
  • Beauchet O, Dubost V, Herrmann F, et al. Relationship between dual-task related gait changes and intrinsic risk factors for falls among transitional frail older adults. Aging Clin Exp Res. 2005;17 (4):270-275.
  • Hofheinz M, Schusterschitz C. Dual task interference in estimating the risk of falls and measuring change: a comparative, psychometric study of four measurements. Clin Rehabil. 2010;24(9):831-842.
  • Sertel M, Sakızlı E, Bezgin S, et al. The effect of single-tasks and dual-tasks on balance in older adults. Cogent Soc Sci. 2017;3(1): 1330913.
  • Shumway-Cook A, Brauer S, Woolacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther. 2000;80(9):896-903.
  • Rankin JK, Woollacott MH, Shumway-Cook A, et al. Cognitive influence on postural stability: a neuromuscular analysis in young and older adults. J Gerontol A Biol Sci Med Sci. 2000;55(3):M112-119.
  • Ansai JH, Andrade LPD, Rossi PG, et al. Association between gait and dual task with cognitive domains in older people with cognitive impairment. J Mot Behav. 2018;50(4):409-415.
  • Brucki SMD. Timed up and go test: a simple test gives important information in elderly. Arq Neuropsiquiatr. 2015;73(3):185-186.
  • Mora A, Lorena M, Bejarano-Marín X, et al. Association between the fall risk, age and educational level in active adult and older women. Rev Salud Uninorte. 2017;33(3):306-314.
  • Shkuratova N, Morris ME, Huxham F. Effects of age on balance control during walking. Arch Phys Med Rehabil. 2004;85(4):582-588.
  • Barry E, Galvin R, Keogh C, et al. Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC geriatrics. 2014;14(1):14.