Back to Search
Start Over
The effects of dual-task balance training on gait in older women with osteoporosis: A randomized controlled trial
- Source :
- Gait & Posture. 68:562-568
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Although there is a growing body of literature showing promising effects of balance training on gait in older adults, little is known about the effects of dual-task training on varying domains of spatial and temporal gait parameters. Research question Does the short-term effects of dual-task balance training differ between single and dual-task gait in older women with osteoporosis with regards to different gait domains (pace, rhythm, variability, asymmetry and postural control)? Methods Elderly women with osteoporosis who experienced fear of falling and/or ≥1 fall the last 12 months were recruited. Ninety-five participants were randomized to 12 weeks of balance training or to a control group. The participants in the training group (n = 65) received 12 weeks (3 times/week) of balance and gait exercises including dual-tasks, and the control group (n = 30) received care as usual. Single- and dual-task gait were assessed before and after the intervention with an electronic walkway system and analyzed using non-parametric statistics and effect sizes. Results 68 participants completed the study. The training group walked faster for single- and dual-task gait following training (P ≤ .044) by increasing their cadence (P ≤ .012) and reducing step and swing time (P ≤ .045) compared with the control group. Significant between-group differences in favor of the training group were found for gait variability during dual-task gait (P ≤ .041). The improvement in speed were greater for dual- than single-task gait (0.10 vs. 0.05 m/s) and the effect sizes revealed small to medium effects for dual-task gait, and either non-existent or small for single-task gait. Significance Greater training effects found on a variety of domains of dual-task gait compared to single-task gait support the role of cognitively demanding exercises for the maintenance of safe ambulation in older women with osteoporosis.
- Subjects :
- Male
medicine.medical_specialty
Osteoporosis
Biophysics
Balance training
Walking
Fear of falling
law.invention
Task (project management)
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Gait (human)
Randomized controlled trial
law
medicine
Humans
Orthopedics and Sports Medicine
Exercise
Gait
Postural Balance
Aged
Balance (ability)
business.industry
Rehabilitation
Fear
030229 sport sciences
medicine.disease
Exercise Therapy
Accidental Falls
Female
medicine.symptom
Cadence
business
human activities
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 09666362
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Gait & Posture
- Accession number :
- edsair.doi.dedup.....01b114de15a62c6d154cc3964a848bcb
- Full Text :
- https://doi.org/10.1016/j.gaitpost.2019.01.005