Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults

Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults

Kenichi Hirashima,1,2 Yumi Higuchi,1 Masakazu Imaoka,1 Emiko Todo,1 Tomomi Kitagawa,1 Tetsuya Ueda11Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino Campus, Habikino City, Osaka, Japan; 2Faculty of Health and Welfare, Department of Physical Therapy, Tokushima Bu...

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Autores principales: Hirashima K, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ueda T
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
cohort study
community-dwelling older adults
dual-task
falls
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/0cc8c829e4f1420e8e21bdee60926905
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spelling oai:doaj.org-article:0cc8c829e4f1420e8e21bdee609269052021-12-02T02:54:59ZDual-tasking over an extended walking distance is associated with falls among community-dwelling older adults1178-1998https://doaj.org/article/0cc8c829e4f1420e8e21bdee609269052015-04-01T00:00:00Zhttps://www.dovepress.com/dual-tasking-over-an-extended-walking-distance-isnbspassociated-with-f-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kenichi Hirashima,1,2 Yumi Higuchi,1 Masakazu Imaoka,1 Emiko Todo,1 Tomomi Kitagawa,1 Tetsuya Ueda11Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino Campus, Habikino City, Osaka, Japan; 2Faculty of Health and Welfare, Department of Physical Therapy, Tokushima Bunri University, Nishihamaboji, Yamashiro Town, Tokushima City, Tokushima, Japan Aim: Dual-task methods, in which walking is the primary task, are not sufficient for accurately screening for the risk of falls among healthy older adults. Therefore, the goal of this research was to investigate whether using a dual-task method over an extended walking distance can predict falls among community-dwelling older adults.Methods: We enrolled independent community-dwelling adults aged ≥65 years. Physical performance, cognitive function, psychological function, and a dual-task test were assessed at baseline. Our dual-task test required the subjects to walk 60 m while stepping over lines. The intervals between the lines ranged from 50–100 cm and were unequal. Falls and fall-related injuries were measured over a 12-month follow-up period using monthly postal surveys. Results: Ninety-two of 118 subjects (mean age, 75.4±5.5 years) completed the 12-month follow-up. Sixteen (17.4%) of fallers had injurious falls or fell more than or equal to two times. There were no significant differences between the fallers and non-fallers, except in age and in the number of missteps during the dual-task test when walking ≥40 m. The Kaplan–Meier analysis revealed that those who had more than one misstep while walking ≥40 m had a significantly higher incidence of injurious or multiple falls than those who had no missteps.Conclusion: Our findings suggest that the dual-task method with an extended walking distance may be able to predict falls among community-dwelling older adults. Keywords: cohort study, community-dwelling older adults, dual-task, fallsHirashima KHiguchi YImaoka MTodo EKitagawa TUeda TDove Medical Pressarticlecohort studycommunity-dwelling older adultsdual-taskfallsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 643-648 (2015)
institution DOAJ
collection DOAJ
language EN
topic cohort study
community-dwelling older adults
dual-task
falls
Geriatrics
RC952-954.6
spellingShingle cohort study
community-dwelling older adults
dual-task
falls
Geriatrics
RC952-954.6
Hirashima K
Higuchi Y
Imaoka M
Todo E
Kitagawa T
Ueda T
Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
description Kenichi Hirashima,1,2 Yumi Higuchi,1 Masakazu Imaoka,1 Emiko Todo,1 Tomomi Kitagawa,1 Tetsuya Ueda11Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino Campus, Habikino City, Osaka, Japan; 2Faculty of Health and Welfare, Department of Physical Therapy, Tokushima Bunri University, Nishihamaboji, Yamashiro Town, Tokushima City, Tokushima, Japan Aim: Dual-task methods, in which walking is the primary task, are not sufficient for accurately screening for the risk of falls among healthy older adults. Therefore, the goal of this research was to investigate whether using a dual-task method over an extended walking distance can predict falls among community-dwelling older adults.Methods: We enrolled independent community-dwelling adults aged ≥65 years. Physical performance, cognitive function, psychological function, and a dual-task test were assessed at baseline. Our dual-task test required the subjects to walk 60 m while stepping over lines. The intervals between the lines ranged from 50–100 cm and were unequal. Falls and fall-related injuries were measured over a 12-month follow-up period using monthly postal surveys. Results: Ninety-two of 118 subjects (mean age, 75.4±5.5 years) completed the 12-month follow-up. Sixteen (17.4%) of fallers had injurious falls or fell more than or equal to two times. There were no significant differences between the fallers and non-fallers, except in age and in the number of missteps during the dual-task test when walking ≥40 m. The Kaplan–Meier analysis revealed that those who had more than one misstep while walking ≥40 m had a significantly higher incidence of injurious or multiple falls than those who had no missteps.Conclusion: Our findings suggest that the dual-task method with an extended walking distance may be able to predict falls among community-dwelling older adults. Keywords: cohort study, community-dwelling older adults, dual-task, falls
format article
author Hirashima K
Higuchi Y
Imaoka M
Todo E
Kitagawa T
Ueda T
author_facet Hirashima K
Higuchi Y
Imaoka M
Todo E
Kitagawa T
Ueda T
author_sort Hirashima K
title Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
title_short Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
title_full Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
title_fullStr Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
title_full_unstemmed Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
title_sort dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/0cc8c829e4f1420e8e21bdee60926905
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