A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults

Maayan Agmon,1 Basia Belza,2 Huong Q Nguyen,2,3 Rebecca G Logsdon,2 Valerie E Kelly41The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Israel; 2School of Nursing, University of Washington, Seattle, WA, USA; 3Department of Research and Evalua...

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Autores principales:	Agmon M, Belza B, Nguyen HQ, Logsdon RG, Kelly VE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	physical therapy balance walking motor learning fall prevention Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f444ca1ebc4540138cf5e3b1375970c5
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spelling	oai:doaj.org-article:f444ca1ebc4540138cf5e3b1375970c52021-12-02T06:01:38ZA systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults1178-1998https://doaj.org/article/f444ca1ebc4540138cf5e3b1375970c52014-03-01T00:00:00Zhttps://www.dovepress.com/a-systematic-review-of-interventions-conducted-in-clinical-or-communit-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Maayan Agmon,1 Basia Belza,2 Huong Q Nguyen,2,3 Rebecca G Logsdon,2 Valerie E Kelly41The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Israel; 2School of Nursing, University of Washington, Seattle, WA, USA; 3Department of Research and Evaluation, Kaiser Permanente, CA, USA; 4School of Medicine, University of Washington, Seattle, WA, USABackground: Injury due to falls is a major problem among older adults. Decrements in dual-task postural control performance (simultaneously performing two tasks, at least one of which requires postural control) have been associated with an increased risk of falling. Evidence-based interventions that can be used in clinical or community settings to improve dual-task postural control may help to reduce this risk.Purpose: The aims of this systematic review are: 1) to identify clinical or community-based interventions that improved dual-task postural control among older adults; and 2) to identify the key elements of those interventions.Data sources: Studies were obtained from a search conducted through October 2013 of the following electronic databases: PubMed, CINAHL, PsycINFO, and Web of Science.Study selection: Randomized and nonrandomized controlled studies examining the effects of interventions aimed at improving dual-task postural control among community-dwelling older adults were selected.Data extraction: All studies were evaluated based on methodological quality. Intervention characteristics including study purpose, study design, and sample size were identified, and effects of dual-task interventions on various postural control and cognitive outcomes were noted.Data synthesis: Twenty-two studies fulfilled the selection criteria and were summarized in this review to identify characteristics of successful interventions.Limitations: The ability to synthesize data was limited by the heterogeneity in participant characteristics, study designs, and outcome measures.Conclusion: Dual-task postural control can be modified by specific training. There was little evidence that single-task training transferred to dual-task postural control performance. Further investigation of dual-task training using standardized outcome measurements is needed.Keywords: physical therapy, balance, walking, motor learning, fall preventionA Letter to the editor has been published for this paperAgmon MBelza BNguyen HQLogsdon RGKelly VEDove Medical Pressarticlephysical therapybalancewalkingmotor learningfall preventionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 477-492 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical therapy balance walking motor learning fall prevention Geriatrics RC952-954.6
spellingShingle	physical therapy balance walking motor learning fall prevention Geriatrics RC952-954.6 Agmon M Belza B Nguyen HQ Logsdon RG Kelly VE A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
description	Maayan Agmon,1 Basia Belza,2 Huong Q Nguyen,2,3 Rebecca G Logsdon,2 Valerie E Kelly41The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Israel; 2School of Nursing, University of Washington, Seattle, WA, USA; 3Department of Research and Evaluation, Kaiser Permanente, CA, USA; 4School of Medicine, University of Washington, Seattle, WA, USABackground: Injury due to falls is a major problem among older adults. Decrements in dual-task postural control performance (simultaneously performing two tasks, at least one of which requires postural control) have been associated with an increased risk of falling. Evidence-based interventions that can be used in clinical or community settings to improve dual-task postural control may help to reduce this risk.Purpose: The aims of this systematic review are: 1) to identify clinical or community-based interventions that improved dual-task postural control among older adults; and 2) to identify the key elements of those interventions.Data sources: Studies were obtained from a search conducted through October 2013 of the following electronic databases: PubMed, CINAHL, PsycINFO, and Web of Science.Study selection: Randomized and nonrandomized controlled studies examining the effects of interventions aimed at improving dual-task postural control among community-dwelling older adults were selected.Data extraction: All studies were evaluated based on methodological quality. Intervention characteristics including study purpose, study design, and sample size were identified, and effects of dual-task interventions on various postural control and cognitive outcomes were noted.Data synthesis: Twenty-two studies fulfilled the selection criteria and were summarized in this review to identify characteristics of successful interventions.Limitations: The ability to synthesize data was limited by the heterogeneity in participant characteristics, study designs, and outcome measures.Conclusion: Dual-task postural control can be modified by specific training. There was little evidence that single-task training transferred to dual-task postural control performance. Further investigation of dual-task training using standardized outcome measurements is needed.Keywords: physical therapy, balance, walking, motor learning, fall preventionA Letter to the editor has been published for this paper
format	article
author	Agmon M Belza B Nguyen HQ Logsdon RG Kelly VE
author_facet	Agmon M Belza B Nguyen HQ Logsdon RG Kelly VE
author_sort	Agmon M
title	A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
title_short	A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
title_full	A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
title_fullStr	A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
title_full_unstemmed	A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
title_sort	systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/f444ca1ebc4540138cf5e3b1375970c5
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A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults

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