From: Training effects on motor–cognitive dual-task performance in older adults
Randomized controlled trials (RCT) | ||||||
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Eligible study (first author) | Participants (n, sex, age (M, SD)) | Study aims | Intervention | Training duration (min) | Motor task and measurement | Cognitive task stimulus–response |
Hall [23] | N = 15, n.a. | Effects of Tai Chi programme on balance | CG: n.a. | 2 × 90′ p.w. for 12 w. = 24 s = 2,160′ | Standing and walking, Sensori organisation test (SOT) and walking in an obstacle course | CP (A-Ve): two-choice reaction time test |
72.2 ± 7.7 | EG: GST | |||||
Hiyamazu [29] | N = 43 | Investigate the effects of dual task balance training on standing postural control while performing a cognitive task | CG: GST | 2 × 60′ p.w. for 12 w. = 24 s 1,440′ | Chair stand test; functional reach; Timed up and go COP displacements | Trail making test A + B in single condition EC: (Vi-Ve) Stroop test |
CG: n = 19 | EG:GDT | |||||
16f/3 m; 71.2 ± 4.4 | ||||||
EG: n = 17 | ||||||
10f/7 m; 72 ± 5.1 | ||||||
Silsupadol [66] | N = 21, n.a., ≥65 | Comparison of three different balance trainings (GST and GDT with fixed and variable task priority) on balance | EG1: GST | 3 × 45′ p.w. for 4 w. = 12 h = 540′ | Walking COP displacements, gait parameters (speed, stride length) narrow walk | EC (A-Ve): auditory Stroop task |
EG1: n = 7 | EG2 + 3: GDT | CP (A-Ve): counting backwards | ||||
EG2: n = 8 | ||||||
EG3: n = 6 | ||||||
Trombetti [80] | N = 134 | Effects of a music-based exercise programme on gait, balance and fall risk | CG: -EG: GDT | 60′ p.w. for 12 m = 52 h = 3,120 | Walking variability (GAITRaite); angular velocity COP transducers | CP (A-Ve): counting backwards down from 50 |
CG: n = 68 (65 f/3 m) | ||||||
EG: n = 66 (64f/2 m) | ||||||
Westlake [93] | N = 36, n.a. | Effects of sensori balance training on proprioceptive reintegration | CG: education EG:GDT | 3 × 60′ p.w. for 8 w. = 24 s = 1,440′ | Standing force platform, COP displacements after vibration disturbance | CP (A-Ve): counting backwards 3 s |
CG: n = 19, >65 | ||||||
EG: n = 17, >65 | ||||||
Dault [16] | N = 30, n.a. | Training effects visual spatial dual task on postural sway while standing | SDT | 3 × 3 trials of 60″ = 9′ | Standing, force platform, COP displacements (RMS and mean power frequency) | VS (Vi-Ve): Manekin test |
YA: n = 15, 22 ± 1.5 | ||||||
OA: n = 15, 79.1 ± 4.9 | ||||||
Doumas [18] | N = 18, f/m | Training effects on concurrent posture and working memory tasks | SDT | 11 × 30′ =330′ | Standing postural stability on tilting platform; COP displacements | EC (Vi-Ve): n-back task |
YA: n = 8, 26.6 ± 1.9 | ||||||
OA: n = 10, 66.9 ± 3.3 | ||||||
Bisson [9] | n = 24; f/m | Comparison of Biofeedback and Virtual Reality Training on balance | BF: GST | 2 × 30′ p.w. for 10 w. = 20 s; 600′ | CB&M scale Standing on force platform; COP displacements (RMS) | PS (A-Ve): reaction on auditory cue |
BF: 74.4 ± 4.92 | VR: GDT | |||||
VR: 74.4 ± 3.65 | ||||||
Heiden and Lajoie [28] | N = 16 | Games-based biofeedback training and the attentional demands of balance performance | CG: - | 2 × 30′ p.w. for 8 w. = 16 s = 480′ | CB&M scale | PS (A-Ve): reaction on auditory cue |
mean age 77 | EG: GDT | 6 min walk | ||||
CG: n = 7 (6f /1 m) | COP displacements (RMS) | |||||
EG: n = 9 (5f/4 m) | ||||||
Heiden and Lajoie [28] | N = 16 | Games-based biofeedback training and the attentional demands of balance performance | CG: - | 2 × 30′ p.w. for 8 w. = 16 s = 480′ | CB&M scale | PS (A-Ve): reaction on auditory cue |
mean age 77 | EG: GDT | 6 min walk | ||||
CG: n = 7 (6f /1 m) | COP displacements (RMS) | |||||
EG: n = 9 (5f/4 m) | ||||||
Toulotte [79] | N = 16, f | Comparison of effects of static and dynamic balance training for fallers and non-fallers | GDT | 2 × 60′ p.w. for 3 m = 24 h = 1,440′ | Walking and Standing under ST or DT, OLB, steps per min, speed, stride time, step time, single-support time, stride length; step length (additional motor task under DT) | n.a. |
F: n = 8, 71.1 ± 5 | ||||||
NF: n = 8, 68.4 ± 4.5 | ||||||
You [104] | N = 13, n.a | Practice effects of a cognitive gait intervention on cognition and gait in Fallers | CG: SST | 18 × 30′ in 6 w. = 18 s = 540′ | Walking, gait velocity and stability (sway deviation (cm) of COP) | EC (A-M): word lists and calculating tasks over headphones; writing down remembered items |
CG: 68.0 ± 3.3 | ||||||
EG: 70.5 ± 6.8 | EG: SDT |