Can dual-task paradigms predict Falls better than single task? - A systematic literature review.
Details
Serval ID
serval:BIB_94BFC09D7BE5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Can dual-task paradigms predict Falls better than single task? - A systematic literature review.
Journal
Neurophysiologie clinique = Clinical neurophysiology
ISSN
1769-7131 (Electronic)
ISSN-L
0987-7053
Publication state
Published
Issued date
11/2020
Peer-reviewed
Oui
Volume
50
Number
6
Pages
401-440
Language
english
Notes
Publication types: Journal Article ; Systematic Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
With about one third of adults aged 65 years and older being reported worldwide to fall each year, and an even higher prevalence with advancing age, aged-related falls and the associated disabilities and mortality are a major public health concern. In this context, identification of fall risk in healthy older adults is a key component of fall prevention. Since dual-task outcomes rely on the interaction between cognition and motor control, some studies have demonstrated the role of dual-task walking performance or costs in predicting future fallers. However, based on previous reviews on the topic, (1) discriminative and (2) predictive powers of dual tasks involving gait and a concurrent task are still a matter of debate, as is (3) their superiority over single tasks in terms of fall-risk prediction. Moreover, less attention has been paid to dual tasks involving postural control and transfers (such as gait initiation and turns) as motor tasks. In the present paper, we therefore systematically reviewed recent literature over the last 7 years in order to answer the three above mentioned questions regarding the future of lab-based dual tasks (involving posture, gait initiation, gait and turning) as easily applicable tests for identifying healthy older adult fallers. Despite great heterogeneity among included studies, we emphasized, among other things, the promising added value of dual tasks including turns and other transfers, such as in the Timed Up and Go test, for prediction of falls. Further investigation of these is thus warranted.
Keywords
Accidental Falls, Aged, Gait, Humans, Postural Balance, Time and Motion Studies, Walking, Ageing, Attention, Dual task (DT), Falls, Gait initiation (GI), Posture, Turns
Pubmed
Web of science
Open Access
Yes
Create date
03/10/2023 7:20
Last modification date
04/10/2023 5:59