Investigation of the Effects of Dual-Task Balance Training on Gait and Balance in Transfemoral Amputees: A Randomized Controlled Trial
To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. Randomized controlled clinical trial. Transfemoral amputees (N=20). Participants were randomly assigned to the...
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| Published in: | Archives of physical medicine and rehabilitation Vol. 101; no. 10; pp. 1675 - 1682 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01-10-2020
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| Abstract | To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation.
Randomized controlled clinical trial.
Transfemoral amputees (N=20).
Participants were randomly assigned to the single-task gait and balance training group (n=10) or the dual-task gait and balance training group (n=10). Training was given in sessions of 60 min/d, 3 d/wk for 4 weeks. The single-task training group performed traditional gait and balance exercises, and the dual-task training group practiced cognitive and motor tasks while performing gait and balance exercises.
The 1-leg stance test and the Four Square Step Test were used for balance assessment. The timed Up and Go test and 10-m walk test were used for gait assessment. Three test conditions to evaluate the training effects were single walking, walking while performing a cognitive task (serial subtraction), and walking while performing a motor task (tray carrying). The Montreal Cognitive Assessment scale was used for cognitive assessment and the Pittsburgh Sleep Quality Index for sleep quality assessment.
Balance and mobility improved in both groups. Dual-task balance performance, functional mobility, and gait speed improved more in the dual-task training group after training (P<.05). Cognitive status and sleep quality improved significantly in the dual-task group (P<.05).
Dual-task training was more effective than single-task training in the improvement of dual-task performance and cognitive status. The inclusion of dual-task exercises in the rehabilitation program of transfemoral amputees will provide a different perspective because of increased task automation. |
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| AbstractList | OBJECTIVESTo investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. DESIGNRandomized controlled clinical trial. PARTICIPANTSTransfemoral amputees (N=20). INTERVENTIONSParticipants were randomly assigned to the single-task gait and balance training group (n=10) or the dual-task gait and balance training group (n=10). Training was given in sessions of 60 min/d, 3 d/wk for 4 weeks. The single-task training group performed traditional gait and balance exercises, and the dual-task training group practiced cognitive and motor tasks while performing gait and balance exercises. MAIN OUTCOME MEASURESThe 1-leg stance test and the Four Square Step Test were used for balance assessment. The timed Up and Go test and 10-m walk test were used for gait assessment. Three test conditions to evaluate the training effects were single walking, walking while performing a cognitive task (serial subtraction), and walking while performing a motor task (tray carrying). The Montreal Cognitive Assessment scale was used for cognitive assessment and the Pittsburgh Sleep Quality Index for sleep quality assessment. RESULTSBalance and mobility improved in both groups. Dual-task balance performance, functional mobility, and gait speed improved more in the dual-task training group after training (P<.05). Cognitive status and sleep quality improved significantly in the dual-task group (P<.05). CONCLUSIONSDual-task training was more effective than single-task training in the improvement of dual-task performance and cognitive status. The inclusion of dual-task exercises in the rehabilitation program of transfemoral amputees will provide a different perspective because of increased task automation. To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. Randomized controlled clinical trial. Transfemoral amputees (N=20). Participants were randomly assigned to the single-task gait and balance training group (n=10) or the dual-task gait and balance training group (n=10). Training was given in sessions of 60 min/d, 3 d/wk for 4 weeks. The single-task training group performed traditional gait and balance exercises, and the dual-task training group practiced cognitive and motor tasks while performing gait and balance exercises. The 1-leg stance test and the Four Square Step Test were used for balance assessment. The timed Up and Go test and 10-m walk test were used for gait assessment. Three test conditions to evaluate the training effects were single walking, walking while performing a cognitive task (serial subtraction), and walking while performing a motor task (tray carrying). The Montreal Cognitive Assessment scale was used for cognitive assessment and the Pittsburgh Sleep Quality Index for sleep quality assessment. Balance and mobility improved in both groups. Dual-task balance performance, functional mobility, and gait speed improved more in the dual-task training group after training (P<.05). Cognitive status and sleep quality improved significantly in the dual-task group (P<.05). Dual-task training was more effective than single-task training in the improvement of dual-task performance and cognitive status. The inclusion of dual-task exercises in the rehabilitation program of transfemoral amputees will provide a different perspective because of increased task automation. |
| Author | Erbahçeci, Fatih Demirdel, Senem |
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| CitedBy_id | crossref_primary_10_1097_MD_0000000000026275 crossref_primary_10_1016_j_gaitpost_2024_06_013 crossref_primary_10_2298_PSI211002008H crossref_primary_10_1016_j_gaitpost_2021_10_036 crossref_primary_10_1016_j_arrct_2023_100309 crossref_primary_10_1016_j_apmr_2023_10_011 crossref_primary_10_1108_IJHRH_12_2021_0206 crossref_primary_10_2196_52811 crossref_primary_10_1055_a_1719_3801 crossref_primary_10_1080_10669817_2023_2192650 crossref_primary_10_1177_02692155221086204 crossref_primary_10_1002_pmrj_12702 crossref_primary_10_1590_fm_2024_37125 crossref_primary_10_1016_j_apmr_2023_02_009 crossref_primary_10_1016_j_apmr_2024_02_712 crossref_primary_10_1097_PXR_0000000000000013 crossref_primary_10_1097_PXR_0000000000000255 crossref_primary_10_1016_j_gaitpost_2022_12_012 crossref_primary_10_1016_j_physbeh_2022_113935 |
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