6533b830fe1ef96bd12971cb

RESEARCH PRODUCT

Dual-task conditions on static postural control in older adults: A systematic review and meta-analysis

Antonio PalmaEwan ThomasAntonino BiancoAmbra GentileAntonio PaoliTobia ZanottoDiba ManiLuca PetrignaSimona Pajaujiene

subject

Malemedicine.medical_specialtymotor control multitask postural stability standard procedurePostural stabilityPhysical Therapy Sports Therapy and RehabilitationWalking050105 experimental psychology03 medical and health sciencesCognition0302 clinical medicinePhysical medicine and rehabilitationMotor controlTask Performance and AnalysisReaction TimemedicineHumansVerbal fluency test0501 psychology and cognitive sciencesGaitPostural BalanceAgedBalance (ability)Aged 80 and overWorking memory05 social sciencesRehabilitationMotor controlConfidence intervalTask (computing)Motor control; Multitask; Postural stability; Standard procedure;Meta-analysisStandard procedureMultitaskAccidental FallsFemaleGeriatrics and GerontologyPsychologyGerontology030217 neurology & neurosurgeryStroop effect

description

Dual-task (DT) consists of the performance of two tasks simultaneously. An index of DT difficulty has been linked to decreased postural control. Because a wide range of DT is employed, this study aimed to evaluate its effects in static balance in older adults. PubMed, Web of Science, and Scopus were screened, and the secondary tasks were grouped as manual, reaction time, discrimination and decision making, mental tracking, verbal fluency, working memory, or “other” tasks. A total of 66 studies have been included. The meta-analysis was conducted on 28 effects and showed a significant mean effect size of d = 0.24 (p = .02, SE = 0.10; confidence interval [0.04, 0.44]), indicating a worsening in stability during DT. In conclusion, postural control was worsened by the Stroop test and the arithmetic tasks improved it. The results do not underpin any conclusive statement on the impact of DT, and a standard operating procedure was created.

10.1123/japa.2019-0474https://hdl.handle.net/10447/577308