COGNITIVE VERSUS MOTOR DUAL TASK BALANCE PERFORMANCE AND FALLS IN MIDDLE-AGED AND ELDERLY ADULTS

Year 2023, , 295 - 301, 24.10.2023

Senem Demirdel , Gözde Tekin , Derya Çağlar , Buse Kılınç , Büşra Nur Fındık , Betül Erbay

https://doi.org/10.26650/JARHS2023-1268235

Abstract

Objective: This study investigated the cognitive and motor dual-task performance and falls in middle-aged and elderly adults.
Materials and Method: This cross-sectional study included 84 adults, separated into two age groups of middle-aged adults (50-64 years) and elderly adults (65 years and older). The descriptive characteristics of the participants and the fall rate in the last year were recorded. The timed up-and-go test, four square step test and one leg step test performances were evaluated under single task, cognitive dual task (verbal fluency) and motor dual task (tray-carrying) conditions.
Results: The fall rate was 16.7% in middle-aged adults and 33.3% in elderly adults. The performance of elderly adults in the timed up-and-go test, four square step test and one leg stance test was lower than those of middle-aged adults under single task, cognitive dual task and motor dual task conditions (p<0.05). Performance was lower under cognitive dual task conditions for all tests in middle-aged and elderly adults (p<0.05). The timed up and go test and four square step test performances of non-faller elderly adults were better than those who fell (p<0.05).
Conclusion: The results of this study showed that single-task and dual-task balance performance in older adults is lower than in middle-aged adults, and lower in elderly adults who have a history of falls than in non-fallers. Efforts such as dual-task balance training to improve dual-task performance from middle age may be beneficial in reducing the risk of falls.

Keywords

Aging, dual task, balance, fall

Project Number

yok

ORTA YAŞLI VE YAŞLI YETİŞKİNLERDE BİLİŞSEL VE MOTOR ÇİFT GÖREV DENGE PERFORMANSI VE DÜŞMELER

Abstract

Amaç: Bu çalışmanın amacı, orta yaşlı ve yaşlı yetişkinlerde bilişsel ve motor ikili görev performansını ve düşmeyi araştırmaktır.
Gereç ve Yöntem: Bu kesitsel çalışmaya seksen dört yetişkin dahil edildi. Katılımcılar yaşa göre orta yaşlı yetişkinler (50-64 yaş) ve yaşlı yetişkinler (65 yaş ve üstü) olarak iki gruba ayrıldı. Katılımcıların tanımlayıcı özellikleri ve son bir yıldaki düşme oranları kaydedildi. Tekli görev, bilişsel ikili görev (sözel akıcılık) ve motor ikili görev (tepsi taşıma) koşullarında süreli kalk ve yürü testi, dört kare adım testi ve tek ayak üzerinde durma testi performansları değerlendirildi.
Bulgular: Düşme oranı orta yaşlı erişkinlerde %16,7 ve yaşlı erişkinlerde %33,3 idi. Tek görev, bilişsel ikili görev ve motor ikili görev koşullarında yaşlı yetişkinlerin süreli kalk ve yürü testi, dört kare adım testi ve tek ayak üzerinde durma testi performansları orta yaşlı yetişkinlere göre daha düşüktü (p<0,05). Performans, orta yaşlı ve yaşlı erişkinlerde tüm testler için bilişsel ikili görev koşullarında daha düşüktü (p<0,05). Düşen ve düşmeyen yaşlı yetişkinler arasında zamanlı kalk ve yürü testi ile dört kare adım testi performanslarında anlamlı fark bulundu (p<0,05).
Sonuç: Bu çalışmanın sonuçları, yaşlı yetişkinlerde tek görev ve ikili görev denge performansının orta yaşlı erişkinlere göre daha düşük olduğunu ve düşen yaşlı yetişkinlerde düşmeyenlere göre daha düşük olduğunu göstermektedir. Orta yaştan itibaren ikili görev performansını geliştirmeye yönelik ikili görev denge eğitimi gibi çalışmalar düşme riskini azaltmak açısından faydalı olabilir.

Keywords

Yaşlanma, İkili görev, Denge, Düşme

Supporting Institution

yok

Project Number

yok

Thanks

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