Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia

Ömer Şevgin; Kerem Alptekin

doi:10.47141/geriatrik.832870

Research Article

Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia

Year 2020, Volume: 3 Issue: 3, 110 - 117, 31.12.2020

Ömer Şevgin Kerem Alptekin

https://doi.org/10.47141/geriatrik.832870

Abstract

Aim: To examine the effect of home exercises combined with dual-task training on physical activity level and quality of life in the elderly, and to investigate the impact of home exercises on fear of movement.

Material and Methods: 60 volunteer participants over the age of 65 were included in the study. The average age of the participants was 81 years, and 70% of the participants were women. Participants were randomly divided into two equal groups called single and dual-task groups. While standard home exercise protocol was applied to both groups, additional cognitive tasks were assigned to the dual-task group. Participants were given 45 minutes of exercise under a physiotherapist monitor in a home environment three days a week for four weeks. Before the first session and after the last session, the participants were evaluated with the World Health Organization Quality of Life Scale Elderly Module, Berg Balance Scale, Fall Efficiency Scale, Tampa Kinesiophobia Scale, Physical Activity Scale for Elderly, Timed Up and Go Test, and Montreal Cognitive Assessment Scales.

Results: In the analysis performed between the groups, the results of the Berg Balance Scale, the Physical Activity Scale for the Elderly, and the Montreal Cognitive Assessment Scales were found to be statistically significant (p<0.05). It was found that home exercises performed with single and dual-task training did not significantly affect movement anxiety (p> 0.05).

Conclusions: Home exercises with dual-task training; It is more successful in improving balance, increasing physical activity level, and increasing cognitive performance compared to home exercises performed with single-task training.

Keywords

aging, home exercises, dual task exercises, physical activity, geriatric physiotherapy

References

1. Conradsson D, Hinton DC, Paquette C. The effects of dual-tasking on temporal gait adaptation and de-adaptation to the split-belt treadmill in older adults. Exp Gerontol. 2019; 125:110655.
2. Eggenberger P, Theill N, Holenstein S et al. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults: a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up. Clin Interv Aging. 2015; 10:1711-32.
3. Fritz NE, Cheek FM, Nichols-Larsen DS. Motor-Cognitive Dual-Task Training in Persons with Neurologic Disorders: A Systematic Review. J Neurol Phys Ther. 2015;39(3):142-53.
4. Falbo S, Condello G, Capranica L et al. Effects of Physical-Cognitive Dual Task Training on Executive Function and Gait Performance in Older Adults: A Randomized Controlled Trial. Biomed Res Int. 2016; 2016:5812092.
5. Guedes RC, Dias RC, Pereira LS et al. Influence of dual task and frailty on gait parameters of older community-dwelling individuals. Braz J Phys Ther. 2014;18(5):445-52.
6. Buckner RL. Memory and executive function in aging and AD: multiple factors that cause decline and reserve factors that compensate. Neuron. 2004; 44(1):195-208.
7. Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy. 2016; 102(1):29-40.
8. Silsupadol P, Shumway-Cook A, Lugade V et al. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Arch Phys Med Rehabil. 2009; 90(3):381-7.
9. Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatr Gerontol Int. 2016; 16(1):89-94.
10. Bohannon RW, DePasquale L. Physical Functioning Scale of the Short-Form (SF) 36: internal consistency and validity with older adults. J Geriatr Phys Ther. 2010; 33(1):16-8.
11. Güngen C, Ertan T, Eker E. Standardize Mini Mental Test‟in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi. 2002; 13:273-81.
12. Eser S., Saatli G., Eser E et al. The reliability and validity of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turk Psikiyatri Dergisi. 2010; 21(1): 1-10.
13. Sahin F., Yilmaz, F., Ozmaden, A et al. Reliability and Validity of the Turkish version of The Berg Balance Scale. Journal of Geriatric Physical Therapy. 2008; 31(1): 32-37.
14. Ağırcan D. Tinetti Balance and Gait Assessment'ın (Tinetti Denge ve Yürüme Değerlendirmesi) Türkçeye uyarlanması, geçerlilik ve güvenilirliği. Yüksek lisans tezi. Pamukkale Üniversitesi Sağlık Bilimleri Enstitüsü. Denizli. 2009.
15. Yılmaz ÖT, Yakut Y, Uygur F et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve Test-tekrar Test Güvenirliği. Fizyoterapi Rehabilitasyon Dergisi. 2011; 22:44–49.
16. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2): 142-8.
17. Ayvat E, Kılınç M, Kırdı N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turkish Journal of Medical Sciences. 2017; 47: 908-915.
18. Akın B. ve Lök N. Yaşlılarda Düşme Yönünden Ev içi Çevre Özellikleri Değerlendirme Formunun Geçerlilik ve Güvenilirliği. Akademik Geriatri Dergisi. 2012; 4:142-151.
19. Kaya Y, Aki O. Validation of Montreal Cognitive Assessment and Discriminant Power of Montreal Cognitive Assessment Subtests in Patients with Mild Cognitive Impairment and Alzheimer Dementia in Turkish Population. J Geriatr psych and neuoro. 2014; 27(2): 54-55.
20. Galloza J, Castillo B, Micheo W. Benefits of Exercise in the Older Population. Phys Med Rehabil Clin N Am. 2017; 28(4):659-669.
21. Gobbo S, Bergamin M, Sieverdes JC et al. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Arch Gerontol Geriatr. 2014; 58(2):177-87.
22. Çakar M, Cankurtaran M., Geriatri ve Gerontoloji. Geraiatrik Populasyonda kas iskelet sistemindeki fizyolojik değişimler. MN Medikal & Nobel yayınları. 2006; 645-655.
23. Fredman ML, Berk BZ., Rehabilitation medicine. Medikal management of geriatric rehabilitation, 1998; 384-420.
24. LaMonte MJ, Buchner DM, Rillamas-Sun E et al. Accelerometer-Measured Physical Activity and Mortality in Women Aged 63 to 99. J Am Geriatr Soc. 2018; 66(5):886-894.
25. Martinez-Gomez D, Guallar-Castillon P, Garcia-Esquinas E et al. Physical Activity and the Effect of Multimorbidity on All-Cause Mortality in Older Adults. Mayo Clin Proc. 2017; 92(3):376-382.
26. Barnes DE, Mehta KM, Boscardin WJ et al. Prediction of recovery, dependence or death in elders who become disabled during hospitalization. J Gen Intern Med. 2013; 28(2):261-8.
27. Logan GD, Schulkind MD. Parallel memory retrieval in dual-task situations: I. Semantic memory. J Exp Psychol Hum Percept Perform. 2000; 26(3):1072-90.
28. Azadian E, Torbati HR, Kakhki AR et al. The effect of dual task and executive training on pattern of gait in older adults with balance impairment: A Randomized controlled trial. Arch Gerontol Geriatr. 2016; 62:83-9.
29. Clegg A, Young J, Iliffe S et al. Frailty in elderly people. Lancet. 2013; 381(9868):752-62.
30. Campbell AJ, Robertson MC, Gardner MM et al. Randomised controlled trial of a general practice programme of home-based exercise to prevent falls in elderly women. Br Med J. 1997; 315: 1065–9.
31. Kumar, Chandan. "Effect of training balance under dual task with fixed and variable priority instructions with balance impairment in institutionalized elderly population." Indian Journal of Physiotherapy and Occupational Therapy. 2014; 8(3):152.
32. Silsupadol P, Lugade V, Shumway-Cook A et al. Training-related changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled trial. Gait Posture. 2009; 29(4):634-
33. Lemke NC, Werner C, Wiloth S et al. Transferability and Sustainability of Motor-Cognitive Dual-Task Training in Patients with Dementia: A Randomized Controlled Trial. Gerontology. 2019; 65(1):68-83.

Yaşlılarda Çift Görev Eğitimiyle Önerilen Ev Egzersizlerinin Fiziksel Aktivite Düzeyi, Yaşam Kalitesi ve Kinezyofobiyle İlişkisinin İncelenmesi

Year 2020, Volume: 3 Issue: 3, 110 - 117, 31.12.2020

Ömer Şevgin Kerem Alptekin

https://doi.org/10.47141/geriatrik.832870

Abstract

Amaç: Yaşlılarda ev egzersizlerinin çift görev eğitimiyle birlikte yapılmasının fiziksel aktivite düzeyi ve yaşam kalitesine etkisini incelemek ve ev egzersizlerinin hareket korkusuna etkisini araştırmaktır.

Gereç ve Yöntemler: Çalışmaya 65 yaş üstü 60 gönüllü katılımcı alındı. Katılımcıların yaş ortalaması 81, yüzde 70’i kadınlardan oluşmaktadır. Katılımcılar randomize kontrollü olarak tek ve çift görev grubu adında 2 eşit gruba ayrıldı. Her iki gruba standart ev egzersiz protokolü uygulanırken; çift görev grubuna ek bilişsel görevler verildi. Katılımcılara haftada 3 gün olacak şekilde 4 hafta boyunda ev ortamında fizyoterapist eşliğinde 45dk’lık 12 seans egzersiz yaptırıldı. İlk seans öncesi ve son seans sonrası katılımcılara Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Yaşlı Modülü, Berg Denge Ölçeği, Düşme Etkinlik Ölçeği, Tampa Kinezyofobi Ölçeği, Yaşlılar için Fiziksel Aktivite Ölçeği, Zamanlı Kalk Yürü Testi ve Montreal Bilişsel Değerlendirme Ölçekleri ile değerlendirme yapıldı.

Bulgular: Gruplar arasında yapılan analizde Berg Denge Ölçeği, Yaşlılar için Fiziksel Aktivite Ölçeği ve Montreal Bilişsel Değerlendirme Ölçeklerinin sonuçları istatistiksel olarak anlamlı bulundu (p<0,05). Tek ve çift görev eğitimi ile yapılan ev egzersizlerinin hareket kaygısı üzerine etkisinin anlamlı olmadığı bulundu (p>0,05).

Sonuç: Çift görev eğitimi ile yapılan ev egzersizleri; tek görev eğitimi ile yapılan ev egzersizlerine göre dengeyi geliştirme, fiziksel aktivite düzeyini arttırma ve bilişsel performansı arttırma konusunda daha başarılıdır. Yaşlılarda ev egzersizlerinin çift görev eğitimi ile birlikte verilmesi bilişsel performansın ve günlük yaşam aktivitelerinde bağımsızlığın artması için olumlu katkı sağlamaktadır.

Keywords

yaşlanma, Ev egzersizleri, çift görev egzersizleri, fiziksel aktivite, geriatrik fizyoterapi

References

1. Conradsson D, Hinton DC, Paquette C. The effects of dual-tasking on temporal gait adaptation and de-adaptation to the split-belt treadmill in older adults. Exp Gerontol. 2019; 125:110655.
2. Eggenberger P, Theill N, Holenstein S et al. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults: a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up. Clin Interv Aging. 2015; 10:1711-32.
3. Fritz NE, Cheek FM, Nichols-Larsen DS. Motor-Cognitive Dual-Task Training in Persons with Neurologic Disorders: A Systematic Review. J Neurol Phys Ther. 2015;39(3):142-53.
4. Falbo S, Condello G, Capranica L et al. Effects of Physical-Cognitive Dual Task Training on Executive Function and Gait Performance in Older Adults: A Randomized Controlled Trial. Biomed Res Int. 2016; 2016:5812092.
5. Guedes RC, Dias RC, Pereira LS et al. Influence of dual task and frailty on gait parameters of older community-dwelling individuals. Braz J Phys Ther. 2014;18(5):445-52.
6. Buckner RL. Memory and executive function in aging and AD: multiple factors that cause decline and reserve factors that compensate. Neuron. 2004; 44(1):195-208.
7. Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy. 2016; 102(1):29-40.
8. Silsupadol P, Shumway-Cook A, Lugade V et al. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Arch Phys Med Rehabil. 2009; 90(3):381-7.
9. Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatr Gerontol Int. 2016; 16(1):89-94.
10. Bohannon RW, DePasquale L. Physical Functioning Scale of the Short-Form (SF) 36: internal consistency and validity with older adults. J Geriatr Phys Ther. 2010; 33(1):16-8.
11. Güngen C, Ertan T, Eker E. Standardize Mini Mental Test‟in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi. 2002; 13:273-81.
12. Eser S., Saatli G., Eser E et al. The reliability and validity of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turk Psikiyatri Dergisi. 2010; 21(1): 1-10.
13. Sahin F., Yilmaz, F., Ozmaden, A et al. Reliability and Validity of the Turkish version of The Berg Balance Scale. Journal of Geriatric Physical Therapy. 2008; 31(1): 32-37.
14. Ağırcan D. Tinetti Balance and Gait Assessment'ın (Tinetti Denge ve Yürüme Değerlendirmesi) Türkçeye uyarlanması, geçerlilik ve güvenilirliği. Yüksek lisans tezi. Pamukkale Üniversitesi Sağlık Bilimleri Enstitüsü. Denizli. 2009.
15. Yılmaz ÖT, Yakut Y, Uygur F et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve Test-tekrar Test Güvenirliği. Fizyoterapi Rehabilitasyon Dergisi. 2011; 22:44–49.
16. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2): 142-8.
17. Ayvat E, Kılınç M, Kırdı N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turkish Journal of Medical Sciences. 2017; 47: 908-915.
18. Akın B. ve Lök N. Yaşlılarda Düşme Yönünden Ev içi Çevre Özellikleri Değerlendirme Formunun Geçerlilik ve Güvenilirliği. Akademik Geriatri Dergisi. 2012; 4:142-151.
19. Kaya Y, Aki O. Validation of Montreal Cognitive Assessment and Discriminant Power of Montreal Cognitive Assessment Subtests in Patients with Mild Cognitive Impairment and Alzheimer Dementia in Turkish Population. J Geriatr psych and neuoro. 2014; 27(2): 54-55.
20. Galloza J, Castillo B, Micheo W. Benefits of Exercise in the Older Population. Phys Med Rehabil Clin N Am. 2017; 28(4):659-669.
21. Gobbo S, Bergamin M, Sieverdes JC et al. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Arch Gerontol Geriatr. 2014; 58(2):177-87.
22. Çakar M, Cankurtaran M., Geriatri ve Gerontoloji. Geraiatrik Populasyonda kas iskelet sistemindeki fizyolojik değişimler. MN Medikal & Nobel yayınları. 2006; 645-655.
23. Fredman ML, Berk BZ., Rehabilitation medicine. Medikal management of geriatric rehabilitation, 1998; 384-420.
24. LaMonte MJ, Buchner DM, Rillamas-Sun E et al. Accelerometer-Measured Physical Activity and Mortality in Women Aged 63 to 99. J Am Geriatr Soc. 2018; 66(5):886-894.
25. Martinez-Gomez D, Guallar-Castillon P, Garcia-Esquinas E et al. Physical Activity and the Effect of Multimorbidity on All-Cause Mortality in Older Adults. Mayo Clin Proc. 2017; 92(3):376-382.
26. Barnes DE, Mehta KM, Boscardin WJ et al. Prediction of recovery, dependence or death in elders who become disabled during hospitalization. J Gen Intern Med. 2013; 28(2):261-8.
27. Logan GD, Schulkind MD. Parallel memory retrieval in dual-task situations: I. Semantic memory. J Exp Psychol Hum Percept Perform. 2000; 26(3):1072-90.
28. Azadian E, Torbati HR, Kakhki AR et al. The effect of dual task and executive training on pattern of gait in older adults with balance impairment: A Randomized controlled trial. Arch Gerontol Geriatr. 2016; 62:83-9.
29. Clegg A, Young J, Iliffe S et al. Frailty in elderly people. Lancet. 2013; 381(9868):752-62.
30. Campbell AJ, Robertson MC, Gardner MM et al. Randomised controlled trial of a general practice programme of home-based exercise to prevent falls in elderly women. Br Med J. 1997; 315: 1065–9.
31. Kumar, Chandan. "Effect of training balance under dual task with fixed and variable priority instructions with balance impairment in institutionalized elderly population." Indian Journal of Physiotherapy and Occupational Therapy. 2014; 8(3):152.
32. Silsupadol P, Lugade V, Shumway-Cook A et al. Training-related changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled trial. Gait Posture. 2009; 29(4):634-
33. Lemke NC, Werner C, Wiloth S et al. Transferability and Sustainability of Motor-Cognitive Dual-Task Training in Patients with Dementia: A Randomized Controlled Trial. Gerontology. 2019; 65(1):68-83.

There are 33 citations in total.

Details

Primary Language	English
Subjects	Clinical Sciences
Journal Section	Original Research
Authors	Ömer Şevgin 0000-0003-2145-5939 Kerem Alptekin 0000-0003-2429-5651
Publication Date	December 31, 2020
Submission Date	November 28, 2020
Acceptance Date	December 29, 2020
Published in Issue	Year 2020 Volume: 3 Issue: 3

Cite

APA	Şevgin, Ö., & Alptekin, K. (2020). Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia. Geriatrik Bilimler Dergisi, 3(3), 110-117. https://doi.org/10.47141/geriatrik.832870
AMA	Şevgin Ö, Alptekin K. Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia. JoGS. December 2020;3(3):110-117. doi:10.47141/geriatrik.832870
Chicago	Şevgin, Ömer, and Kerem Alptekin. “Investigation of the Relationship of Recommended Home Exercises With Dual-Task Training for the Elderly With Physical Activity Level, Life Quality and Kinesiophobia”. Geriatrik Bilimler Dergisi 3, no. 3 (December 2020): 110-17. https://doi.org/10.47141/geriatrik.832870.
EndNote	Şevgin Ö, Alptekin K (December 1, 2020) Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia. Geriatrik Bilimler Dergisi 3 3 110–117.
IEEE	Ö. Şevgin and K. Alptekin, “Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia”, JoGS, vol. 3, no. 3, pp. 110–117, 2020, doi: 10.47141/geriatrik.832870.
ISNAD	Şevgin, Ömer - Alptekin, Kerem. “Investigation of the Relationship of Recommended Home Exercises With Dual-Task Training for the Elderly With Physical Activity Level, Life Quality and Kinesiophobia”. Geriatrik Bilimler Dergisi 3/3 (December 2020), 110-117. https://doi.org/10.47141/geriatrik.832870.
JAMA	Şevgin Ö, Alptekin K. Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia. JoGS. 2020;3:110–117.
MLA	Şevgin, Ömer and Kerem Alptekin. “Investigation of the Relationship of Recommended Home Exercises With Dual-Task Training for the Elderly With Physical Activity Level, Life Quality and Kinesiophobia”. Geriatrik Bilimler Dergisi, vol. 3, no. 3, 2020, pp. 110-7, doi:10.47141/geriatrik.832870.
Vancouver	Şevgin Ö, Alptekin K. Investigation of the Relationship of Recommended Home Exercises with Dual-Task Training for the Elderly with Physical Activity Level, Life Quality and Kinesiophobia. JoGS. 2020;3(3):110-7.

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