Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 381-387 , March 2009

Effects of Single-Task Versus Dual-Task Training on Balance Performance in Older Adults: A Double-Blind, Randomized Controlled Trial

  • Patima Silsupadol, PT, PhD

      Affiliations

    • Department of Physical Therapy, The Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
    • Department of Human Physiology, University of Oregon, Eugene, OR
    • Corresponding Author InformationReprint requests to Patima Silsupadol, PT, PhD, Dept of Physical Therapy, The Faculty of Associated Medical Sciences, Chiang Mai University, 110 Intawarorot Rd, Sripoom, Chiang Mai, Thailand, 50200
  • ,
  • Anne Shumway-Cook, PT, PhD

      Affiliations

    • Department of Rehabilitation Medicine, University of Washington, Seattle, WA
  • ,
  • Vipul Lugade, MS

      Affiliations

    • Department of Human Physiology, University of Oregon, Eugene, OR
  • ,
  • Paul van Donkelaar, PhD

      Affiliations

    • Department of Human Physiology, University of Oregon, Eugene, OR
  • ,
  • Li-Shan Chou, PhD

      Affiliations

    • Department of Human Physiology, University of Oregon, Eugene, OR
  • ,
  • Ulrich Mayr, PhD

      Affiliations

    • Department of Psychology, University of Oregon, Eugene, OR
  • ,
  • Marjorie H. Woollacott, PhD

      Affiliations

    • Department of Human Physiology, University of Oregon, Eugene, OR

  • Image Result

    Flow diagram of participant progress through phases of randomized controlled trial.

    Flow diagram of participant progress through phases of randomized controlled trial.

  • Image Result

    Bar graph of change (posttesting – baseline) on self-selected walking speed under a dual-task condition (walking + mathematics task) by group (mean ± SE). Solid bar represents single-task balance trai

    Bar graph of change (posttesting – baseline) on self-selected walking speed under a dual-task condition (walking + mathematics task) by group (mean ± SE). Solid bar represents single-task balance training group (ST); lined bar represents dual-task training with fixed-priority instructions (FP); hatched bar represents dual-task training with variable-priority instructions (VP). Significant baseline to postintervention changes indicated by asterisk above bar. Group differences indicated by horizontal lines above bars, with a nonsignificant difference designated by NS.

  • Image Result
    Scatter plot with line of equivalence of self-selected walking speed under a dual-task condition (walking + mathematics task) before and after the training. Circle represents the single-task balance t

    Scatter plot with line of equivalence of self-selected walking speed under a dual-task condition (walking + mathematics task) before and after the training. Circle represents the single-task balance training group (ST); triangle represents the dual-task training with fixed-priority instructions (FP); rectangle represents the dual-task training with variable-priority instructions (VP). Participants above the line of equivalence improved after training.

 Supported by the National Institutes of Health (grant no. AG 021598).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01675-4

doi: 10.1016/j.apmr.2008.09.559

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 381-387 , March 2009