Rhythm-Motor Dual Task Intervention for Fall Prevention in Healthy Older Adults

Soo Ji Kim, Ga Eul Yoo, Soo Ji Kim, Ga Eul Yoo

Abstract

This study aimed to investigate the effects of a rhythm-motor dual task intervention on cognitive and gait control for older adults in relation to fall prevention. Ten healthy older adults participated in a rhythm-motor dual task intervention and 10 participated in the control group. The intervention group received 16 30-min intervention sessions for 8 weeks. During the intervention sessions, participants engaged in walking or bimanual tapping as a primary motor task with concurrent rhythm tasks including playing instruments and rhythmic chanting or singing. At pretest and post-test, measures of cognition, balance/mobility, and gait were administered. A significant difference between groups was found for part B of the Trail Making Test (TMT-B) measure that involved executive control of attention. Also, changes in the gait ratio in the dual task condition of walking while playing an instrument were significantly different between groups. The findings in this study support the use of the rhythm-motor dual task intervention for increasing available cognitive resources and improving gait control, which are critical factors in fall prevention.

Keywords: dual task; fall prevention; healthy elderly; instrument playing; music intervention.

Copyright © 2020 Kim and Yoo.

Figures

FIGURE 1
FIGURE 1
Changes in TMT-B and gait ratio measures in the intervention and control groups. Panel A shows the changes in time to complete the TMT-B test, and panel B shows the changes in gait ratio measures.

References

    1. Agmon M., Belza B., Nguyen H. Q., Logsdon R. G., Kelly V. E. (2014). A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults. Clin. Interv. Aging 9 477–492. 10.2147/CIA.S54978
    1. Al-Yahya E., Dawes H., Smith L., Dennis A., Howells K., Cockburn J. (2011). Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci. Biobehav. Rev. 35 715–728. 10.1016/j.neubiorev.2010.08.008
    1. Amboni M., Barone P., Hausdorff J. M. (2013). Cognitive contributions to gait and falls: evidence and implications. Mov. Disord. 28 1520–1533. 10.1002/mds.25674
    1. Arbuthnott K., Frank J. (2000). Trail Making Test, part B as a measure of executive control: validation using a set-switching paradigm. J. Clin. Exp. Neuropsychol. 22 518–528. 10.1076/1380-3395(200008)22:4;1-0;FT518
    1. Ashendorf L., McCaffrey R. J. (2008). Exploring age-related decline on the Wisconsin Card Sorting Test. Clin. Neuropsychol. 22 262–272. 10.1080/13854040701218436
    1. Baumann S., Koeneke S., Meyer M., Jäncke L. (2005). A network for sensory-motor integration: what happens in the auditory cortex during piano playing without acoustic feedback? Ann. N. Y. Acad. Sci. 1060 186–188. 10.1196/annals.1360.038
    1. Beauchet O., Annweiler C., Allali G., Berrut G., Herrmann F. R., Dubost V. (2008). Recurrent falls and dual task-related decrease in walking speed: is there a relationship? J. Am. Geriatr. Soc. 56 1265–1269. 10.1111/j.1532-5415.2008.01766.x
    1. Cesari M., Kritchevsky S. B., Penninx B. W. H. J., Nicklas B. J., Simonsick E. M., Newman A. B., et al. (2005). Prognostic value of usual gait speed in well-functioning older people – results from the health, aging and body composition study. J. Am. Geriatr. Soc. 53 1675–1680. 10.1111/j.1532-5415.2005.53501.x
    1. Chu Y. H., Tang P. F., Peng Y. C., Chen H. Y. (2013). Meta-analysis of type and complexity of a secondary task during walking on the prediction of elderly falls. Geriatr. Gerontol. Int. 13 289–297. 10.1111/j.1447-0594.2012.00893.x
    1. Crossley M., Hiscock M., Foreman J. B. (2004). Dual-task performance in early stage dementia: differential effects for automated and effortful processing. J. Clin. Exp. Neuropsychol. 26 322–346. 10.1080/13803390490510068
    1. Espy D. D., Yang F., Bhatt T., Pai Y. C. (2010). Independent influence of gait speed and step length on stability and fall risk. Gait Posture 32 378–382. 10.1016/j.gaitpost.2010.06.013
    1. Hak L., Houdijk H., Beek P. J., van Daieën J. H. (2013). Steps to take to enhance gait stability: the effects of stride frequency, stride length, and walking speed on local dynamic stability and margins of stability. PLoS One 8:e282842. 10.1371/journal.pone.0082842
    1. Hausdorff J. M., Yogev G., Springer S., Simon E. S., Gliadi N. (2005). Walking is more like catching than tapping: gait in the elderly as a complex cognitive task. Exp. Brain Res. 164 541–548. 10.1007/s00221-005-2280-3
    1. Heaton R. K. (1981). Wisconsin Card Sorting Test Manual. Odessa, FL: Psychological Assessment Resources, Inc.
    1. Ijmker T., Lamoth C. J. C. (2012). Gait and cognition: the relationship between gait stability and variability with executive function in persons with and without dementia. Gait Posture 35 126–130. 10.1016/j.gaitpost.2011.08.022
    1. Karlsson M. K., Magnusson H., von Schewelov T., Resengren B. E. (2011). Prevention of falls in the elderly: a review. Osteoporos. Int. 24 747–762. 10.1007/s00198-012-2256-7
    1. Kim S. J., Cho S. R., Yoo G. E. (2017a). Age-related changes in bimanual instrument playing with rhythmic cueing. Front. Psychol. 8:1569. 10.3389/fpsyg.2017.01569
    1. Kim S. J., Cho S. R., Yoo G. E. (2017b). The applicability of rhythm-motor tasks to a new dual task paradigm for older adults. Front. Neurol. 8:671. 10.3389/fneur.2017.00671
    1. Neider M. B., Gaspar J. G., McCarley J. S., Crowell J. A., Kaczmarski H., Kramer A. F. (2011). Walking and talking: dual-task effects on street crossing behavior in older adults. Psychol. Aging 26 260–268. 10.1037/a0021566
    1. Oswald W. D., Gunzelmann T., Rupprecht R., Hagen B. (2006). Differential effects of single versus combined cognitive and physical training with older adults: the SimA study in a 5-year perspective. Eur. J. Ageing 3:179. 10.1007/s10433-006-0035-z
    1. Peper C. L., Oorthuizen J. K., Roerdink M. (2012). Attentional demands of cued walking in healthy young and elderly adults. Gait Posture 36 378–382. 10.1016/j.gaitpost.2012.03.032
    1. Powell L. E., Myers A. M. (1995). The activities-specific balance confidence (ABC) scale. J. Gerontol. A. Biol. Sci. Med. Sci. 50 M28–M34. 10.1093/gerona/50A.1.M28
    1. Reitan R. M. (1956). Trail Making Test: Manual for Administration, Scoring, and Interpretation. Indianapolis, IN: Indiana University.
    1. Rubenstein L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35 ii37–ii41. 10.1093/ageing/afl084
    1. Särkämö T., Altenmuller E., Rodriguez-Fornells A., Peretz I. (2016). Music, brain, and rehabilitation: emerging therapeutic applications and potential neural mechanisms. Front. Hum. Neurosci. 10:103. 10.3389/fnhum.2016.00103
    1. Schaefer S., Schellenbach M., Lindenberger U., Woollacott M. (2015). Walking in high-risk settings: do older adults still prioritize gait when distracted by a cognitive task? Exp. Brain Res. 233 79–88. 10.1007/s00221-014-4093-8
    1. Shumway-Cook A., Woolacott M., Kerns K. A., Baldwin M. (1997). The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J. Gerontol. A. Biol. Sci. Med. Sci. 52 232–240. 10.1093/gerona/52A.4.M232
    1. Silsupadol P., Shumway-Cook A., Lugade V., van Donkelaar P., Chou L., Mayr U., et al. (2009). Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Arch. Phys. Med. Rehabil. 90 381–387. 10.1016/j.apmr.2008.09.559
    1. Terrier P., Dériaz O. (2013). Nonlinear dynamics of human locomotion: effects of rhythmic auditory cueing on local dynamic stability. Front. Psychol. 4:230 10.3389/fphys.2013.00230
    1. van Iersel M. B., Verbeek A. L. M., Bloem B. R., Munneke M., Esselink R. A. J., Olde Rikkert M. G. M. (2006). Frail elderly patients with dementia go too fast. J. Neurol. Neurosurg. Psychiatry 77 874–876. 10.1136/jnnp.2005.084418
    1. Verghese J., Kuslansky G., Holtzer R., Katz M., Xue X., Buschke H., et al. (2007). Walking while talking: effect of task prioritization in the elderly. Am. J. Phys. Med. Rehabil. 88 50–53. 10.1016/j.apmr.2006.10.007Get
    1. Yogev-Seligmann G., Hausdorff J. M., Giladi N. (2008). The role of executive function and attention in gait. Mov. Disord. 23 329–342. 10.1002/mds.21720
    1. Zatorre R. J., Chen J. L., Penhune V. B. (2007). When the brain plays music: auditory–motor interactions in music perception and production. Nat. Rev. Neurosci. 8 547–558. 10.1038/nrn2152

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