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The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial.
Osteoporos Int. 2016 11; 27(11):3271-3278.OI

Abstract

Osteoporosis is a serious disease characterized by muscle weakness in the lower extremities, shortened length of trunk, and increased dorsal kyphosis leading to poor balance performance. Although balance impairment increases in adults with osteoporosis, falls and fall-related injuries have been shown to occur mainly during the dual-task performance. Several studies have shown that dual-task performance was improved with specific repetitive dual-task exercises.

INTRODUCTION

The aims of this study were to compare the effect of single- and dual-task balance exercise programs on static balance, dynamic balance, and activity-specific balance confidence in adults with osteoporosis and to assess the effectiveness of dual-task balance training on gait speed under dual-task conditions.

METHODS

Older adults (N = 42) (age range, 45-88 years) with osteoporosis were randomly assigned into two groups. Single-task balance training group was given single-task balance exercises for 4 weeks, whereas dual-task balance training group received dual-task balance exercises. Participants received 45-min individualized training session, three times a week. Static balance was evaluated by one-leg stance (OLS) and a kinesthetic ability trainer (KAT) device. Dynamic balance was measured by the Berg Balance Scale (BBS), Time Up and Go (TUG) test, and gait speed. Self-confidence was assessed with the Activities-specific Balance Confidence (ABC-6) scale. Assessments were performed at baseline and after the 4-week program.

RESULTS

At the end of the treatment periods, KAT score, BBS score, time in OLS and TUG, gait speeds under single- and dual-task conditions, and ABC-6 scale scores improved significantly in all patients (p < 0.05). However, BBS and gait speeds under single- and dual-task conditions showed significantly greater improvement in the dual-task balance training group than in the single-task balance training group (p < 0.05). ABC-6 scale scores improved more in the single-task balance training group than in the dual-task balance training group (p < 0.05).

CONCLUSIONS

A 4-week single- and dual-task balance exercise programs are effective in improving static balance, dynamic balance, and balance confidence during daily activities in older adults with osteoporosis. However, single- and dual-task gait speeds showed greater improvement following the application of a specific type of dual-task exercise programs.

CLINICAL TRIAL REGISTRATION NUMBER

24102014-2.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Ufuk University School of Medicine, Mevlana Bulvarı No88 Balgat, 06530, Çankaya, Ankara, Turkey. ecemyildiz711@hotmail.com.Department of Physical Medicine and Rehabilitation, Ufuk University School of Medicine, Mevlana Bulvarı No88 Balgat, 06530, Çankaya, Ankara, Turkey.Department of Physical Medicine and Rehabilitation, Ufuk University School of Medicine, Mevlana Bulvarı No88 Balgat, 06530, Çankaya, Ankara, Turkey.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27234670

Citation

Konak, H E., et al. "The Effect of Single-task and Dual-task Balance Exercise Programs On Balance Performance in Adults With Osteoporosis: a Randomized Controlled Preliminary Trial." Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, vol. 27, no. 11, 2016, pp. 3271-3278.
Konak HE, Kibar S, Ergin ES. The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial. Osteoporos Int. 2016;27(11):3271-3278.
Konak, H. E., Kibar, S., & Ergin, E. S. (2016). The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial. Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 27(11), 3271-3278. https://doi.org/10.1007/s00198-016-3644-1
Konak HE, Kibar S, Ergin ES. The Effect of Single-task and Dual-task Balance Exercise Programs On Balance Performance in Adults With Osteoporosis: a Randomized Controlled Preliminary Trial. Osteoporos Int. 2016;27(11):3271-3278. PubMed PMID: 27234670.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial. AU - Konak,H E, AU - Kibar,S, AU - Ergin,E S, Y1 - 2016/05/27/ PY - 2016/03/09/received PY - 2016/05/17/accepted PY - 2016/5/29/pubmed PY - 2018/4/18/medline PY - 2016/5/29/entrez KW - Balance KW - Dual-task training KW - Gait KW - Osteoporosis KW - Rehabilitation SP - 3271 EP - 3278 JF - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JO - Osteoporos Int VL - 27 IS - 11 N2 - : Osteoporosis is a serious disease characterized by muscle weakness in the lower extremities, shortened length of trunk, and increased dorsal kyphosis leading to poor balance performance. Although balance impairment increases in adults with osteoporosis, falls and fall-related injuries have been shown to occur mainly during the dual-task performance. Several studies have shown that dual-task performance was improved with specific repetitive dual-task exercises. INTRODUCTION: The aims of this study were to compare the effect of single- and dual-task balance exercise programs on static balance, dynamic balance, and activity-specific balance confidence in adults with osteoporosis and to assess the effectiveness of dual-task balance training on gait speed under dual-task conditions. METHODS: Older adults (N = 42) (age range, 45-88 years) with osteoporosis were randomly assigned into two groups. Single-task balance training group was given single-task balance exercises for 4 weeks, whereas dual-task balance training group received dual-task balance exercises. Participants received 45-min individualized training session, three times a week. Static balance was evaluated by one-leg stance (OLS) and a kinesthetic ability trainer (KAT) device. Dynamic balance was measured by the Berg Balance Scale (BBS), Time Up and Go (TUG) test, and gait speed. Self-confidence was assessed with the Activities-specific Balance Confidence (ABC-6) scale. Assessments were performed at baseline and after the 4-week program. RESULTS: At the end of the treatment periods, KAT score, BBS score, time in OLS and TUG, gait speeds under single- and dual-task conditions, and ABC-6 scale scores improved significantly in all patients (p < 0.05). However, BBS and gait speeds under single- and dual-task conditions showed significantly greater improvement in the dual-task balance training group than in the single-task balance training group (p < 0.05). ABC-6 scale scores improved more in the single-task balance training group than in the dual-task balance training group (p < 0.05). CONCLUSIONS: A 4-week single- and dual-task balance exercise programs are effective in improving static balance, dynamic balance, and balance confidence during daily activities in older adults with osteoporosis. However, single- and dual-task gait speeds showed greater improvement following the application of a specific type of dual-task exercise programs. CLINICAL TRIAL REGISTRATION NUMBER: 24102014-2. SN - 1433-2965 UR - https://www.unboundmedicine.com/medline/citation/27234670/The_effect_of_single_task_and_dual_task_balance_exercise_programs_on_balance_performance_in_adults_with_osteoporosis:_a_randomized_controlled_preliminary_trial_ L2 - https://doi.org/10.1007/s00198-016-3644-1 DB - PRIME DP - Unbound Medicine ER -