Age-related changes in attentional capacity and the ability to multi-task as a predictor for falls in adults aged 75 years and older

Journal of Physical Therapy Science

Volumn 22, Issue 3, 2010, Pages 323-329

  Makizako, Hyuma ^a   Furuna, Taketo ^b   Shimada, Hiroyuki ^c   Ihira, Hikaru ^b   Kimura, Mika ^d   Oddsson, LARS I E ^e   Suzuki, Takao ^a  

^a NATIONAL CENTER FOR GERIATRICS AND GERONTOLOGY   (Japan)

^b SAPPORO MEDICAL UNIVERSITY   (Japan)

^c TOKYO METROPOLITAN INSTITUTE OF GERONTOLOGY   (Japan)

^d International Life Sciences Institute Japan   (Japan)

^e Sister Kenny Rehabilitation Institute   (United States)

Author keywords

Dual task paradigm; Falling; Reaction time

Indexed keywords

EID: 78149252973     PISSN: 09155287     EISSN: None     Source Type: Journal    
DOI: 10.1589/jpts.22.323     Document Type: Article

References (29)

1. Tinetti ME, Speechley M, Ginter SF: Risk factors for falls among elderly persons living in the community. N Eng J Med, 1988, 319: 1701-1707.
2. Downton JH, Andrews K: Prevalence, characteristics and factors associated with falls among the elderly living at home. Aging, 1991, 3: 219-228.
3. Faulkner KA, Redfern MS, Cauley JA, et al.: Multitasking: association between poorer performance and a history of recurrent falls. J Am Geriatr Soc, 2007, 55: 570-576.
4. Pashler H: Dual-task interference in simple tasks: data and theory. Psychol Bull, 1994, 116: 220-244.
5. Woollacott M, Shumway-Cook A: Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture, 2002, 16: 1-14.
6. Lundin-Olsson L, Nyberg L, Gustafson Y: "Stops walking when talking" as a predictor of falls in elderly people. Lancet, 1997, 349: 617.
7. McCulloch KL, Mercer V, Giuliani C, et al.: Development of a clinical measure of dual-task performance in walking: reliability and preliminary validity of the Walking and Remembering Test. J Geriatr Phys Ther, 2009, 32: 2-9.
8. Shumway-Cook A, Brauer S, Woollacott M: Predicting the probability for falls in communitydwelling older adults using the Timed Up and Go Test. Phys Ther, 2000, 80: 896-903.
9. Verghese J, Buschke H, Viola L, et al.: Validity of divided attention tasks in predicting falls in older individuals: a preliminary study. J Am Geriatri Soc, 2002, 50: 1572-1576.
10. Bloem BR, Valkenburg VV, Slabbekoorn M, et al.: The multiple tasks test: development and normal strategies. Gait Posture, 2001, 14: 191-202.
11. Bloem BR, Grimbergen YAM, Cramer M, et al.: "Stops walking when talking" does not predict falls in Parkinson's disease. Ann Neurol, 2000, 48: 268.
12. Melzer I, Kurz I, Shahar D, et al.: Application of the voluntary step execution test to identify elderly fallers. Age Ageing, 2007, 36: 532-537.
13. Melzer I, Tzedek I, Or M, et al.: Speed of voluntary stepping in chronic stroke survivors under single- and dual-task conditions: a case-control study. Arch Phys Med Rehabil, 2009, 90: 927-933.
14. Zijlstra A, Ufkes T, Skelton DA, et al.: Do dual tasks have an added value over single tasks for balance assessment in fall prevention programs? A minireview. Gerontology, 2006, 54: 40-49.
15. Bootsma-van der Wiel A, Gussekloo J, de Craen A, et al.: Walking and talking as predictors of falls in the general population: the Leiden 85-Plus Study. J Am Geriatr Soc, 2003, 51: 1466-1471.
16. Koyano W, Shibata H, Nakazato K, et al.: Measurement of competence: reliability and validity of the TMIG Index of Competence. Arch Gerontol Geriatr, 1991, 13: 103-116.
17. Makizako H, Furuna T, Shimada H, et al.: Association between a history of falls and the ability to multi-task in community-dwelling older people. Aging Clin Exp Res (in press).
18. Schisterman EF, PerkinsNJ, Liu A, et al.: Optimal cutpoint and its corresponding Youden Index to discriminate individuals using pooled blood samples. Epidemiology, 2005, 16: 73-81.
19. Bergland A, Pettersen AM, Laake K: Falls reported among elderly Norwegians living at home. Physiother Res Int, 1998, 3: 164-174.
20. Shumway-Cook A, Woollacott M: Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci, 2000, 55: M10-M16.
21. Springer S, Giladi N, Peretz C, et al.: Dual-tasking effects on gait variability: the role of aging, falls, and executive function. Mov Disord, 2006, 21: 950-957.
22. Melzer I, Oddsson LI: The effect of a cognitive task on voluntary step execution in healthy elderly and young individuals. J Am Geriatr Soc, 2004, 52: 1255-1262.
23. Meyer DE, Kieras DE: A computational theory of executive cognitive processes and multiple-task performance: I. Basic mechanisms. Psychol Rev, 1997, 104: 3-65.
24. Crossley M, Hiscock M: Age-related differences in concurrent-task performance of normal adults: evidence for a decline in processing resources. Psych Aging, 1992, 7: 499-506.
25. Beauchet O, Annweiler C, Dubost V, et al.: Stops walking when talking: a predictor of falls in older adults? Eur J Neurol, 2009, 16: 786-795.
26. Beauchet O, Dubost V, Allali G, et al.: "Faster counting while walking" as a predictor of falls in older adults. Age Aging, 2007, 36: 418-423.
27. Beauchet O, Allali G, Annweiler C, et al.: Does change in gait while counting backward predict the occurrence of a first fall in older adults? Gerontology, 2008, 54: 217-223.
28. Lajoie Y, Teasdale N, Bard C, et al.: Attentional demands for static and dynamic equilibrium. Exp Brain Res, 1993, 97: 139-144.
29. Schmidt RA, Lee TD: Attention and performance. In: Schmidt RA, Lee TD (ed), Motor Control and Learning: A Behavioral Emphasis, fourth edition. Champaign, IL: Human Kinetics, 2005, pp 89-122.