Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis

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Ghai, Shashank; Ghai, Ishan; Effenberg, Alfred O.: Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. In: Clinical Interventions in Aging 12 (2017), S. 557-577. DOI: https://doi.org/10.2147/CIA.S125201

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Sum total of downloads: 438




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Abstract: 
The use of dual-task training paradigm to enhance postural stability in patients with balance impairments is an emerging area of interest. The differential effects of dual tasks and dual-task training on postural stability still remain unclear. A systematic review and meta-analysis were conducted to analyze the effects of dual task and training application on static and dynamic postural stability among various population groups. Systematic identification of published literature was performed adhering to Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, from inception until June 2016, on the online databases Scopus, PEDro, MEDLINE, EMBASE, and SportDiscus. Experimental studies analyzing the effects of dual task and dual-task training on postural stability were extracted, critically appraised using PEDro scale, and then summarized according to modified PEDro level of evidence. Of 1,284 records, 42 studies involving 1,480 participants met the review's inclusion criteria. Of the studies evaluating the effects of dual-task training on postural stability, 87.5% of the studies reported significant enhancements, whereas 30% of the studies evaluating acute effects of dual tasks on posture reported significant enhancements, 50% reported significant decrements, and 20% reported no effects. Meta-analysis of the pooled studies revealed moderate but significant enhancements of dual-task training in elderly participants (95% CI: 1.16-2.10) and in patients suffering from chronic stroke (-0.22 to 0.86). The adverse effects of complexity of dual tasks on postural stability were also revealed among patients with multiple sclerosis (-0.74 to 0.05). The review also discusses the significance of verbalization in a dual-task setting for increasing cognitive-motor interference. Clinical implications are discussed with respect to practical applications in rehabilitation settings.
License of this version: CC BY-NC 3.0 Unported
Document Type: Article
Publishing status: publishedVersion
Issue Date: 2017
Appears in Collections:Philosophische Fakultät

distribution of downloads over the selected time period:

downloads by country:

pos. country downloads
total perc.
1 image of flag of Germany Germany 282 64.38%
2 image of flag of United States United States 63 14.38%
3 image of flag of France France 14 3.20%
4 image of flag of Canada Canada 12 2.74%
5 image of flag of China China 7 1.60%
6 image of flag of Russian Federation Russian Federation 6 1.37%
7 image of flag of United Kingdom United Kingdom 6 1.37%
8 image of flag of India India 5 1.14%
9 image of flag of No geo information available No geo information available 3 0.68%
10 image of flag of Indonesia Indonesia 3 0.68%
    other countries 37 8.45%

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