Effects of single and dual tasks during walking on spatiotemporal gait parameters of community-dwelling older.
Kyeongjin Lee
PMID 29184310WHAT IT FOUND
Walking while carrying a cup with the elbow bent at 90 degrees reduced walking speed and shortened steps in healthy older adults.
The change was largest in people aged 80 to 84. Carrying something while walking may be harder than walking alone.
Key findings
01Gait speed was lower during dual task walking than single task walking: 0.07 m/s at ages 65-69, 0.08 m/s at 70-74, 0.09 m/s at 75-79, and 0.13 m/s at 80-84.
02Stride length was shorter during dual task walking than single task walking: 5.4 cm at ages 65-69, 5.8 cm at 70-74, 8.8 cm at 75-79, and 11.8 cm at 80-84.
03Double limb stance increased during dual task walking, while gait speed and stride length decreased compared with single task walking.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Participants walked at their own selected speed, not at maximum speed, so the results do not describe their maximum walking ability. All participants were healthy community-dwelling older adults who could walk 50 m without an assistive device and scored 24 or more on the Mini-Mental State Examination, so the results may not apply to frailer adults, people who use walking aids, or people with cognitive impairment. The study measured one dual motor task, carrying a tray with a water cup while holding the elbow bent at 90 degrees, so other carrying tasks may produce different changes. It is a cross-sectional measurement study, not a treatment trial, so it cannot show that carrying causes falls or that training improves dual-task walking. Cadence did not differ significantly between age groups or tasks, so the dual-task effect was not seen in every gait measure.
The easy way to misread this
Do not read this as evidence that carrying tasks cause falls or that a dual-task training programme improves walking. The study measured how walking changed during one carrying task in healthy older adults. It did not test falls or treatment effects.