The Effects of Dual-Task Training on Dual-Task Skills in Older Adults

Abstract

It is well established that aging is associated with numerous health concerns, including poor balance. Deteriorations in attention demand also place older adults at a greater risk for falls. Emerging experiments have explored the impact of dual-task training programs and have improved dual-tasking in older adults. However, it is unknown whether these performance-related improvements are a function of the intervention itself or the repeated exposure to the testing protocol. Study 1 explored the implications of repeated administration, once per week for 5 weeks, of a protocol involving standing postural sway while concurrently performing reaction time (RT) tasks in older adults. Results revealed that postural sway was stable across testing sessions whereas the difficult RT task gradually improved over time. Study 2 examined the influence of repeated exposure, once per week for 5 weeks, of a protocol involving negotiating a series of obstacles while performing RT tasks in older adults. Participants walked significantly faster with repeated exposure and gradually improved RT. Study 3 investigated the impact of repeated exposure, once per week for 5 weeks, to three functional mobility measures in older adults. It also examined the influence of a 12-week balance and mobility training (BMT) program as well as a 12-week balance and mobility plus cognitive training (BMT+C) program on functional mobility in older adults. Functional mobility served to be stable over time. Both the BMT and BMT+C groups significantly improved functional mobility and sustained these improvements at the 12-week follow-up, while no changes were observed in the control group. No differences between the BMT and BMT+C groups emerged. Experiment 4 examined the influence of BMT and BMT+C on postural sway and RT in older adults. Participants in both training groups significantly improved RT and sustained these improvements at the follow-up, while no changes were observed in the control group. No changes to postural control were shown in any group. No differences between the BMT and BMT+C groups emerged. Experiment 5 examined the influence of BMT and BMT+C on negotiating a series of obstacles while performing RT tasks in older adults. Both the BMT and BMT+C groups significantly improved RT and sustained these improvements at the follow-up, while no changes were observed in the control group. All groups showed faster time to completion of the obstacle series. No differences between the BMT and BMT+C groups emerged. Collectively, these findings suggest that BMT and BMT+C significantly improve functional mobility and divided attention, and sustain these improvements over time. Although some improvements were observed after repeated exposure over 5 weeks, no changes in the control group were observed. Therefore, the improvements exhibited from BMT and BMT+C are likely not a function of repeated exposure to the testing protocol, as participants may be more susceptible to performance-related improvements when the testing sessions are close in proximity. Altogether, these findings propose that, whether or not cognitive training is included, attention demanding dual-task training not only improves functional mobility and RT, but also sustains these improvements over time in older adults. These results may be used to improve the prescription of exercise in older adults.