Cognitive-based interventions to improve mobility: a systematic review and meta-analysis

16/05/2018

Source: Journal of the American medical Directors Association

Follow this link for the abstract

Date of publication: 19th April 2018

 Publication type: Journal article

In a nutshell: The objective of this study was to review the existing literature on cognitive-based interventions aimed at improving mobility in older adults and assess the clinical effectiveness of cognitive interventions on gait performance.

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

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Functional measures show improvements after a home exercise program following supervised balance training in older adults with elevated fall risk

11/04/2018

Source: Physiotherapy Theory and Practice

Follow this link for the abstract

Date of publication: 5th March 2018

 Publication type: Journal article

In a nutshell: The study investigated the effects of a 12-week unsupervised HEP following supervised clinic-based balance training on functional mobility, balance, fall risk, and gait.

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Step length determines minimum toe clearance in older adults and people with Parkinson’s disease

18/01/2018

Source: Journal of Biomechanics, 2017, online

Follow this link for the abstract

Date of publication: December 2017

Publication type: Journal article

In a nutshell: Reduced foot clearance when walking may increase the risk of trips and falls in people with Parkinson’s disease (PD). Changes in foot clearance in PD are likely to be associated with temporal-spatial characteristics of gait such as walking slowly which evokes alterations in the temporal-spatial control of stepping patterns. Enhancing the understanding of the temporal-spatial determinants of foot clearance may inform the design of falls prevention therapies. Results suggest step length is the primary determinant of MTC regardless of pathology. Interventions that focus on increasing step length may help to reduce the risk of trips and falls during gait, however, clinical trials are required for robust evaluation.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Physical-cognitive training enhances posture during life tasks in older adults

17/10/2017

Source: Experimental Gerontology, 2017, online

Follow this link for the abstract

Date of publication: September 2017

Publication type: Journal article

In a nutshell: Physical-cognitive interventions seem promising to improve balance and gait performances and prevent falls in the elderly. Although these beneficial effects, it is still not clear whether these physical-cognitive training modalities leads to more general non-specific adaptations that can be transferred to some measures reflecting every day abilities.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Does dual task training improve walking performance of older adults with concern of falling?

17/10/2017

Source: BMC Geriatrics

Follow this link for the abstract

Date of publication: 11 September 2017

Publication type: Journal article

In a nutshell: Older adults with concerns of falling show decrements of gait stability under single (ST) and dual task (DT) conditions. The aim of this study is to compare the effects of a DT training integrating task managing strategies for independent living older adults with and without concern about falling (CoF) to a non-training control group on walking performance under ST and DT conditions.

Length of publication: 9 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

 


The effects of haptic input on biomechanical and neurophysiological parameters of walking

15/09/2017

Source: Gait and Posture, 2107, Vol 58 p. 232-239

Follow this link for the abstract

Date of publication: October 2017

Publication type: Journal article

In a nutshell: Walking requires sensorimotor integration to be successful. Adding haptic input via light touch or anchors has been shown to improve standing balance, but its effects on walking are not clear. This scoping review summarises the current evidence for haptic input on walking in adults. Results show that adding haptic input changes walking behaviour. In particular, there is an immediate reduction in variability of gait step parameters and whole body stability, as well as a decrease in lower limb muscle activity. However, more investigation is needed.

Length of publication: 7 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Dance movement therapy and falls prevention

16/06/2017

Source: Maturitas, 2017, Vol 102 p. 1-5

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Date of publication: August 2017

Publication type: Journal article

In a nutshell: Dance is a popular form of physical activity among older people which may improve various health outcomes in this population such as balance, gait and muscle performance. This study conducted a systematic review considering all RCTs investigating if dance can reduce falls and improve fear of falling in older adults. In two out of three RCTs, dancing improved this. However, there is a paucity of studies on dancing and falls, so the evidence is preliminary and equivocal.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this lik to find your local NHS Library.


Dopamine depletion in Parkinsons alters brain processing, impairing gait automaticity

18/04/2017

Source: NeuroImage, 2017, Vol 152 p. 207-220

Follow this link for the abstract

Date of publication: May 2017

Publication type: Journal article

In a nutshell: Impairments in motor automaticity cause patients with Parkinson’s disease to rely on attentional resources during gait, resulting in greater motor variability and a higher risk of falls. Although dopaminergic circuitry is known to play an important role in motor automaticity, little evidence exists on the neural mechanisms underlying the breakdown of locomotor automaticity in Parkinson’s disease. Overall, this study demonstrates that dopamine ameliorates gait automaticity in Parkinson’s disease by altering striatal, limbic and cerebellar processing, thereby informing future therapeutic avenues for gait and falls prevention.

Length of publication: 13 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Adaptive gait responses to an impending fall during treadmill walking

19/10/2016

Source: Gait and Posture, 2016, online

Follow this link for the abstract

Date of publication: September 2016

Publication type: Journal article

In a nutshell: Humans have been shown to adapt their gait when aware of potential slip risks when walking, though it is unknown if these adaptations also happen on a treadmill. This study sought investigate this possibility. It found that humans do adapt their gait when aware of possible risks compared to normal walking, by taking shorter steps and flattening their feet on impact, as well as repositioning their body centre. This could provide insights into dynamic stability control when individuals anticipate potential slip risk when treadmill walking.

Length of publication: 23 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.