Changes in dual-task voice reaction time among elders who use assistive devices
Assistive devices are prescribed for a variety of reasons and have the obvious benefit of enhancing gait performance for some individuals. However, the use of an assistive device may make walking a more complex and cognitively challenging task. The purpose of this study was to use a dual-task voice...
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Veröffentlicht in: | Journal of geriatric physical therapy (2001) 2006, Vol.29 (2), p.74-80 |
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description | Assistive devices are prescribed for a variety of reasons and have the obvious benefit of enhancing gait performance for some individuals. However, the use of an assistive device may make walking a more complex and cognitively challenging task. The purpose of this study was to use a dual-task voice reaction time (VRT) paradigm to examine the attentional demands of walking with an assistive device in a group of elderly adults.
Standing and walking VRTs were measured in a sample of 105 elderly adults who ambulated independently with either a rolling walker (RW; mean age = 87.8 +/- 5.5 yrs), a straight cane (SC; mean age = 84.1 +/- 5.6 yrs), or used no device (ND; mean age = 79. 9 +/- 4.5 yrs). A 3 (group) by 2 (task condition) ANOVA with repeated measures on the last factor was used to examine between and within group differences in VRTs.
The main effects of group (p = 0.004) and task (P < 0.001) and the interaction of group with task (P = 0.025) were all statistically significant. There were no statistically significant between group differences in standing VRT. Between group differences appeared during the walking task, VRT for the RW group was significantly longer than for the ND group. When examining within group difference, walking VRT was significantly longer than standing VRT for the SC and RW groups.
The results demonstrated that there is an increase in the attentional demands of walking for elderly adults who are experienced assistive device users. The increased attention required to walk with an assistive device may be a factor leading to increased fall risk. |
doi_str_mv | 10.1519/00139143-200608000-00006 |
format | Article |
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Standing and walking VRTs were measured in a sample of 105 elderly adults who ambulated independently with either a rolling walker (RW; mean age = 87.8 +/- 5.5 yrs), a straight cane (SC; mean age = 84.1 +/- 5.6 yrs), or used no device (ND; mean age = 79. 9 +/- 4.5 yrs). A 3 (group) by 2 (task condition) ANOVA with repeated measures on the last factor was used to examine between and within group differences in VRTs.
The main effects of group (p = 0.004) and task (P < 0.001) and the interaction of group with task (P = 0.025) were all statistically significant. There were no statistically significant between group differences in standing VRT. Between group differences appeared during the walking task, VRT for the RW group was significantly longer than for the ND group. When examining within group difference, walking VRT was significantly longer than standing VRT for the SC and RW groups.
The results demonstrated that there is an increase in the attentional demands of walking for elderly adults who are experienced assistive device users. The increased attention required to walk with an assistive device may be a factor leading to increased fall risk.</description><identifier>ISSN: 1539-8412</identifier><identifier>EISSN: 2152-0895</identifier><identifier>DOI: 10.1519/00139143-200608000-00006</identifier><identifier>PMID: 16914064</identifier><language>eng</language><publisher>United States: Issues on Aging</publisher><subject>Acoustic Stimulation ; Aged ; Aged, 80 and over ; Attention ; Canes ; Cognition & reasoning ; Female ; Gait ; Handicapped assistance devices ; Humans ; Male ; Mobility Limitation ; Older people ; Physical therapy ; Reaction Time ; Response time ; Walkers ; Walking ; Walking - psychology</subject><ispartof>Journal of geriatric physical therapy (2001), 2006, Vol.29 (2), p.74-80</ispartof><rights>Copyright Issues on Aging 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3716-c6b16c75d51818c75103d463d2b914bb5bc7f10e61a168c08dda964a1cc49adf3</citedby><cites>FETCH-LOGICAL-c3716-c6b16c75d51818c75103d463d2b914bb5bc7f10e61a168c08dda964a1cc49adf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16914064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wellmon, Robert</creatorcontrib><creatorcontrib>Pezzillo, Kristen</creatorcontrib><creatorcontrib>Eichhorn, Gilad</creatorcontrib><creatorcontrib>Lockhart, Wendy</creatorcontrib><creatorcontrib>Morris, Jennifer</creatorcontrib><title>Changes in dual-task voice reaction time among elders who use assistive devices</title><title>Journal of geriatric physical therapy (2001)</title><addtitle>J Geriatr Phys Ther</addtitle><description>Assistive devices are prescribed for a variety of reasons and have the obvious benefit of enhancing gait performance for some individuals. However, the use of an assistive device may make walking a more complex and cognitively challenging task. The purpose of this study was to use a dual-task voice reaction time (VRT) paradigm to examine the attentional demands of walking with an assistive device in a group of elderly adults.
Standing and walking VRTs were measured in a sample of 105 elderly adults who ambulated independently with either a rolling walker (RW; mean age = 87.8 +/- 5.5 yrs), a straight cane (SC; mean age = 84.1 +/- 5.6 yrs), or used no device (ND; mean age = 79. 9 +/- 4.5 yrs). A 3 (group) by 2 (task condition) ANOVA with repeated measures on the last factor was used to examine between and within group differences in VRTs.
The main effects of group (p = 0.004) and task (P < 0.001) and the interaction of group with task (P = 0.025) were all statistically significant. There were no statistically significant between group differences in standing VRT. Between group differences appeared during the walking task, VRT for the RW group was significantly longer than for the ND group. When examining within group difference, walking VRT was significantly longer than standing VRT for the SC and RW groups.
The results demonstrated that there is an increase in the attentional demands of walking for elderly adults who are experienced assistive device users. The increased attention required to walk with an assistive device may be a factor leading to increased fall risk.</description><subject>Acoustic Stimulation</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attention</subject><subject>Canes</subject><subject>Cognition & reasoning</subject><subject>Female</subject><subject>Gait</subject><subject>Handicapped assistance devices</subject><subject>Humans</subject><subject>Male</subject><subject>Mobility Limitation</subject><subject>Older people</subject><subject>Physical therapy</subject><subject>Reaction Time</subject><subject>Response time</subject><subject>Walkers</subject><subject>Walking</subject><subject>Walking - psychology</subject><issn>1539-8412</issn><issn>2152-0895</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkE9LAzEQxYMotla_ggQP3lZnNrtpcpTiPyh40XPIJmmburupm92K395oq4KHYYbhvcfjRwhFuMIS5TUAMokFy3IADgIAsjTAD8g4xzLPQMjykIyxZDITBeYjchLjGoAxycQxGSFPbuDFmDzNVrpdukh9S-2g66zX8ZVugzeOdk6b3oeW9r5xVDehXVJXW9dF-r4KdIjpGaOPvd86at02eeIpOVroOrqz_Z6Ql7vb59lDNn-6f5zdzDPDpsgzwyvkZlraEgWKdCAwW3Bm8yo1q6qyMtMFguOokQsDwloteaHRmEJqu2ATcrnL3XThbXCxV42PxtW1bl0YouIiZaKUSXjxT7gOQ9embipHxvNSSpFEYicyXYixcwu16Xyjuw-FoL6Iqx_i6pe4-iaerOf7_KFqnP0z7hGzT3ADesQ</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Wellmon, Robert</creator><creator>Pezzillo, Kristen</creator><creator>Eichhorn, Gilad</creator><creator>Lockhart, Wendy</creator><creator>Morris, Jennifer</creator><general>Issues on Aging</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2R</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Changes in dual-task voice reaction time among elders who use assistive devices</title><author>Wellmon, Robert ; Pezzillo, Kristen ; Eichhorn, Gilad ; Lockhart, Wendy ; Morris, Jennifer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3716-c6b16c75d51818c75103d463d2b914bb5bc7f10e61a168c08dda964a1cc49adf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acoustic Stimulation</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attention</topic><topic>Canes</topic><topic>Cognition & reasoning</topic><topic>Female</topic><topic>Gait</topic><topic>Handicapped assistance devices</topic><topic>Humans</topic><topic>Male</topic><topic>Mobility Limitation</topic><topic>Older people</topic><topic>Physical therapy</topic><topic>Reaction Time</topic><topic>Response time</topic><topic>Walkers</topic><topic>Walking</topic><topic>Walking - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wellmon, Robert</creatorcontrib><creatorcontrib>Pezzillo, Kristen</creatorcontrib><creatorcontrib>Eichhorn, Gilad</creatorcontrib><creatorcontrib>Lockhart, Wendy</creatorcontrib><creatorcontrib>Morris, Jennifer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of geriatric physical therapy (2001)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wellmon, Robert</au><au>Pezzillo, Kristen</au><au>Eichhorn, Gilad</au><au>Lockhart, Wendy</au><au>Morris, Jennifer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in dual-task voice reaction time among elders who use assistive devices</atitle><jtitle>Journal of geriatric physical therapy (2001)</jtitle><addtitle>J Geriatr Phys Ther</addtitle><date>2006</date><risdate>2006</risdate><volume>29</volume><issue>2</issue><spage>74</spage><epage>80</epage><pages>74-80</pages><issn>1539-8412</issn><eissn>2152-0895</eissn><abstract>Assistive devices are prescribed for a variety of reasons and have the obvious benefit of enhancing gait performance for some individuals. However, the use of an assistive device may make walking a more complex and cognitively challenging task. The purpose of this study was to use a dual-task voice reaction time (VRT) paradigm to examine the attentional demands of walking with an assistive device in a group of elderly adults.
Standing and walking VRTs were measured in a sample of 105 elderly adults who ambulated independently with either a rolling walker (RW; mean age = 87.8 +/- 5.5 yrs), a straight cane (SC; mean age = 84.1 +/- 5.6 yrs), or used no device (ND; mean age = 79. 9 +/- 4.5 yrs). A 3 (group) by 2 (task condition) ANOVA with repeated measures on the last factor was used to examine between and within group differences in VRTs.
The main effects of group (p = 0.004) and task (P < 0.001) and the interaction of group with task (P = 0.025) were all statistically significant. There were no statistically significant between group differences in standing VRT. Between group differences appeared during the walking task, VRT for the RW group was significantly longer than for the ND group. When examining within group difference, walking VRT was significantly longer than standing VRT for the SC and RW groups.
The results demonstrated that there is an increase in the attentional demands of walking for elderly adults who are experienced assistive device users. The increased attention required to walk with an assistive device may be a factor leading to increased fall risk.</abstract><cop>United States</cop><pub>Issues on Aging</pub><pmid>16914064</pmid><doi>10.1519/00139143-200608000-00006</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Acoustic Stimulation Aged Aged, 80 and over Attention Canes Cognition & reasoning Female Gait Handicapped assistance devices Humans Male Mobility Limitation Older people Physical therapy Reaction Time Response time Walkers Walking Walking - psychology |
title | Changes in dual-task voice reaction time among elders who use assistive devices |
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