Effect of a Dual Task Training Protocol on the Functionality of Physically Active Elderly
Abstract
Introduction: Physically active elderly people have more conserved physical and mental capacities, so interventions proposed for this group should be more challenging. Objective: To evaluate the effect of functional training based on dual task concepts on the functionality of physically active elderly people. Method: It`s a controlled clinical trial with random allocation of 11 physically active elderly, who were divided into two intervention groups: the conventional (CON) one (n=4) and the sensory-cognitive-motor (SMC) one (n=7), which carried out on a track with multiple stimuli. The interventions were performed twice a week lasting 40 minutes, for nine weeks. The physical aspects of functionality were evaluated by applying the simple Timed Up and Go Test, modified Timed Up and Go (dual-task), Berg Balance Scale, Short Physical Performance Battery, Falls Efficacy Scale, dynamometry, manovacuometry, fingertip-to-floor distance and the Instrumental Activities of Daily Living Scale. Comparison between groups was performed using the Student's t test (normal distribution) and the Mann-Whitney U test (non-normal). Results: There was a significant and clinically relevant difference between the groups for the Berg Balance Scale (p=0.03; d=1.42), and Grip Force (p=0.03; d=-1.66); and a clinically relevant difference between groups for respiratory pressures (inspiratory: p=0.07; d=1.29 / expiratory: p=0.07; d=1.29). Conclusion: The effects of sensory-cognitive-motor protocol demonstrated greater potential for effectiveness on respiratory conditioning and balance of physically active elderly, when compared to a conventional intervention. While for the functionality, the effects are positively similar between the two proposals used.
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