Toplumda yaşayan yaşlılarda kognitif ve motor fonksiyonlar ile ikili görev performansı arasındaki ilişki: cinsiyet farkları
Öz
Yaşlanmaya bağlı olarak motor performans ve bilişsel işlevlerdeki bozulma ile ikili görev performansları bozulabilir. Bu çalışmanın amacı, ikili görev performansındaki cinsiyet farklılıklarını araştırmaktır. Çalışmaya 65-75 yaş arası toplumda yaşayan toplam 82yaşlı yetişkin (41 erkek ve 41 kadın) dahil edildi. Motor performans otur-kalk testi, zamanlı kalk ve yürü testi, 10 m yürüme testi ile değerlendirildi ve bilişsel işlevler Montreal Bilişsel Değerlendirme Testi ile değerlendirildi. İkili görev performansları motor-motor ve bilişsel-motor performans olarak değerlendirildi. Ortalama yaş kadınlarda 70,12±3,18 yıl, erkeklerde 69,80±3,21 yıl idi. Her iki grup yaş, eğitim durumu, egzersiz alışkanlıkları ve çalışma durumu açısından benzerdi. İkili görev performanslarında ise kadınların motor-motor görevleri erkeklere göre daha kısa sürede tamamladıkları görüldü (p=0,001). Bilişsel-motor görev performansları erkeklerde daha iyi bulundu (p=0,038). Bu çalışmanın sonuçları ışığında ikili görev performanslarındaki cinsiyet farklılıklarının daha iyi anlaşılabileceği ve bu cinsiyet farklılıklarına göre uygulanacak tedavinin düzenlenebileceği düşünülmektedir.
Anahtar Kelimeler
Yaşlı İkili Görev Kognisyon Motor Performans Cinsiyet farkları Geriatric Dual-task Cognition Motor performance Gender differences
Kaynakça
- Beauchet, O., Dubost, V., Gonthier, R., Kressig, R. W., 2005. Dual-task-related gait changes in transitionally frail older adults: the type of the walking-associated cognitive task matters. Gerontology 51, 48-52.
- Callisaya, M. L., Blizzard, L., Schmidt, M. D., McGinley, J. L., Srikanth, V. K., 2008. Sex modifies the relationship between age and gait: A population-based study of older adults. Journals of Gerontology Series A–Biological Sciences & Medical Sciences 63, 165-170.
- Centers for Disease Control and Prevention., 2006. Fatalities and injuries from falls among older adults: United States, 1993-2003 and 2001-2005. MWR: Morbidity and Mortality Weekly Report 55, 1221-1224.
- Dubost, V., Kressig, R. W., Gonthier, R., Herrman, F. R., Aminian, K., Najafi, B., Beauchet, O., 2006. Relationships between dual-task related changes in stride velocity and stride time variability in healthy older adults. Human Movement Science 25, 372-382.
- Faul, F., Erdfelder, E., Lang, A. G., Buchner, A., 2007. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 39, 175-191.
- Hodkinson, H. M., 1972. Evaluation of a mental test score for assessment of mental impairment of the elderly. Age and Ageing 1, 233-238.
- Hollman, J. H., Youdas, J. W., Lanzino, D. J., 2011. Gender differences in dual task gait performance in older adults. American Journal of Men's Health 5, 11-17.
- Jones, J. C., Rikli, R. E., Beam, W. C., 1999. A 30-s chair-stand test as a measure of lower body strenght in community-residing older adults. Research Quarterly for Exercise and Sport 70, 113-119.
- Kelly, V. E., Eusterbrock, A. J., Shumway-Cook, A., 2011. A review of dual-task walking deficits in people with Parkinson’s disease: motor and cognitive contributions, mechanisms, and clinical implications. Parkinson’s Disease 2012, 123-137.
- Kressig, R. W., Herrmann, F. R., Grandjean, R., Michel, J. P., Beauchet, O., 2008. Gait variability while dual-tasking: fall predictor in older inpatients? Aging Clinical and Experimental Research 20, 123-130.
- McGlone, J., 1980. Sex differences in human brain asymmetry: A critical survey. Behavioral and Brain Sciences 3, 215-263.
- Nasreddine, Z. S., Philips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., Chertkow, H., 2005. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society 53, 695-699.
- O’Shea, S., Morris, M. E., Iansek, R., 2002. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Physical Therapy 82, 888-897.
- Plotnik, M., Dagan, Y., Gurevich, T., Giladi, N., Hausdorff, J. M., 2011. Effects of cognitive function on gait and dual tasking abilities in patients with Parkinson’s disease suffering from motor response fluctuations. Experimental Brain Research 208, 169-179.
- Podsiadlo, D., Richardson, S., 1991. The Timed ‘Up&Go’:a test of basic functional mobility for fairly elderly persons. Journal of the American geriatrics Society 39, 142-148.
- Springer, S., Giladi, N., Peretz, C., Yogev, G., Simon, E. S., Hausdorff, J. M., 2006. Dual tasking effects on gait variability: The role of aging, falls, and executive function. Movement disorders: official journal of the Movement Disorder Society 21, 950-957.
- Sumbuloglu, K., Sumbuloglu, V., 2004. Biyoistatistik; Hatiboglu yayinevi.
- Swanenburg, J., de Bruin, E. D., Favero, K., Uebelhart, D., Mulder, T., 2008. The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers. BMC Musculoskeletal Disorders 9, 162.
- Toulotte, C., Thevenon, A., Watelain, E., Fabre, C., 2006. Identification of healthy elderly fallers ans non-fallers by gait analysis under dual-task conditions. Clinical Rehabilitation 20, 269-276.
- Verhaeghen, P., Steitz, D., Sliwinski, M., Cerella, J., 2003. Aging and dual-task performance: a meta-analysis. Psychology and Aging 18, 443-460.
- Weightman, M. M., & McCulloch, K., 2014. Chapter 8: Dual-task assessment and intervention. In: Mild TBI, Rehabilitation Toolkit. 1st ed. Fort Sam Houston, Texas, 321-333.
- Wellmon, R., 2012. Does the attentional demands of walking differ for older men and women living independently in the community? Journal of Geriatric Physical Therapy 35, 55-61.
- Wolf, S. L.,Catlin, P. A., Gage, K., Gurucharri, K., Robertson, R., & Stephen, K., 1999. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther 79, 1122-1133.
Relationship between cognitive and motor functions, and dual task performance in community dwelling older adults: gender differences
Öz
Dual-task performances may be impaired with the impairment in motor performance and cognitive functions due to aging. The aim of the present cross-sectional study is to investigate the gender differences in dual-task performance. A total of 82 community-dwelling older adults (41 males and 41 females) aged between 65 and 75 years were included. Motor performance was evaluated with the sit-to-stand test, the timed up and go test, 10 m walking test and cognitive functions were evaluated with Montreal Cognitive Assessment Test. Dual-task performances were evaluated as motor-motor and cognitive-motor performance. Mean age was 70.12±3.18 years for females and 69.80±3.21 years for males. Both groups were similar with regard to age, education status, exercise habits, and working status. In dual-task performances, females were found to complete motor-motor tasks in a shorter time as compared to males (p=0.001). Cognitive-motor task performances were found to be better in males (p=0.038). It is considered that gender differences in dual-task performances could be understood better in the light of the results of the present study and treatment may be arranged in accordance with these gender differences.
Anahtar Kelimeler
Geriatric Dual-task Cognition Motor performance Gender differences
Kaynakça
- Beauchet, O., Dubost, V., Gonthier, R., Kressig, R. W., 2005. Dual-task-related gait changes in transitionally frail older adults: the type of the walking-associated cognitive task matters. Gerontology 51, 48-52.
- Callisaya, M. L., Blizzard, L., Schmidt, M. D., McGinley, J. L., Srikanth, V. K., 2008. Sex modifies the relationship between age and gait: A population-based study of older adults. Journals of Gerontology Series A–Biological Sciences & Medical Sciences 63, 165-170.
- Centers for Disease Control and Prevention., 2006. Fatalities and injuries from falls among older adults: United States, 1993-2003 and 2001-2005. MWR: Morbidity and Mortality Weekly Report 55, 1221-1224.
- Dubost, V., Kressig, R. W., Gonthier, R., Herrman, F. R., Aminian, K., Najafi, B., Beauchet, O., 2006. Relationships between dual-task related changes in stride velocity and stride time variability in healthy older adults. Human Movement Science 25, 372-382.
- Faul, F., Erdfelder, E., Lang, A. G., Buchner, A., 2007. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 39, 175-191.
- Hodkinson, H. M., 1972. Evaluation of a mental test score for assessment of mental impairment of the elderly. Age and Ageing 1, 233-238.
- Hollman, J. H., Youdas, J. W., Lanzino, D. J., 2011. Gender differences in dual task gait performance in older adults. American Journal of Men's Health 5, 11-17.
- Jones, J. C., Rikli, R. E., Beam, W. C., 1999. A 30-s chair-stand test as a measure of lower body strenght in community-residing older adults. Research Quarterly for Exercise and Sport 70, 113-119.
- Kelly, V. E., Eusterbrock, A. J., Shumway-Cook, A., 2011. A review of dual-task walking deficits in people with Parkinson’s disease: motor and cognitive contributions, mechanisms, and clinical implications. Parkinson’s Disease 2012, 123-137.
- Kressig, R. W., Herrmann, F. R., Grandjean, R., Michel, J. P., Beauchet, O., 2008. Gait variability while dual-tasking: fall predictor in older inpatients? Aging Clinical and Experimental Research 20, 123-130.
- McGlone, J., 1980. Sex differences in human brain asymmetry: A critical survey. Behavioral and Brain Sciences 3, 215-263.
- Nasreddine, Z. S., Philips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., Chertkow, H., 2005. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society 53, 695-699.
- O’Shea, S., Morris, M. E., Iansek, R., 2002. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Physical Therapy 82, 888-897.
- Plotnik, M., Dagan, Y., Gurevich, T., Giladi, N., Hausdorff, J. M., 2011. Effects of cognitive function on gait and dual tasking abilities in patients with Parkinson’s disease suffering from motor response fluctuations. Experimental Brain Research 208, 169-179.
- Podsiadlo, D., Richardson, S., 1991. The Timed ‘Up&Go’:a test of basic functional mobility for fairly elderly persons. Journal of the American geriatrics Society 39, 142-148.
- Springer, S., Giladi, N., Peretz, C., Yogev, G., Simon, E. S., Hausdorff, J. M., 2006. Dual tasking effects on gait variability: The role of aging, falls, and executive function. Movement disorders: official journal of the Movement Disorder Society 21, 950-957.
- Sumbuloglu, K., Sumbuloglu, V., 2004. Biyoistatistik; Hatiboglu yayinevi.
- Swanenburg, J., de Bruin, E. D., Favero, K., Uebelhart, D., Mulder, T., 2008. The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers. BMC Musculoskeletal Disorders 9, 162.
- Toulotte, C., Thevenon, A., Watelain, E., Fabre, C., 2006. Identification of healthy elderly fallers ans non-fallers by gait analysis under dual-task conditions. Clinical Rehabilitation 20, 269-276.
- Verhaeghen, P., Steitz, D., Sliwinski, M., Cerella, J., 2003. Aging and dual-task performance: a meta-analysis. Psychology and Aging 18, 443-460.
- Weightman, M. M., & McCulloch, K., 2014. Chapter 8: Dual-task assessment and intervention. In: Mild TBI, Rehabilitation Toolkit. 1st ed. Fort Sam Houston, Texas, 321-333.
- Wellmon, R., 2012. Does the attentional demands of walking differ for older men and women living independently in the community? Journal of Geriatric Physical Therapy 35, 55-61.
- Wolf, S. L.,Catlin, P. A., Gage, K., Gurucharri, K., Robertson, R., & Stephen, K., 1999. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther 79, 1122-1133.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2023 |
| Gönderilme Tarihi | 5 Aralık 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 11 Sayı: 1 |
Kaynak Göster
This work is licensed under a Creative Commons Attribution 4.0 International License.