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A 3-Month Dual-Task Exercise Randomized Pilot Trial Improves Dynamic Stability and Coordination in Community-Dwelling
Helaine M Alessio1, Nancy Malay1, Annemarie Jones1
1Miami University, Oxford, OH, USA.
Journal of Aging and Physical Activity
|January 3, 2025
Summary
Dual-task (DT) exercise improved balance and coordination in older adults, but did not enhance cognitive function. This combined physical and cognitive training offers benefits for physical mobility.
Area of Science:
- Gerontology
- Exercise Science
- Cognitive Neuroscience
Background:
- Dual-task (DT) exercises integrate physical and cognitive activities, presenting an efficient method for enhancing both physical and cognitive functions.
- Older adults often experience declines in both physical and cognitive functions, making targeted interventions crucial for maintaining independence and quality of life.
Purpose of the Study:
- To evaluate the impact of a DT training program on cognitive and physical functioning in older adults.
- To compare the effects of DT exercise against exercise-only (EO) and a control (C) group.
Main Methods:
- Thirty-five healthy, independent-living older adults were randomized into three groups: DT (n=10), EO (n=15), and C (n=10).
- Participants engaged in 3 months of supervised exercise sessions twice weekly for 50 minutes.
- The DT group performed cognitive games on a SMARTfit system during exercise, while the EO group focused solely on physical exercise. Cognition was assessed using Cognivue Thrive, and physical function was measured by dynamic stability, coordination, and lower body strength.
Main Results:
- Both DT and EO groups showed significant improvements in dynamic stability and coordination within the first 6 weeks compared to the control group.
- The DT group demonstrated greater improvements in balance and functional mobility compared to both the EO and control groups.
- No significant changes in cognitive or memory measures were observed across any of the groups over the study duration.
Conclusions:
- Dual-task exercise training effectively enhances dynamic stability, coordination, balance, and functional mobility in healthy older adults.
- While physical benefits are evident, current DT protocols do not appear to improve standard measures of cognition or memory in this population.
- DT exercise presents a viable, time-efficient strategy for improving physical function and mobility in independent-living older adults.

