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  11. Two Decades Of The Walking While Talking Test: A Narrative Review

Two Decades of the Walking While Talking Test: A Narrative Review

Kelly Cotton1, Joe Verghese2

  • 1Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, United States.

Journal of the American Medical Directors Association
|January 11, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

The Walking While Talking (WWT) test effectively measures dual-task performance in older adults and predicts future falls. This reliable test assesses cognitive and motor functions, aiding clinical applications.

Area of Science:

  • Gerontology
  • Neuroscience
  • Clinical Assessment

Background:

  • Early research linked stopping walking during conversation to increased fall risk in older adults.
  • The Walking While Talking (WWT) test was developed to systematically measure dual-task performance.
  • This review synthesizes two decades of research on the WWT test.

Purpose of the Study:

  • To highlight key findings from 20 years of research utilizing the Walking While Talking (WWT) test.
  • To review the validity, reliability, and applications of the WWT test.
  • To discuss future research directions for the WWT test.

Main Methods:

  • A narrative review of literature was conducted.
  • Studies published between 2002 and April 2024 using the WWT test were included.
Keywords:
Dual-task performancecognitiongait

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  • The review focused on clinical and research settings where participants completed the WWT test.

    • Main Results:

    • The WWT test is an easy-to-administer, valid, and reliable measure of dual-task performance.
    • WWT performance is consistently associated with balance, executive function, and memory.
    • The test has been used to predict dementia and future falls, and has shown mixed results as an intervention outcome.

    Conclusions:

    • The WWT test is a valuable tool in clinical and research settings for assessing dual-tasking abilities.
    • Future research should expand clinical applications and clarify the longitudinal trajectory of WWT performance.
    • The WWT test is a reliable and sensitive measure with broad utility.