Toplumda yaşayan yaşlılarda kognitif ve motor fonksiyonlar ile ikili görev performansı arasındaki ilişki: cinsiyet farkları
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
Relationship between cognitive and motor functions, and dual task performance in community dwelling older adults: gender differences
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.
Keywords:
Geriatric, Dual-task, Cognition, Motor performance, Gender differences,
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- 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.
- ISSN: 2148-2837
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2013
- Yayıncı: Burdur Mehmet Akif Ersoy Üniversitesi
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