Skip to main content
Top
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Protocol

The evaluation of dual-task conditions on static postural control in the older adults: a systematic review and meta-analysis protocol

Authors: Luca Petrigna, Ewan Thomas, Ambra Gentile, Antonio Paoli, Simona Pajaujiene, Antonio Palma, Antonino Bianco

Published in: Systematic Reviews | Issue 1/2019

Login to get access

Abstract

Background

In postural stability evaluation, the dual-task concept is often adopted in order to create a more challenging situation. The dual-task consists of performing simultaneously two tasks, a primary static or dynamic motor task and an additional secondary cognitive task. Usually, a multitask condition leads to a reduction in the postural control performance, especially in older adults. Considering the wide spectrum of secondary task conditions existing in scientific literature, the present manuscript aims to write a peer-reviewed protocol that will be used in a systematic review and meta-analysis performed to identify the effects of different secondary tasks conditions in a population of older adults during static postural stability.

Methods

The study will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and for this manuscript, the PRISMA Protocol. PICOS criteria (population, intervention, comparison, outcomes, study design) will be also followed. The population examined will be healthy older adults over 60 years of age and all quantitative, qualitative, and mixed methods study design will be included. Original articles will be also included if written in English, while no restriction criteria will be applied to the country of origin. Instead, reviews, meta-analysis, abstracts, citations, scientific conferences, opinion pieces, books, books reviews, statements, letters, editorials, non-peer reviewed journals articles, and commentaries will be excluded. The research of literature will be performed using PubMed, Web of Science, and Scopus with words related to the topic. From each included study, information previously agreed will be extracted and inserted into a spreadsheet and a narrative synthesis containing summary tables and graphs will describe the articles taken in examination. Furthermore, a meta-analysis will be performed to establish which DT condition has a greater effect following the Hedges and Olkin approach, extension of Glass’ method and Cohen’s d will be calculated.

Discussion

The present manuscript wants to provide the protocol that will be used in the systematic review and meta-analysis with the intent to inform the researchers and professionals about the dual-task condition effects. Such will lead future investigations in using the most appropriate dual-task condition.

Systematic review registration

PROSPERO CRD42018116597.
Literature
1.
go back to reference Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1–14.CrossRef Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1–14.CrossRef
2.
go back to reference Huxhold O, Li SC, Schmiedek F, Lindenberger U. Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull. 2006;69(3):294–305.CrossRef Huxhold O, Li SC, Schmiedek F, Lindenberger U. Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull. 2006;69(3):294–305.CrossRef
3.
go back to reference Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10–6.CrossRef Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10–6.CrossRef
4.
go back to reference Granacher U, Bridenbaugh SA, Muehlbauer T, Wehrle A, Kressig RW. Age-related effects on postural control under multi-task conditions. Gerontology. 2011;57(3):247–55.CrossRef Granacher U, Bridenbaugh SA, Muehlbauer T, Wehrle A, Kressig RW. Age-related effects on postural control under multi-task conditions. Gerontology. 2011;57(3):247–55.CrossRef
5.
go back to reference Brown LA, Shumway-Cook A, Woollacott MH. Attentional demands and postural recovery: the effects of aging. J Gerontol A Biol. 1999;54(4):M165–M71.CrossRef Brown LA, Shumway-Cook A, Woollacott MH. Attentional demands and postural recovery: the effects of aging. J Gerontol A Biol. 1999;54(4):M165–M71.CrossRef
6.
go back to reference Woollacott MH. Systems contributing to balance disorders in older adults. J Gerontol A Biol. 2000;55(8):M424–M8.CrossRef Woollacott MH. Systems contributing to balance disorders in older adults. J Gerontol A Biol. 2000;55(8):M424–M8.CrossRef
7.
go back to reference Boisgontier MP, Beets IA, Duysens J, Nieuwboer A, Krampe RT, Swinnen SP. Age-related differences in attentional cost associated with postural dual tasks: increased recruitment of generic cognitive resources in older adults. Neurosci Biobehav Rev. 2013;37(8):1824–37.CrossRef Boisgontier MP, Beets IA, Duysens J, Nieuwboer A, Krampe RT, Swinnen SP. Age-related differences in attentional cost associated with postural dual tasks: increased recruitment of generic cognitive resources in older adults. Neurosci Biobehav Rev. 2013;37(8):1824–37.CrossRef
9.
go back to reference Chagdes JR, Rietdyk S, Haddad JM, Zelaznik HN, Raman A, Rhea CK, et al. Multiple timescales in postural dynamics associated with vision and a secondary task are revealed by wavelet analysis. Exp Brain Res. 2009;197(3):297–310.CrossRef Chagdes JR, Rietdyk S, Haddad JM, Zelaznik HN, Raman A, Rhea CK, et al. Multiple timescales in postural dynamics associated with vision and a secondary task are revealed by wavelet analysis. Exp Brain Res. 2009;197(3):297–310.CrossRef
10.
go back to reference Bonnet CT, Baudry S. Active vision task and postural control in healthy, young adults: synergy and probably not duality. Gait Posture. 2016;48:57–63.CrossRef Bonnet CT, Baudry S. Active vision task and postural control in healthy, young adults: synergy and probably not duality. Gait Posture. 2016;48:57–63.CrossRef
11.
go back to reference Coelho T, Fernandes A, Santos R, Paul C, Fernandes L. Quality of standing balance in community-dwelling elderly: age-related differences in single and dual task conditions. Arch Gerontol Geriat. 2016;67:34–9.CrossRef Coelho T, Fernandes A, Santos R, Paul C, Fernandes L. Quality of standing balance in community-dwelling elderly: age-related differences in single and dual task conditions. Arch Gerontol Geriat. 2016;67:34–9.CrossRef
12.
go back to reference Pajala S, Era P, Koskenvuo M, Kaprio J, Tolvanen A, Rantanen T. Genetic and environmental contribution to postural balance of older women in single and dual task situations. Neurobiol Aging. 2007;28(6):947–54.CrossRef Pajala S, Era P, Koskenvuo M, Kaprio J, Tolvanen A, Rantanen T. Genetic and environmental contribution to postural balance of older women in single and dual task situations. Neurobiol Aging. 2007;28(6):947–54.CrossRef
13.
go back to reference Redfern MS, Jennings JR, Martin C, Furman JM. Attention influences sensory integration for postural control in older adults. Gait Posture. 2001;14(3):211–6.CrossRef Redfern MS, Jennings JR, Martin C, Furman JM. Attention influences sensory integration for postural control in older adults. Gait Posture. 2001;14(3):211–6.CrossRef
14.
go back to reference Marsh AP, Geel SE. The effect of age on the attentional demands of postural control. Gait Posture. 2000;12(2):105–13.CrossRef Marsh AP, Geel SE. The effect of age on the attentional demands of postural control. Gait Posture. 2000;12(2):105–13.CrossRef
15.
go back to reference Logan G, Schachar RJ, Tannock R. Impulsivity and inhibitory control. Psychol Sci. 1997;8(1):60–4.CrossRef Logan G, Schachar RJ, Tannock R. Impulsivity and inhibitory control. Psychol Sci. 1997;8(1):60–4.CrossRef
16.
go back to reference Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav R. 2011;35(3):715–28.CrossRef Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav R. 2011;35(3):715–28.CrossRef
17.
go back to reference Dault MC, Yardley L, Frank JS. Does articulation contribute to modifications of postural control during dual-task paradigms? Cognitive Brain Res. 2003;16(3):434–40.CrossRef Dault MC, Yardley L, Frank JS. Does articulation contribute to modifications of postural control during dual-task paradigms? Cognitive Brain Res. 2003;16(3):434–40.CrossRef
18.
go back to reference Ghai S, Ghai I, Effenberg AO. Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clin Interv Aging. 2017;12:557–77.CrossRef Ghai S, Ghai I, Effenberg AO. Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clin Interv Aging. 2017;12:557–77.CrossRef
19.
go back to reference Klugar M. A protocol is essential for a systematic review as randomization is for randomized controlled trials. JBI Database System Rev Implement Rep. 2016;14:1–e 2.CrossRef Klugar M. A protocol is essential for a systematic review as randomization is for randomized controlled trials. JBI Database System Rev Implement Rep. 2016;14:1–e 2.CrossRef
20.
go back to reference Koensgen N, Rombey T, Allers K, Mathes T, Hoffmann F, Pieper D. Comparison of non-Cochrane systematic reviews and their published protocols: differences occurred frequently but were seldom explained. J Clin Epidemiol. 2019;110:34–41.CrossRef Koensgen N, Rombey T, Allers K, Mathes T, Hoffmann F, Pieper D. Comparison of non-Cochrane systematic reviews and their published protocols: differences occurred frequently but were seldom explained. J Clin Epidemiol. 2019;110:34–41.CrossRef
21.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Open Med. 2009;3(3):e123–30.PubMedPubMedCentral Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Open Med. 2009;3(3):e123–30.PubMedPubMedCentral
22.
go back to reference Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.CrossRef Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.CrossRef
23.
go back to reference Ruhe A, Fejer R, Walker B. The test-retest reliability of centre of pressure measures in bipedal static task conditions - a systematic review of the literature. Gait Posture. 2010;32(4):436–45.CrossRef Ruhe A, Fejer R, Walker B. The test-retest reliability of centre of pressure measures in bipedal static task conditions - a systematic review of the literature. Gait Posture. 2010;32(4):436–45.CrossRef
24.
go back to reference Blaszczyk JW, Prince F, Raiche M, Hebert R. Effect of ageing and vision on limb load asymmetry during quiet stance. J Biomech. 2000;33(10):1243–8.CrossRef Blaszczyk JW, Prince F, Raiche M, Hebert R. Effect of ageing and vision on limb load asymmetry during quiet stance. J Biomech. 2000;33(10):1243–8.CrossRef
25.
go back to reference Qiu H, Xiong S. Center-of-pressure based postural sway measures: reliability and ability to distinguish between age, fear of falling and fall history. Int J Ind Ergon. 2015;47:37–44.CrossRef Qiu H, Xiong S. Center-of-pressure based postural sway measures: reliability and ability to distinguish between age, fear of falling and fall history. Int J Ind Ergon. 2015;47:37–44.CrossRef
26.
go back to reference Lin DD, Seol H, Nussbaum MA, Madigan ML. Reliability of COP-based postural sway measures and age-related differences. Gait Posture. 2008;28(2):337–42.CrossRef Lin DD, Seol H, Nussbaum MA, Madigan ML. Reliability of COP-based postural sway measures and age-related differences. Gait Posture. 2008;28(2):337–42.CrossRef
27.
go back to reference Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.CrossRef Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.CrossRef
29.
go back to reference Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629–34.CrossRef Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629–34.CrossRef
30.
go back to reference Hedges LV, Olkin L. CHAPTER 5 - estimation of a single effect size: parametric and nonparametric methods. Statistical methods for meta-analysis. San Diego: Academic Press; 1985. p. 75–106.CrossRef Hedges LV, Olkin L. CHAPTER 5 - estimation of a single effect size: parametric and nonparametric methods. Statistical methods for meta-analysis. San Diego: Academic Press; 1985. p. 75–106.CrossRef
31.
go back to reference Glass GV. Primary, secondary, and meta-analysis of research. Educ Res. 1976;5:3–8.CrossRef Glass GV. Primary, secondary, and meta-analysis of research. Educ Res. 1976;5:3–8.CrossRef
32.
go back to reference Allers K, Hoffmann F, Mathes T, Pieper D. Systematic reviews with published protocols compared to those without: more effort, older search. J Clin Epidemiol. 2018;95:102–10.CrossRef Allers K, Hoffmann F, Mathes T, Pieper D. Systematic reviews with published protocols compared to those without: more effort, older search. J Clin Epidemiol. 2018;95:102–10.CrossRef
33.
go back to reference Mayes SD, Calhoun SL, Bixler EO, Zimmerman DN. IQ and neuropsychological predictors of academic achievement. Learn Individ Differ. 2009;19(2):238–41.CrossRef Mayes SD, Calhoun SL, Bixler EO, Zimmerman DN. IQ and neuropsychological predictors of academic achievement. Learn Individ Differ. 2009;19(2):238–41.CrossRef
34.
go back to reference Stins JF, Michielsen ME, Roerdink M, Beek PJ. Sway regularity reflects attentional involvement in postural control: effects of expertise, vision and cognition. Gait Posture. 2009;30(1):106–9.CrossRef Stins JF, Michielsen ME, Roerdink M, Beek PJ. Sway regularity reflects attentional involvement in postural control: effects of expertise, vision and cognition. Gait Posture. 2009;30(1):106–9.CrossRef
35.
go back to reference Hadjistavropoulos T, Carleton RN, Delbaere K, Barden J, Zwakhalen S, Fitzgerald B, et al. The relationship of fear of falling and balance confidence with balance and dual tasking performance. Psychol Aging. 2012;27(1):1–13.CrossRef Hadjistavropoulos T, Carleton RN, Delbaere K, Barden J, Zwakhalen S, Fitzgerald B, et al. The relationship of fear of falling and balance confidence with balance and dual tasking performance. Psychol Aging. 2012;27(1):1–13.CrossRef
36.
go back to reference Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Exp Brain Res. 2002;144(3):293–302.CrossRef Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Exp Brain Res. 2002;144(3):293–302.CrossRef
38.
go back to reference Raymakers JA, Samson MM, Verhaar HJJ. The assessment of body sway and the choice of the stability parameter(s). Gait Posture. 2005;21(1):48–58.CrossRef Raymakers JA, Samson MM, Verhaar HJJ. The assessment of body sway and the choice of the stability parameter(s). Gait Posture. 2005;21(1):48–58.CrossRef
Metadata
Title
The evaluation of dual-task conditions on static postural control in the older adults: a systematic review and meta-analysis protocol
Authors
Luca Petrigna
Ewan Thomas
Ambra Gentile
Antonio Paoli
Simona Pajaujiene
Antonio Palma
Antonino Bianco
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-1107-4

Other articles of this Issue 1/2019

Systematic Reviews 1/2019 Go to the issue