The Effect of Ankle Balance Dual Task Including Motor Training on Static Balance and Dynamic Balance in the Elderly

  • Park, Seoung-Uk (Dept. of Physical Therapy, Daegu Haany University) ;
  • Cho, Yong-Ho (Dept. of Physical Therapy, Daegu Haany University) ;
  • Hwang, Yoon-Tae (Dept. of Physical Therapy, Gangneung Yeongdong University)
  • Received : 2017.07.21
  • Accepted : 2017.08.03
  • Published : 2017.08.31


PURPOSE: The purpose of this study was to investigate the effect of ankle dual task including motor training on the static balance, dynamic balance in the elderly. METHODS: 30 elderly people were randomly divided into 3 groups: 10 people in the single motor task group, 10 people in the double motor dual task group and 10 people in the motor-cognitive dual task group. In the double motor dual tasks group was performed ankle balance motor task additional motor task. Motor-cognitive dual task group was performed ankle balance motor task additional cognitive task. Single motor task group was performed ankle balance motor task. It was performed three times intervention a week for six weeks. Statistical analysis method was performed using one way ANOVA for comparison between groups, and the paired t-test was used for comparison pre and post intervention. RESULTS: Static and dynamic balance were significant differences between pre and post intervention by three groups (p<.05). In static balance, there was a significant difference among groups (p<.05), but there was not a significant difference between groups in dynamic balance (p>.05). CONCLUSION: The results of the research, the ankle balance dual task including motor or cognitive task was more effective than single motor task on static balance in the elderly.


  1. Close J, Ellis M, Hooper R, et al. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. The Lancet. 1999;353(9147):93-7.
  2. Eser F, Yavuzer G, Karakus D, et al. The effect of balance training on motor recovery and ambulation after stroke: a randomized controlled trial. Eur J Phys Rehabil Med. 2008;44(1):19-25.
  3. Gouglidis V, Nikodelis T, Hatzitaki V, et al. Changes in the limits of stability induced by weight-shifting training in elderly women. Exp Aging Res. 2010;37(1):46-62.
  4. Hiyamizu M, Morioka S, Shomoto K, et al. Effects of dual task balance training on dual task performance in elderly people: a randomized controlled trial. Clin Rehabil. 2012;26(1):58-67.
  5. Kim YJ, Son HH, Oh JL, et al. Effects of dual task balance training on balance and activities of daily living in stroke patient. J Korean Soc Phys Med. 2011;6(1): 19-29.
  6. Lee YK, Bae SS. Risk factors and methods in balance assessment associated with fall in older adults. J Korean Soc Phys Med. 2007;2(1):73-84.
  7. Lindemann U, Rupp K, Muche R, et al. Improving balance by improving motor skills. Z Gerontol Geriatr. 2004;37(1):20-6.
  8. MacRae PG, Feltner ME, Reinsch S. A 1-year exercise program for older women: Effects on falls, injuries, and physical performance. J Aging Phys Act. 1994;2(2):127-42.
  9. Melzer I, Tzedek I, Or M, et al. Speed of voluntary stepping in chronic stroke survivors under single-and dualtask conditions: a case-control study. Arch Phys Med Rehabil. 2009; 90(6):927-33.
  10. Nashner LM, McCollum, G. The organization of human postural movements: a formal basis and experimental synthesis. Behav Brain Sci. 1985;8(1):135-50.
  11. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav. 2005;37(3): 239-46.
  12. Ragnarsdottir M. The concept of balance. Physiotherapy. 1996;82(6):368-75.
  13. Resch JE, May B, Tomporowski PD, et al. Balance performance with a cognitive task: a continuation of the dual-task testing paradigm. J Athl Train. 2011;46(2):170-5.
  14. Riley MA, Baker AA, Schmit JM, et al. Effects of visual and auditory short-term memory tasks on the spatiotemporal dynamics and variability of postural sway. J Mot Behav. 2005;37(4): 311-24.
  15. Schlicht J, Camaione DN, Owen SV. Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. J Gerontol A Biol Sci Med Sci. 2001;56(5):M281-6.
  16. Schuchat A, Wenger JD. Epidemiology of group B streptococcal disease: risk factors, prevention strategies, and vaccine development. Epidemiol Rev. 1994;16(2):374-402.
  17. Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-8.
  18. Verhoeff LL, Horlings CG, Janssen LJ, et al. Effects of biofeedback on trunk sway during dual tasking in the healthy young and elderly. Gait Posture. 2009; 30(1):76-81.
  19. Yang YR, Chen YC, Lee CS, et al. Dual-task-related gait changes in individuals with stroke. Gait Posture. 2007;25(2):185-90.