Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/23611
Title: Cognitive motor interference for preventing falls in older adults : a systematic review and meta-analysis of randomised controlled trials
Authors: Wang, X
Pi, Y
Chen, P
Liu, Y
Wang, R
Chan, C 
Keywords: Balance
Cognitive motor interference
Falls
Gait
Older people
Systematic review
Issue Date: 2015
Publisher: Oxford University Press
Source: Age and ageing, 2015, v. 44, no. 2, afu175, p. 205-212 How to cite?
Journal: Age and ageing 
Abstract: Objective: we conducted a systematic review to determine the effect of cognitive motor interference (CMI) for the prevention of falls in older adults.Methods: we searched studies through Medline, Embase, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc. Only randomised controlled trials examining the effects of CMI for older people were included. The primary outcome measure was falls; the secondary outcome measures included gait, balance function and reaction time.Results: a total of 30 studies of 1,206 participants met the inclusion criteria, and 27 studies of 1,165 participants were used as data sources for the meta-analyses. The pooling revealed that CMI was superior to control group for fall rate [standard mean difference (SMD) (95% CI) = -3.03 (-4.33, -1.73), P < 0.0001], gait speed [SMD (95% CI) = 0.36 (0.07, 0.66), P = 0.01], step length [SMD (95% CI) = 0.48 (0.16, 0.80), P = 0.003], cadence [SMD (95% CI) = 0.19 (0.01, 0.36), P = 0.03], timed up and go test [SMD (95% CI) = -0.22 (-0.38, -0.06), P = 0.007], centre of pressure displacement [SMD (95% CI) = -0.32 (-1.06, 0.43), P = 0.04] and reaction time [SMD (95% CI) = -0.47 (-0.86, -0.08), P = 0.02].Conclusion: the systematic review demonstrates that CMI is effective for preventing falls in older adults in the short term. However, there is, as yet, little evidence to support claims regarding long-term benefits. Hence, future studies should investigate the long-term effectiveness of CMI in terms of fall prevention in older adults.
URI: http://hdl.handle.net/10397/23611
ISSN: 0002-0729
EISSN: 1468-2834
DOI: 10.1093/ageing/afu175
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

5
Last Week
0
Last month
0
Citations as of Nov 30, 2017

WEB OF SCIENCETM
Citations

4
Last Week
0
Last month
0
Citations as of Dec 3, 2017

Page view(s)

120
Last Week
2
Last month
Checked on Dec 4, 2017

Google ScholarTM

Check

Altmetric



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.