Gait speed significantly reduced with the addition of a dual task , with increasing complexity showing greater decrements .
Cadence , stride time , and measures of gait variability were all negatively affected under the dual-task condition .
In older adults , the addition of a dual task significantly reduces gait speed and cadence , with possible implication s for the assessment of older people , as the addition of a dual task may expose deficits not observed under single-task assessment
This review examines the effect of a dual task on the gait parameters of older adults with a mean gait speed of 1.0 m/s or greater , and the effect of type and complexity of task .
Gait changes in older adults: predictors of falls or indicators of fear.
OBJECTIVE To determine , in a cohort of ambulatory older adults , whether spatial-temporal measures of foot placement during gait can predict the likelihood of future falls or whether these measures are more likely to be indicative of adaptations associated with pre-existing fear of falling . DESIGN Prospect i ve cohort study . SETTING Baseline gait measurements were performed in a gait and balance laboratory ; subsequent history of falling was monitored prospect ively for 1 year in two self-care facilities . PARTICIPANTS Fourteen male and 61 female consecutive volunteers ( mean age = 82 , SD = 6 ) who were independent in activities of daily living and able to walk 10 m unaided . MEASUREMENTS Spatial gait parameters  were derived from digitized " footprints " ; temporal parameters were derived using footswitches . A clinical activity-based gait assessment was also performed . The dependent variables were pre-existing fear of falling ( reported at baseline ) and future falling ( experiencing one or more falls during the 1-year follow-up ) . MAIN RESULTS Reduced stride length , reduced speed , increased double-support time , and poorer clinical gait scores were associated with fear but showed little evidence of an independent association with falling . Conversely , increased stride-to-stride variability in stride length , speed , and double-support was associated independently with falling but showed little evidence of relationship to fear . Increased stride width showed some evidence of association with both falling and fear . Stride-to-stride variability in speed was the single best independent predictor of falling . CONCLUSIONS Changes in gait cited previously as risk factors for falling , i.e. , decreased stride length and speed and prolonged double support , may in fact be stabilizing adaptations related to fear of falling . Stride-to-stride variability in the control of gait is an independent predictor of falling and may be a useful measure for identifying high-risk individuals and evaluating preventive interventions . Stride width may also be a useful outcome measure . Contrary to common expectation , a wider stride does not necessarily increase stability but instead seems to predict an increased likelihood of experiencing falls
Gait speed significantly reduced with the addition of a dual task , with increasing complexity showing greater decrements .
Cadence , stride time , and measures of gait variability were all negatively affected under the dual-task condition .
In older adults , the addition of a dual task significantly reduces gait speed and cadence , with possible implication s for the assessment of older people , as the addition of a dual task may expose deficits not observed under single-task assessment
This review examines the effect of a dual task on the gait parameters of older adults with a mean gait speed of 1.0 m/s or greater , and the effect of type and complexity of task .