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Effect of Music-Based Multitask Training on Gait, Balance, and Fall Risk in Elderly People Imprimer
Andrea Trombetti, et al (Arch Intern Med. Published online November 22, 2010. doi:10.1001/archinternmed.2010.446) conducted a 12-month RCT involving 134 community-dwelling individuals older than 65 years, who are at increased risk of falling. They were randomly assigned to an intervention group (n = 66) or a delayed intervention control group scheduled to start the program 6 months later (n = 68). The intervention was a 6-month multitask exercise program performed to the rhythm of piano music. Change in gait variability under dual-task condition from baseline to 6 months was the primary end point. Secondary outcomes included changes in balance, functional performances, and fall risk.
At 6 months, Balance and functional tests improved compared with the control group. And there were fewer falls in the intervention group (incidence rate ratio, 0.46; 95%CI, 0.27-0.79) and a lower risk of falling (RR, 0.61; 95% CI, 0.39-0.96). Similar changes occurred in the delayed intervention control group during the second 6-month period with intervention. The benefit of the intervention on gait variability persisted 6 months later.
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