Journals / Aksaray Üniversitesi Tıp Bilimleri Dergisi / 2026 / Cilt: 6 Sayı: 2

The Effects of Dual Task Training on Balance, Gait Performance, and Fall Risk in Older Adults: A Current Literature Review

Yaşlı Bireylerde Dual Task Eğitiminin Denge, Yürüme Performansı ve Düşme Riski Üzerine Etkileri: Güncel Literatür Derlemesi

Mehmet Çakıroğlu(Kahramanmaraş Özel İlgi Özel Rehabilitasyon Merkezi)0000-0002-9692-8203
Pages
70–75
Publication Date
2026-05-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Studies with good quality and utilizing standardized protocols are warranted for developing clinical practices.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Dual tasking in older adults is closely related to gait and balance functions and is a very important factor influencing the risk of falls.
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Key Findings & Data:The purpose of this review is to discuss the impact of dual task training on functional performance and to fall risk in the elderly based on current literature, and to offer suggestions for clinical application.
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Conclusion & Impact:Studies with good quality and utilizing standardized protocols are warranted for developing clinical practices.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Dual task · Yaşlı bireyler · Denge

Abstract

Dual tasking in older adults is closely related to gait and balance functions and is a very important factor influencing the risk of falls. The purpose of this review is to discuss the impact of dual task training on functional performance and to fall risk in the elderly based on current literature, and to offer suggestions for clinical application. Accordingly, studies related to this scope were searched in the databases of PubMed, TR Dizin, Web of Science and Scopus randomized controlled trials and systematic reviews were considered as the main literature. The findings suggest that dual task training significantly improves balance, gait performance, and functional mobility, and postural stability and step parameters were enhanced after dual task training. Moreover, a few studies showed the potential of dual task interventions for fall risk reduction by enhancing cognitive-motor integration. However, a direct comparison across the findings is restrained by the heterogeneity of protocols of intervention and assessment. In summary, dual task training appears to be an effective strategy to enhance functional performance and decrease fall risk in the elderly. Studies with good quality and utilizing standardized protocols are warranted for developing clinical practices.

Özet

Dual task (çift görev) performansı, yaşlı bireylerde denge ve yürüme fonksiyonları ile yakından ilişkili olup düşme riskini etkileyen önemli bir faktördür. Bu derlemenin amacı, dual task eğitiminin yaşlı bireylerde fonksiyonel performans ve düşme riski üzerindeki etkilerini güncel literatür doğrultusunda değerlendirmek ve klinik uygulamalara yönelik çıkarımlar sunmaktır. Bu kapsamda, ilgili çalışmalar PubMed, Web of Science, Scopus ve TR Dizin veri tabanlarında taranmış; randomize kontrollü çalışmalar ile sistematik derlemeler öncelikli olarak incelenmiştir. Elde edilen sonuçlar, dual task eğitiminin denge, yürüyüş performansı ve fonksiyonel mobiliteyi geliştirdiğini; postüral stabilite ve adım parametrelerinde iyileşmeler sağladığını göstermektedir. Ayrıca, bazı çalışmalar ise dual task müdahalelerinin bilişsel-motor entegrasyonu destekleyerek düşme riskini azaltabileceğini ortaya koymaktadır. Bununla birlikte, müdahale protokolleri ve değerlendirme yöntemlerindeki heterojenlik, bulguların doğrudan karşılaştırılmasını sınırlamaktadır. Dual task eğitimi yaşlı bireylerde fonksiyonel performansı iyileştirmede ve düşme riskini azaltmada etkili bir yaklaşım olarak öne çıkmaktadır. Standardize edilmiş protokollerle yürütülecek yüksek kaliteli çalışmalar ile klinik uygulamaların geliştirilmesi açısından önem taşımaktadır.

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Cite This Article

Çakıroğlu, M. (2026). The Effects of Dual Task Training on Balance, Gait Performance, and Fall Risk in Older Adults: A Current Literature Review. Aksaray Üniversitesi Tıp Bilimleri Dergisi, Cilt: 6 Sayı: 2, 70–75. https://ajindex.com/articles/1447370

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References (31)

  1. McIsaac TL, Lamberg EM, Muratori LM. Building a framework for a dual task taxonomy. BioMed Res Int. 2015;2015:591475.
  2. Oppewal A, Hilgenkamp TIM. The dual task effect on gait in adults with intellectual disabilities: is it predictive for falls? Disabil Rehabil. 2019;41(1):26-32.
  3. Liu S, Rosso AL, Baillargeon EM, Weinstein AM, et al. Novel automaticity index reveals a cognitive ability-related decline in gait automaticity during dual-task walking. bioRxiv [Preprint]. 2023.
  4. Harrison K, Santa-Maria Guzman K, Peoples BM, et al. Verbal fluency dual-tasks show greater age-related cognitive-motor interference: a meta-analysis of walking performance. Exp Brain Res. 2025;243(2):219.
  5. Ding Y, Liu C, Zhang Y. Aging-related histone modification changes in brain function. iBrain. 2023;9(2):205-213.
  6. Yogev-Seligmann G, Hausdorff JM, Giladi N. The role of executive function and attention in gait. Mov Disord. 2008;23(3):329-342.
  7. Künstler ECS, Penning MD, Napiórkowski N, et al. Dual task effects on visual attention capacity in normal aging. Front Psychol. 2018;9:1564.
  8. Beauchet O, Berrut G. Gait and dual-task: definition, interest, and perspectives in the elderly. Rev Psychol Neuropsychiatr Vieil. 2006;4(3):215-225.
  9. Mukli P, Muranyi M, Lipecz Á, et al. Age-related and dual task-induced gait alterations and asymmetry: optimizing the Semmelweis Study gait assessment protocol. Aging (Albany NY). 2025;47(6):6955-6983.
  10. Goh HT, Pearce M, Vas A. Task matters: an investigation on the effect of different secondary tasks on dual-task gait in older adults. BMC Geriatr. 2021;21:510.
  11. Montero-Odasso M, van der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):afac205.
  12. Zukowski LA, Tennant JE, Iyigun G, et al. Dual-tasking impacts gait, cognitive performance, and gaze behavior during walking in a real-world environment in older adult fallers and non-fallers. Exp Gerontol. 2021;150:111342.
  13. 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.
  14. Ali N, Tian H, Thabane L, et al. The effects of dual-task training on cognitive and physical functions in older adults with cognitive impairment: a systematic review and meta-analysis. J Prev Alzheimers Dis. 2022;9(2):359-370.
  15. Khan MJ, Fong KNK, Wong TWL, et al. Effectiveness of dual-task exercise in improving balance and preventing falls among older adults: a systematic review with meta-analysis and meta-regression. Eur Geriatr Med. 2025;16(6):2047-2083.
  16. Yuzlu V, Oguz S, Timurtas E, et al. The effect of 2 different dual-task balance training methods on balance and gait in older adults: a randomized controlled trial. Phys Ther. 2022;102(3):pzab298.
  17. Ataş Balcı L, Soğukkanlı K, Burcu S, et al. Effects of single-task, dual-task and successive physical-cognitive training on fall risk and balance performance in older adults: a randomized trial. J Exerc Ther Rehabil. 2022;9(1):1-11.
  18. Lai X, Zhu H, Cai Y, et al. Effects of exercise-cognitive dual-task training on cognitive frailty in older adults: a randomized controlled trial. Front Aging Neurosci. 2025;17:1639245.
  19. Nascimento M de M, Maduro PA, Rios PMB, et al. The effects of 12-week dual-task physical–cognitive training on gait, balance, lower extremity muscle strength, and cognition in older adult women: a randomized study. Int J Environ Res Public Health. 2023;20(8):5498.
  20. Bishnoi A, Hernandez ME. Dual task walking costs in older adults with mild cognitive impairment: a systematic review and meta-analysis. Aging Ment Health. 2021;25(9):1618-1629.
  21. Kuo H-T, Yeh N-C, Yang Y-R, et al. Effects of different dual task training on dual task walking and responding brain activation in older adults with mild cognitive impairment. Sci Rep. 2022;12:8490.
  22. Mak TCT, Capio CM, Wong TWL. Effects of single-task, dual-task and analogy training during gait rehabilitation of older adults at risk of falling: a randomized controlled trial. Int J Environ Res Public Health. 2023;20(1):315.
  23. Kreska-Korus A, Ryś K, Buczan W. Dual-task walking and falls in the elderly. J Health Sci. 2023;13(1):34-43.
  24. Spanò B, Lombardi MG, De Tollis M, et al. Effect of dual-task motor-cognitive training in preventing falls in vulnerable elderly cerebrovascular patients: a pilot study. Brain Sci. 2022;12(2):168.
  25. Khan MJ, Kannan P, Wong TW-L, et al. A systematic review exploring the theories underlying the improvement of balance and reduction in falls following dual-task training among older adults. Int J Environ Res Public Health. 2022;19(24):16890.
  26. Arif Z, Tanveer HM, Bibi M, et al. Effects of dual-task balance and gait training on fear of falling and functional independence in older adults: a randomized controlled trial. HJPRS. 2025;5(2):467-474.
  27. Rieger MM, Papegaaij S, Steenbrink F, et al. Effects of perturbation-based treadmill training on balance performance, daily life gait, and falls in older adults: REACT randomized controlled trial. Phys Ther. 2024;104(1):pzad136.
  28. Aragão-Santos JC, Behm DG, de Moura TR, et al. Dual-task training is as effective as functional training on the functional fitness of older women: a randomized clinical trial. BMC Geriatr. 2024;24:607.
  29. Ogasawara M, Hayashi H, Iokawa K, et al. Effects of dual-task training on attentional function among community-dwelling older adults: study protocol for a randomized controlled trial. Trials. 2026;27:156.
  30. Wollesen B, Voelcker-Rehage C. Training effects on motor–cognitive dual-task performance in older adults: a systematic review. Eur Rev Aging Phys Act. 2014;11(1):5-24.
  31. Mathur P, Thomas H, Cooper A, et al. Supervised and self-directed technology-based dual-task exercise training programme for older adults at risk of falling: protocol for a feasibility study. PLoS One. 2025;20(3):e0314829.