Validation of a dual-task exercise program to improve balance and gait speed in older people (DualPro): a Delphi study

Most physical exercise programs for older people work the physical component in isolation, excluding cognitive aspects. Previous studies reported that both components (physical and cognitive) are necessary for correct functioning of older people in the society. To create and validate a dual-task exe...

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Bibliographic Details
Published in:PeerJ (San Francisco, CA) CA), 2022-04, Vol.10, p.e13204-e13204, Article e13204
Main Authors: Varela-Vásquez, Luz Adriana, Girabent-Farrés, Montserrat, Medina-Rincón, Almudena, Rierola-Fochs, Sandra, Jerez-Roig, Javier, Minobes-Molina, Eduard
Format: Article
Language:English
Subjects:
Aged
Aging
Balance
Cognitive ability
Delphi method
Delphi Technique
Design
Dual-task
Exercise
Exercise for the aged
Exercise Therapy - methods
Gait
Gait speed
Geriatrics
Humans
Kinesiology
Medical personnel
Neurology
Older adult
Older people
Population
Postural Balance
Professionals
Rehabilitation
Research methodology
Therapeutic exercise
Walking Speed
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Summary:Most physical exercise programs for older people work the physical component in isolation, excluding cognitive aspects. Previous studies reported that both components (physical and cognitive) are necessary for correct functioning of older people in the society. To create and validate a dual-task exercise program (DualPro) to improve balance and gait speed in older people. Expert consensus or the Delphi Method was used for validation. A group of 17 experts in neurorehabilitation and geriatrics was recruited to assess the proposed exercise program. They were selected taking into account their experience in clinical practice as well as their knowledge of the subject through the use of the expert competence coefficient (K). Online questionnaires were sent with a total of 11 exercises, which had to be rated using a "Likert" scale from 1 to 7. Two rounds were conducted to achieve 100% consensus in all exercises. The interquartile range of each exercise in both rounds was stable. During the second round, the relative interquartile range was less than 15% in all the questions, thus demonstrating consensus among the experts. Experts in neurorehabilitation and geriatrics have concluded the validity of the progressive and systematized program of dual-task exercises focused on improving balance and gait speed for older people. This exercise program can help in the homogenization of the use of dual-task exercises in future studies and in professional practice.
ISSN:2167-8359
2167-8359
DOI:10.7717/peerj.13204