Efeito do treinamento de dupla tarefa sobre a ocorrência de quedas, autoeficácia em quedas em idosos comunitários

Abstract

Goal: To review the occurrence and fear of falls, self-efficacy in falls and confidence in balance in elderly community members. Method: bases from Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SCIELO) and Latin American and Caribbean Health Sciences Literature (LILACS) in July 2020. The standards were: randomized clinical trials with a sample of elderly people over 60 years old, living in the community, independent for walking, without cognitive changes, in which the intervention was based on double-task and / or multitasking exercises. The trials were in English, Portuguese and Spanish included. From these studies were extracted data about occurrence and fear of falls, self-efficacy in falls and confidence in balance. Results: From the 557 articles found, five met the inclusion criteria adopted and were included in the review. Two studies investigated the effect of dual task training on selfefficacy in falls, and one analyzed the outcome of the occurrence of falls, showing a positive effect on the improvement in these outcomes. Two studies analyzed the dual task exercise on confidence in balance, finding divergent results. Conclusion: The studies included in this review demonstrated that interventions that used the dual task promoted increased self-efficacy in falls and reduced the number of falls after the intervention. On the other hand, the results observed for confidence in balance were contradictory. These results aim to the importance of including dual task balance training in the approach to prevention of elderly community.