Stepping Trail Making Test: Preliminary Study for the Effectiveness of the Novel Dual Task Assessment Tool for Physical and Cognitive Functions in Elderly (보행기호잇기검사: 새로운 신체 및 인지 기능에 대한 이중 과제 평가도구로서의 효용성에 대한 예비연구)

엄주리; 이병주

Stepping Trail Making Test: Preliminary Study for the Effectiveness of the Novel Dual Task Assessment Tool for Physical and Cognitive Functions in Elderly

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2023, 18(2), pp.41-48
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : October 21, 2022
Accepted : January 11, 2023
Published : May 31, 2023

엄주리 ¹, 이병주 ²

¹부산대학교병원
²부산대학교병원 재활의학과

Accredited

ABSTRACT

PURPOSE: Falls are caused by a decline in physical and cognitive function. A quantitative evaluation tool that can comprehensively evaluate motor and cognitive functions for elderly people with an impaired physical function. This study assessed the clinical application potential by confirming the correlation between the physical function tests, cognitive and the stepping trail-making test (S-TMT). METHODS: Fourteen community-dwelling older patients (65-75 years) were recruited. The study conducted cognitive function tests with the trail-making test (TMT-A, B), and physical function tests (6-minute walking test (6MWT), short physical performance battery (SPPB), and timed up and go (TUG)). The results of were analyzed using SPSS version 21.0. Descriptive statistics were used for the general characteristics of the study subjects, and the correlations between S-TMT, other functional tests were examined through Pearson’s correlation analysis. The statistical significance was set to .05. RESULTS: S-TMT had a significant positive correlation with the TUG (r = .588*) and trail-making test-B (TMT-B) (r = .689*, p < .05). Furthermore, S-TMT showed a negative correlation between SPPB (r = -.397) and 6MWT (r = -.422), but it was not statistically significant. CONCLUSION: S-TMT is a cognitive-gait dual-task performance evaluation tool that can be performed safely. A significant correlation was confirmed between the TUG test and the TMT-B. S-TMT is a dual-task screening tool that can evaluate both physical and cognitive functions simultaneously

KEYWORDS

Aged, Cognition, Physical functional performance, Trail making test

Citation status

* References for papers published after 2023 are currently being built.

[journal] Lytle ME / 2004 / Exercise level and cognitive decline : The MoVIES project / Alzheimer Dis Assoc Disord 18(2) : 57~64

[journal] 서재석 / 2011 / Relationship between Physical Activity and Cognitive Function in the Elderly / Annals of geriatric medicine and research / 대한노인병학회 15(2) : 90~98

[book] Ministry of Health and Welfare / 2020 / Older people survey in Korea / KIHASA

[report] Jung KH / 2017 / 2017 The Korean elderly survey. Policy Report / KIHASA

[journal] 전미양 / 2005 / The Effects of a Korean Traditional Dance Movement Program in Elderly Women / Journal of Korean Academy of Nursing / 한국간호과학회 35(8) : 1268~1276

[journal] Kim SN / 2012 / Effects of a multifactorial fall prevention program on physical, psychological function and home environmental hazards in community dwelling lowincome elderly / JKGS 32(2) : 377~395

[journal] 이온 / 2010 / The Relationships between Physical Activity and Immanent Fall Risk Factors in the Elderly / 대한스포츠의학회지 / 대한스포츠의학회 28(2) : 95~102

[journal] Lee YH / 2009 / Lifestyle recommendations for dementia prevention : PASCAL / JKGS 13(2) : 61~68

[journal] 신은삼 / 2013 / Age-related neurocognitive changes and exercise-induced benefits: A review of cognitive neuroscientific research / 인지과학 / 한국인지과학회 24(1) : 1~23

[book] West BJ / 2004 / Biodynamics; Why the wirewalker dosen’t Fall / Wiley-Liss

[journal] 최진승 / 2006 / Effects of Cognitive Task on Stride Rate Variability By Walking Speeds / 의공학회지 / 대한의용생체공학회 27(6) : 323~331

[journal] 소희영 / 2004 / Measurement of Cognitive Functions of Elderly / 재활간호학회지 / 한국재활간호학회 7(1) : 7~14

[journal] Angevaren, M. / 2008 / Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment / Cochrane Database Syst 16(3)

[journal] Beltz NM / 2016 / Graded exercise testing protocols for the determination of VO2max: Historical perspectives, progress, and future considerations / J Sports Med

[journal] Mossberg KA / 2003 / Reliability of a timed walk test in persons with acquired brain injury / Am J Phys Med Rehabil 82(5) : 385~390

[journal] Cooper KH / 1968 / A means of assessing maximal oxygen intake. Correlation between field and treadmill testing / JAMA 203(3) : 201~204

[journal] Butland RJ / 1982 / Two-, six-, and 12-minute walking tests in respiratory disease / Br Med J 284(6329) : 1607~1608

[journal] Pellecchia GL / 2005 / Concurrent cognitive task modulates coordination dynamics / Cognitive Science 29(4) : 531~557

[book] Shumway-Cook A / 2007 / Motor control:translating research into clinical practice / Lippincott Williams & Wilkins

[journal] Ojha HA / 2009 / Age affects the attentional demands of stair ambulation : evidence from a dual-task approach / Phys Ther 89(10) : 1080~1088

[journal] Muhaidat J / 2011 / Measuring foot placement and clearance during stair descent / Gait &posture 33(3) : 504~506

[journal] Al-Yahya, E. / 2011 / Cognitive motor interference while walking: a systematic review and meta-analysis / Neuroscience & Biobehavioral Reviews 35(3) : 715~728

[journal] Osuka Y / 2020 / A stepping trail making test as an indicator of cognitive impairment in older adults / J Clin Med 9(9) : 2835~

[journal] Osuka Y / 2020 / Reliability and construct validity of a novel motor–cognitive dual-task test : A stepping trail making test / Geriatrics & gerontology international 20(4) : 291~296

[journal] Church S / 2020 / A scoping review of the Clinical Frailty Scale / BMC geriatrics 20(1) : 1~18

[journal] Podsiadlo D / 1991 / The timed"up & go" : A test of basic functional mobility for frail elderly persons / J Am Geriatr Soc 39(2) : 142~148

[journal] Crowe SF / 1998 / The differential contribution of mental tracking, cognitive flexibility, visual search, and motor speed to performance on part A and B of the Trail Making Test / J Clin Psychol 54 : 585~591

[journal] 박미선 / 2003 / A Normative Study of the Modified Trail Making Test for Elderly Korean People / Korean Journal of Clinical Psychology / 한국임상심리학회 22(1) : 247~259

[journal] Volpato S / 2008 / Performance-based functional assessment in older hospitalized patients : Feasibility and clinical correlates / J Gerontol A Biol Sci Med Sci 63(12) : 1393~1398

[journal] 정희정 / 2019 / Effects of Creative Dance on Physical Performance, Balance and Mobility of Elderly with Physical Disability / 한국특수체육학회지 / 한국특수체육학회 27(4) : 131~144

[journal] Joung HJ / 2019 / Effect of creative dance on fitness, functional balance, and mobility control in the elderly / Gerontology 65(5) : 537~546

[journal] Tanji H / 2008 / A comparative study of physical performance measures in Parkinson’s disease / Mov Disord 23(13) : 1897~1905

[journal] 박래준 / 2011 / Correlations between SPPB, FRT, and TUG in Hospitalized Frail People ‐ The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery ‐ / 대한물리치료학회지 / 대한물리치료학회 23(2) : 17~21

[journal] Steffen TM / 2002 / Age- and gender-related test performance in community-dwelling elderly people: six-minute walk test, berg balance scale, timed up & go test, and gait speeds / Phys Ther 82(2) : 128~137

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45