The evaluation of dual-task conditions on static postural control in the older adults: A systematic review and meta-analysis protocol

Abstract

Background: In postural stability evaluation, the dual-task concept is often adopted in order to create a more challenging situation. The dual-task consists of performing simultaneously two tasks, a primary static or dynamic motor task and an additional secondary cognitive task. Usually, a multitask condition leads to a reduction in the postural control performance, especially in older adults. Considering the wide spectrum of secondary task conditions existing in scientific literature, the present manuscript aims to write a peer-reviewed protocol that will be used in a systematic review and meta-analysis performed to identify the effects of different secondary tasks conditions in a population of older adults during static postural stability. Methods: The study will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and for this manuscript, the PRISMA Protocol. PICOS criteria (population, intervention, comparison, outcomes, study design) will be also followed. The population examined will be healthy older adults over 60 years of age and all quantitative, qualitative, and mixed methods study design will be included. Original articles will be also included if written in English, while no restriction criteria will be applied to the country of origin. Instead, reviews, meta-analysis, abstracts, citations, scientific conferences, opinion pieces, books, books reviews, statements, letters, editorials, non-peer reviewed journals articles, and commentaries will be excluded. The research of literature will be performed using PubMed, Web of Science, and Scopus with words related to the topic. From each included study, information previously agreed will be extracted and inserted into a spreadsheet and a narrative synthesis containing summary tables and graphs will describe the articles taken in examination. Furthermore, a meta-analysis will be performed to establish which DT condition has a greater effect following the Hedges and Olkin approach, extension of Glass' method and Cohen's d will be calculated. Discussion: The present manuscript wants to provide the protocol that will be used in the systematic review and meta-analysis with the intent to inform the researchers and professionals about the dual-task condition effects. Such will lead future investigations in using the most appropriate dual-task condition. Systematic review registration: PROSPERO CRD42018116597.