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Physical exercise shows beneficial effects on the risk of falling, but\nthe results are unknown when associated with cognitive activity dual-task (DT).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Objective:<\/jats:title>\n<jats:p>The objective of the study was to evaluate the impacts of the Otago Exercise Program\n(OEP) plus DT cognitive activity on the risk of falling in older adults.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Method:<\/jats:title>\n<jats:p>36 older adults (83.5 \u00b1 5.7 years) participated in a quasi-experimental study, distributed\nin two experimental groups and a control group: 1) OEP (OEPG; n=12), 2) OEP plus DT\n(OEPDTG; n = 12), and a control group (CG; n=12). Older adults were evaluated at pre- and post-\n12 weeks of intervention. The thresholds for the risk of falling were considered as multiparameter\nscores of the 10 Meter Walking Test (10MWT), evocative 10MWT, Timed Up and Go (TUG), Sit\nto Stand Test (STS), and The Four-Stage Balance Test (Four-Stage), and the Montreal Cognitive\nAssessment (MoCA), to test the cognitive impairment.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results:<\/jats:title>\n<jats:p>At baseline, all groups were homogeneous. Post-intervention, the experimental groups\npresented significant functional differences, in comparison to the CG, for 10MWT (OEPDTG: p=\n0.002; OEPG: p= 0.002); evocative 10MWT (OEPDTG: p=0.001; OEPG: p=0.001); TUG\n(OEPDTG: p=0.034); STS (OEPDTG: p&lt;0.001; OEPG: p&lt;0.001) and cognitive for MoCA\n(OEPDTG: p&lt;0.019). Significant intra-group differences (pre-post) were observed in all intervention\ngroups, but none in CG. The risk of falling (Four-Stage) in experimental groups (OEPDTG:\n33.3%; OEPG: 41.7%) was considerably lower than CG (83.3%).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>Otago Exercise Program alone can reduce the risk of falling due to improved functionality,\nbut adding the dual task also improves cognitive capacity in older adults. The clinical significance\nof these interventions goes beyond statistics.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1874609815666220827143753","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T07:38:57Z","timestamp":1661845137000},"page":"65-74","update-policy":"https:\/\/doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Otago Exercise Program Plus Cognitive Dual-task can Reduce Fall Risk,\nImprove Cognition and Functioning in Older Adults"],"prefix":"10.2174","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-8916","authenticated-orcid":true,"given":"Paula Clara","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, School of Health, Polytechnic of Porto, Portugal, Ant\u00f3nio Bernardino de Almeida, 400,\n4200 \u2013 072, Porto, Portugal"},{"name":"CIR - Center for Rehabilitation Research, ESS\/PPorto, Portugal, Rua Dr. Ant\u00f3nio\nBernardino de Almeida, 400, 4200 - 072, Porto, Portugal"},{"name":"Research Center in Physical Activity, Health and Leisure\n(CIAFEL) - Faculty of Sport, University of Porto (FADEUP) and Laboratory for Integrative and Translational Research\nin Population Health (ITR), Porto, Portugal, Rua Dr. Pl\u00e1cido Costa, 91, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7327-0800","authenticated-orcid":true,"given":"Dalmo Roberto Lopes","family":"Machado","sequence":"additional","affiliation":[{"name":"Research Center in Physical Activity, Health and Leisure\n(CIAFEL) - Faculty of Sport, University of Porto (FADEUP) and Laboratory for Integrative and Translational Research\nin Population Health (ITR), Porto, Portugal, Rua Dr. Pl\u00e1cido Costa, 91, 4200-450 Porto, Portugal"},{"name":"School of Nursing\nof Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Avenida dos Bandeirantes, 3900, 14040-902, Ribeir\u00e3o Preto-SP, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7490-9466","authenticated-orcid":true,"given":"Pedro Pugliesi","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Research Center in Physical Activity, Health and Leisure\n(CIAFEL) - Faculty of Sport, University of Porto (FADEUP) and Laboratory for Integrative and Translational Research\nin Population Health (ITR), Porto, Portugal, Rua Dr. Pl\u00e1cido Costa, 91, 4200-450 Porto, Portugal"},{"name":"School of Nursing\nof Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Avenida dos Bandeirantes, 3900, 14040-902, Ribeir\u00e3o Preto-SP, Brazil"}]},{"given":"Cla\u00fadia Vanessa","family":"Santos","sequence":"additional","affiliation":[{"name":"Clinical Pratice, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3306-7557","authenticated-orcid":true,"given":"Sofia","family":"Lopes","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Health, Polytechnic of Porto, Portugal, Ant\u00f3nio Bernardino de Almeida, 400,\n4200 \u2013 072, Porto, Portugal"},{"name":"CIR - Center for Rehabilitation Research, ESS\/PPorto, Portugal, Rua Dr. Ant\u00f3nio\nBernardino de Almeida, 400, 4200 - 072, Porto, Portugal"},{"name":"Department of Diagnostic and Therapeutic Technologies, School of Health Vale do Sousa,\nPolytechnic Institute of Health Sciences (IPSN), CESPU, Gandra, Portugal. Avenida Central de Gandra, 1317\/4585-\n116 Gandra PRD\/Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2696-2086","authenticated-orcid":true,"given":"Anabela Correia","family":"Martins","sequence":"additional","affiliation":[{"name":"LabinSa\u00fade, Coimbra Health School Polytechnic of Coimbra, (ESTeSC-IPC), Portugal.\nRua 5 de Outubro - S. Martinho do Bispo, P.O. 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