Zusammenfassung

Objective: To analyze the effectiveness of motor-cognitive training on postural control of elderly people. Methods: We conducted a search in the databases PubMed and Web of Science, considering the period of 2011 to 2016,using the strategy: (“aged” OR “elderly” OR “older adult” OR “older people” OR “older person” OR “geriatric” AND “dual task” OR “dual-task” OR “dual task training” OR “dual tasking” OR “dual task elderly” OR “dual-task training” OR “cognitive engine” OR “cognitive-motor” OR “dual task cognitive engine” OR “motor cognitive dual task” OR “multi tasking” OR “multi-task”). We selected randomized clinical trials (RCTs) that used motor-cognitive training to improve postural control of elderly people. Papers not available in full in the collection of on-line journals USP Library, duplicates and studies that did not assess the static or dynamic postural control were excluded. Results: The search strategy result in 15 studies (122 in PubMed and 93 in the Web of Science). It was selected 12studies. Most articles demonstrated superiority of different types of cognitive-motor training (CMT) compared to isolated training to improve postural balance and temporal gait parameters, with and without dual task. Training once a week demonstrated positive effects on the march, but long-term training attenuated the decline in physical function of older people in many ways. Adherence for cognitive training improves executive function, especially when management tasks. The incidence of falls and fractures reduced one year after training. Conclusions: The motor-cognitive training improves postural control, cognition, quality of life and reduces falls of elderly people.