The purpose of this cross-sectional study was to compare gait characteristics and functional balance Babilities in men with LUTS secondary to benign prostatic hyperplasia (BPH) to those of community-dwelling older adults under different conditions of increasing difficulties, and to aid health-care providers to identify those patients with decreased level of activity and increased risk of falls. We recruited a group of 43 men diagnosed with symptomatic BPH and a control group of 38 older men. Participants performed the timed up and go and 10-m walking tests under different conditions-namely, single task, dual-task motor, and dual-task cognitive. Time to complete the tests and spatial and temporal gait parameters were compared between groups and conditions via mixed-design ANOVA. Under dual-task conditions, individuals in both groups performed significantly worse compared to the single functional balance and walking tasks. As the complexity of the walking task increased-from dual-task motor to dual-task cognitive-significant differences between groups emerged. In particular, men with BPH performed worse than older adults in tasks demanding increased attentional control. Results suggest that dual-task decrements in functional balance and gait might explain decreased level of physical activity and increased risk of falls reported in men with LUTS. Health-care providers for men with LUTS due to BPH should assess for abnormal gait and remain vigilant for balance problems that may lead to decreased mobility and falls. The dual-task approach seems a feasible method to distinguish gait and balance impairments in men with BPH.
American journal of men's health. 0000 Jan [Epub]
Emad Al-Yahya, Maha T Mohammad, Jennifer Muhaidat, Saddam Al Demour, Dania Qutishat, Lara Al-Khlaifat, Rasha Okasheh, Sophie Lawrie, Patrick Esser, Helen Dawes
1 School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan., 3 Urology Devision, Department of Special Surgery, School of Medicine, The University of Jordan, Amman, Jordan., 2 Centre for Movement, Occupation and Rehabilitation Sciences, Faculty of Health and Life Sciences, Oxford Brookes University, UK.