Effect of dual-task training on balance in patients with multiple sclerosis: A systematic review and meta-analysis.

Objective: To evaluate the effects of dual-task training on static and dynamic balance in patients with multiple sclerosis. Data sources: PubMed/MEDLINE, EMBASE, Scopus, and PEDro databases were searched from inception to March 1, 2021. Methods: This study was conducted in agreement with Preferred R...

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Publicado en:Clinical Rehabilitation Vol. 35; no. 10; pp. 1399 - 1413
Autores principales: Martino Cinnera, Alex, Bisirri, Alessio, Leone, Enza, Morone, Giovanni, Gaeta, Angela
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2021
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Effect of dual-task training on balance in patients with multiple sclerosis: A systematic review and meta-analysis.
      aug:
        au:
          Martino Cinnera, Alex
          Bisirri, Alessio
          Leone, Enza
          Morone, Giovanni
          Gaeta, Angela
        affil: Scientific Institute for Research, Hospitalization and Health Care (IRCCS) Santa Lucia Foundation, Rome, Italy
      sug:
        subj:
          Multiple Sclerosis Rehabilitation
          Multitasking Behavior Education
          Balance, Postural Evaluation
          Posturography
          Task Performance and Analysis
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Medline
          Embase
          Physiotherapy Evidence Database
          Checklists
          Descriptive Statistics
          Confidence Intervals
          Male
          Female
          Adult
          Middle Age
          Functional Status
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: To evaluate the effects of dual-task training on static and dynamic balance in patients with multiple sclerosis. Data sources: PubMed/MEDLINE, EMBASE, Scopus, and PEDro databases were searched from inception to March 1, 2021. Methods: This study was conducted in agreement with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers assessed studies for inclusion and extracted data. We used the Physiotherapy Evidence Database scale to evaluate the methodological quality and the risk-of-bias. Randomized clinical trial data were pooled for the meta-analysis. The effect sizes and 95% confidence interval (CI) were calculated by random-effect models. Egger regression and Begg-Mazumdar rank correlation test were used for publication bias. Results: A total of 13 studies involving 584 patients (42.3 ± 9 years mean ± SD; 377 females) met the inclusion criteria for the systematic review, while nine were included in the meta-analysis. People who received dual-task training interventions showed significant improvements in the Timed Up & Go test 0.44 [(95% CI = 0.22; 0.65), P -value<0.001], and in the Berg Balance scale 0.46 [(95% CI = 0.07; 0.85), P -value = 0.02]. Low and moderate heterogeneity between the studies was found for the Timed Up & Go test and the Berg Balance scale, respectively. Conclusion: The findings from the current meta-analysis support dual-task training as a beneficial therapy for improving dynamic balance and functional mobility in patients with multiple sclerosis. The limited number of studies that investigated static balance performance after dual-task training do not currently allow us to draw a conclusion about any possible improvements in this ability.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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