Effects of dual-task training on gait and balance in stroke patients: A meta-analysis.

Objective: To assess the effects of dual-task training on gait and balance in stroke patients. Data sources: A systematic review of PubMed, Web of Science, Embase and Cochrane Library from their inception through 20 August 2021. Review methods: The bibliography was screened to identify randomized co...

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Publicado en:Clinical Rehabilitation Vol. 36; no. 9; pp. 1186 - 1199
Autores principales: Zhang, Xueyi, Xu, Feng, Shi, Huijuan, Liu, Ruijiao, Wan, Xianglin
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2022
      vid: 36
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Effects of dual-task training on gait and balance in stroke patients: A meta-analysis.
      aug:
        au:
          Zhang, Xueyi
          Xu, Feng
          Shi, Huijuan
          Liu, Ruijiao
          Wan, Xianglin
        affil: Biomechanics Laboratory, 47838Beijing Sport University, Beijing, China
      sug:
        subj:
          Gait Training
          Balance Training, Physical
          Stroke Rehabilitation
          Task Performance and Analysis
          Training Effect (Physiology)
          Treatment Outcomes
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          Stroke Patients
          Bibliography and References
          Confidence Intervals
          Step
          Gait
          Descriptive Statistics
          Scales
          Walking Speed
          Clinical Assessment Tools
          Funding Source
          Data Analysis Software
          Sensitivity and Specificity
      ab: Objective: To assess the effects of dual-task training on gait and balance in stroke patients. Data sources: A systematic review of PubMed, Web of Science, Embase and Cochrane Library from their inception through 20 August 2021. Review methods: The bibliography was screened to identify randomized controlled trials that applied dual-task training to rehabilitation function training in stroke patients. Two reviewers independently screened references, selected relevant studies, extracted data and assessed risk of bias using the Cochrane tool of bias. The primary outcome was the gait and balance parameters. Results: A total of 1992 studies were identified and 15 randomized controlled trials were finally included (512 individuals) were analyzed. A meta-analysis was performed and a beneficial effect on rehabilitation training was found. Compared to patients who received conventional rehabilitation therapy, those who received dual-task training showed greater improvement in step length (MD = 3.46, 95% CI [1.01, 5.92], P = 0.006), cadence (MD = 4.92, 95% CI [3.10, 6.74], P < 0.001) and berg balance scale score (MD = 3.10, 95% CI [0.11, 6.09], P = 0.040). There were no differences in the improvements in gait speed (MD = 2.89, 95% CI [ − 2.02, 7.80], P = 0.250) and timed up and go test (MD = −2.62, 95% CI [ − 7.94, 2.71], P = 0.340) between dual-task and control groups. Conclusion: Dual-task training is an effective training for rehabilitation of stroke patients in step length and cadence, however, the superiority of dual-task training for improving balance function needs further discussion.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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