Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial.

Dual-task gait training may improve dual-task gait speed after stroke, but the effects on the relative amount of dual-task interference are unclear. To compare the efficacy of dual-task gait training (DTGT) and single-task gait training (STGT) on cognitive-motor dual-task interference after stroke....

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Publicado en:Physiotherapy Theory & Practice Vol. 38; no. 10; pp. 1329 - 1345
Autores principales: Plummer PhD, PT, Prudence, Zukowski PhD, Lisa A., Feld PhD, PT, Jody A., Najafi PhD, Bijan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
      vid: 38
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2021.1872129
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        atl: Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial.
      aug:
        au:
          Plummer PhD, PT, Prudence
          Zukowski PhD, Lisa A.
          Feld PhD, PT, Jody A.
          Najafi PhD, Bijan
        affil: Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA, USA
      sug:
        subj:
          Stroke Rehabilitation
          Gait Training Methods
          Psychomotor Performance Evaluation
          Walking Speed Evaluation
          Treatment Outcomes Evaluation
          Functional Assessment
          Task Performance and Analysis
          Human
          Adult
          Stroke Patients
          Randomized Controlled Trials
          Random Assignment
          Clinical Assessment Tools
          Descriptive Statistics
          Single-Blind Studies
          Community Living
          Executive Function
          Balance, Postural
          Self-Efficacy
          Neuropsychological Tests
          Massachusetts
          North Carolina
          Male
          Female
          Middle Age
          Aged
          Data Analysis Software
          Scales
          Analysis of Covariance
          Analysis of Variance
          Post Hoc Analysis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Dual-task gait training may improve dual-task gait speed after stroke, but the effects on the relative amount of dual-task interference are unclear. To compare the efficacy of dual-task gait training (DTGT) and single-task gait training (STGT) on cognitive-motor dual-task interference after stroke. 36 adults within 3 years of stroke were randomized 1:1 to STGT or DTGT, 3 times a week for 4 weeks. The primary outcomes were the relative dual-task effect on gait speed (DTEg, %) and cognitive task performance (DTEc, %) during walking at preferred and fast speed in two different dual-task conditions (auditory Stroop, auditory clock task). There were no treatment effects on DTEg or DTEc in either group for either dual-task at either walking speed. Across all participants, there were significant improvements in both single and dual-task gait speed in all conditions, without any relative change in the dual-task effect. Subgroup analysis suggested that those with greater interference at baseline may benefit more from DTGT. DTGT and STGT improved single and dual-task gait speed but did not change the amount of relative interference. The findings may be confounded by an unexpectedly small amount of gait-related dual-task interference at baseline.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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