Effect of Dual-Task Training on Gait and Balance in Stroke Patients: An Updated Meta-analysis.

Objective: The main purpose of this meta-analysis was to evaluate the effect of dual-task training on gait and balance improvement in stroke patients. Design: The PubMed, Embase, Cochrane Library, MEDLINE, CINAHL, CNKI, Wan Fang, and VIP databases were searched from inception to January 28, 2021, fo...

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Publicado en:American Journal of Physical Medicine & Rehabilitation Vol. 101; no. 12; pp. 1148 - 1156
Autores principales: Shu, Yue, Bi, Meng Meng, Zhou, Tian Tian, Liu, Lin, Zhang, Chao
Formato: meta analysis research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Effect of Dual-Task Training on Gait and Balance in Stroke Patients: An Updated Meta-analysis.
      aug:
        au:
          Shu, Yue
          Bi, Meng Meng
          Zhou, Tian Tian
          Liu, Lin
          Zhang, Chao
        affil: From the Second Affiliated Hospital of Nanchang University, Nanchang City, China (YS, MMB, TTZ, LL, CZ)
      sug:
        subj:
          Stroke Patients Psychosocial Factors
          Gait Training
          Balance Training, Physical
          Task Performance and Analysis
          Training Effect (Physiology)
          Human
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          Medline
          CINAHL Database
          Descriptive Statistics
      ab: Objective: The main purpose of this meta-analysis was to evaluate the effect of dual-task training on gait and balance improvement in stroke patients. Design: The PubMed, Embase, Cochrane Library, MEDLINE, CINAHL, CNKI, Wan Fang, and VIP databases were searched from inception to January 28, 2021, for randomized controlled trials investigating the effect of dual-task training on gait and balance intervention in stroke patients. Results: A total of 17 studies with 575 stroke patients that compared the efficacy and safety of dual-task training with those of conventional physical therapy or single-task training were included in this meta-analysis. The meta-analysis showed that the data were as follows under the dual-task training: step length (mean difference = 2.7, 95% confidence interval = 1.33 to 4.08, P = 0.0001); cadence (mean difference = 5.06, 95% confidence interval = 3.37 to 6.75, P < 0.00001); stride length (mean difference = 7.34, 95% confidence interval = 5.47 to 9.22, P < 0.00001); 10-meter walk test times (mean difference = −2.36, 95% confidence interval = −3.70 to −1.02), P = 0.0006); Berg Balance Scale (mean difference = 3.8, 95% confidence interval = 0.04 to 7.55, P = 0.05); Fugl-Meyer motor assessment of lower extremities (mean difference = 2.27, 95% confidence interval = −1.04 to 5.59, P = 0.18). Conclusions: This meta-analysis showed that dual-task training can improve stroke patients' step length, cadence, stride length, and 10-meter walk test. However, possible advantages in improving balance function need further exploration.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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