The effect of dual-task training on cognitive ability, physical function, and dual-task performance in people with dementia or mild cognitive impairment: A systematic review and meta-analysis.

Objective: To summarize the effect of dual-task training on cognitive, physical function, and dual-task performance in people with mild cognitive impairment or dementia. Data sources: Embase, PEDro, PsycINFO, PubMed, CINAHL, The Cochrane Library, and a forward search conducted via Web of Science hav...

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Publicado en:Clinical Rehabilitation Vol. 38; no. 4; pp. 443 - 457
Autores principales: Yu, Dan, LI, Xun, He, Shutang, Zhu, Huina, Lam, Freddy Man Hin, Pang, Marco Yiu Chung
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Sage Publications Inc.
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        atl: The effect of dual-task training on cognitive ability, physical function, and dual-task performance in people with dementia or mild cognitive impairment: A systematic review and meta-analysis.
      aug:
        au:
          Yu, Dan
          LI, Xun
          He, Shutang
          Zhu, Huina
          Lam, Freddy Man Hin
          Pang, Marco Yiu Chung
        affil: Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
      sug:
        subj:
          Dementia Rehabilitation
          Cognition Disorders Rehabilitation
          Therapeutic Exercise Methods
          Task Performance and Analysis
          Outcomes (Health Care) Evaluation
          Cognition Evaluation
          Functional Status
          Physical Performance Evaluation
          Human
          Systematic Review
          Meta Analysis
          Embase
          Physiotherapy Evidence Database
          Psycinfo
          PubMed
          CINAHL Database
          Cochrane Library
          Descriptive Statistics
          Confidence Intervals
          Attention
          Physical Mobility
          Balance, Postural
          Checklists
      ab: Objective: To summarize the effect of dual-task training on cognitive, physical function, and dual-task performance in people with mild cognitive impairment or dementia. Data sources: Embase, PEDro, PsycINFO, PubMed, CINAHL, The Cochrane Library, and a forward search conducted via Web of Science have been searched from inception to July 2023. Review methods: Good-quality randomized controlled trials compared dual-task training with no/placebo intervention or single-task training among people with a primary diagnosis of mild cognitive impairment or dementia were included. The PEDro scale was used to evaluate the methodological quality of individual studies. The Grading of Recommendations, Assessment, Development and Evaluations system was adopted to appraise the quality of evidence for each outcome. Results: Eighteen trials (1325 participants) were included, and 17 provided data for meta-analysis. Comparing with no intervention, dual-task training led to significant improvements on attention (mean difference (MD) = −20.66, 95%CI [−39.42, −1.90]), functional mobility (MD = −2.73; 95%CI [−3.98, −1.49]). Compared with single-task training, dual-task training had greater effects on overall cognitive function (standardized mean difference (SMD) = 0.29, 95%CI [0.09, 0.49]), balance (SMD = 0.78, 95%CI [0.40, 1.15]) and functional mobility (MD = −1.17; 95%CI [−1.77, −0.58]). Its effect on dual-task performance remains inconclusive due to the inconsistent results reported. Conclusion: Low- to moderate-quality evidence supports that dual-task training has beneficial effects on cognitive function and physical function in individuals with dementia or mild cognitive impairment. The optimal training protocol of dual-task training on cognitive and physical functions, and dual-task performance remains uncertain. Well-designed, randomized studies with large enough sample sizes are warranted.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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