Multimodal training with dual-task enhances immediate and retained effects on dual-task effects of gait speed not by cognitive-motor trade-offs in stroke survivors: a randomized controlled trial.
Purpose: Individuals who have experienced stroke may benefit from dual-task related training to improve gait speed performance. Whether noted improvements reflect true effects on gait or cognitive-motor trade-offs still remains unclear. Therefore, this study aimed to investigate the effects of dual-...
| Published in: | Disability & Rehabilitation Vol. 47; no. 5; pp. 1194 - 1204 |
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| Main Authors: | , , , , , , |
| Format: | equations & formulas research tables/charts randomized controlled trial Journal Article |
| Published: |
Taylor & Francis Ltd
Mar2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183273790&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183273790 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Mar2025 vid: 47 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 183273790 177922412 183273790 183273790 10.1080/09638288.2024.2365986 183273790 ppf: 1194 ppct: 10 formats: tig: atl: Multimodal training with dual-task enhances immediate and retained effects on dual-task effects of gait speed not by cognitive-motor trade-offs in stroke survivors: a randomized controlled trial. aug: au: Chuang, Li-Ling Hsu, An-Lun Lin, Yun-Hsuan Yu, Meng-Hua Hu, Gwo-Chi Ou, Yu-Chih Wong, Alice May-Kuen affil: School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan sug: subj: Task Performance and Analysis Methods Walking Speed Cognition Motor Activity Stroke Rehabilitation Survivors Stroke Patients Treatment Outcomes Human Funding Source Female Middle Age Aged Prospective Studies Single-Blind Studies Randomized Controlled Trials Random Assignment Descriptive Statistics Comparative Studies Data Analysis Software Analysis of Variance T-Tests Chi Square Test Post Hoc Analysis Scales Neuropsychological Tests Therapeutic Exercise Methods Middle Aged: 45-64 years Aged: 65+ years Female ab: Purpose: Individuals who have experienced stroke may benefit from dual-task related training to improve gait speed performance. Whether noted improvements reflect true effects on gait or cognitive-motor trade-offs still remains unclear. Therefore, this study aimed to investigate the effects of dual-task training on dual-task effects of both walking and cognitive domains in stroke survivors. Materials and methods: Forty-four individuals with stroke were randomized to dual-task or single-task training groups. Both groups exercised three 60-minute sessions per week for 4 weeks. The primary outcomes were dual-task effects on gait speed and cognitive score. Outcomes were assessed before and after the intervention and 1-month follow-up. Results: While both groups exhibited improvement in absolute gait speed under dual-task conditions, the dual-task training group demonstrated superior results by providing an additional gain on dual-task effects of gait speed. Compared to single-task training, dual-task training exhibited a significant improvement in dual-task effects of gait speed at post-treatment and follow-up. Regarding the dual-task effects on cognitive scores, no significant differences within and between groups after training were observed. Conclusion: Dual-task training enhances immediate and retained effects on the dual-task effects of gait speed in individuals with stroke, not by cognitive-motor trade-offs. Trial registration: URL: . ClinicalTrials.gov Identifier: NCT02686515 IMPLICATIONS FOR REHABILITATION: Dual-task interference during walking has important consequences for stroke survivors to walk safely. Multimodal training with dual-task enhances immediate and retained effects on the dual-task effects of gait speed in individuals with stroke, not by cognitive-motor trade-offs. Clinicians are encouraged to incorporate multimodal training with dual-task into the exercise routines to enhance walking under dual-task conditions in stroke survivors. pubtype: Academic Journal doctype: equations & formulas research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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