Effects of exercise combined with cognitive dual-task training on cognitive function and sustained effects in stroke patients: a systematic review and meta-analysis.

Objectives: We investigated the effect of exercise combined with cognitive dual-task training on the improvement of cognitive function in stroke patients by conducting a systematic review and meta-analysis of current relevant studies. Methods: Four electronic databases, PubMed, Web of Science, Cochr...

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Publicado en:Disability & Rehabilitation Vol. 47; no. 14; pp. 3538 - 3548
Autores principales: Feng, Qiang-Ming, Chen, Ji-Wei
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
      vid: 47
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638288.2024.2435523
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        atl: Effects of exercise combined with cognitive dual-task training on cognitive function and sustained effects in stroke patients: a systematic review and meta-analysis.
      aug:
        au:
          Feng, Qiang-Ming
          Chen, Ji-Wei
        affil: Faculty of Physical Education, Shanghai International Studies University, Shanghai, China
      sug:
        subj:
          Training Effect (Physiology)
          Cognition Evaluation
          Stroke Rehabilitation
          Stroke Patients
          Therapeutic Exercise
          Task Performance and Analysis
          Combined Modality Therapy
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Cochrane Library
          Embase
          Memory, Short Term
          Cognitive Flexibility
          Executive Function
          Confidence Intervals
          Descriptive Statistics
          Checklists
          Data Analysis Software
          Middle Age
          Aged
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Objectives: We investigated the effect of exercise combined with cognitive dual-task training on the improvement of cognitive function in stroke patients by conducting a systematic review and meta-analysis of current relevant studies. Methods: Four electronic databases, PubMed, Web of Science, Cochrane Library, and Embase, were searched for randomized controlled trials (RCTs) on the effects of exercise combined with cognitive dual-task training on cognitive function in patients with stroke that were publicly available from the starting year of the databases to 10 July 2024. Results: A total of 14 RCTs were included. Statistical results showed that exercise combined with cognitive dual-task training had a small effect size improvement in cognitive function for stroke patients (SMD = 0.41, 95% CI: [0.26, 0.57], p = 0.00). Moreover, persistent effects on cognitive functioning were observed after the end of the intervention (SMD = 0.24, 95% CI: [0.05, 0.43], p = 0.01). Subgroup analyses revealed that working memory, cognitive flexibility, total execution function, and total cognitive function had significant improvements in the cognitive function dimension group. Subgroup analyses of different exercise modalities, intervention periods, and different forms of control revealed significant differences within each subgroup. Conclusions: Exercise combined with cognitive dual-task training significantly improves cognitive function in stroke patients with favorable sustained effects. Implications for rehabilitation: Exercise combined with cognitive dual-task training improves cognitive function in stroke patients with good sustained effects. Exercise combined with cognitive dual-task training was more significant if the intervention lasted longer than four weeks and the frequency of the intervention was three times per week. Rehabilitation professionals may consider exercise combined with cognitive dual-task training as a good choice of modality to improve cognitive functioning in stroke patients, which has good sustained results.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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