Cognitive and motor multi-task balance training improves dual-task walking performance in ambulatory patients after stroke: a randomized controlled trial.
Purpose: With stroke, declines in gait performance while performing another task have been observed. This study investigated the effects of Cognitive-Motor Multi-Task balance training on walking, cognition, and balance under single- and dual-task conditions in ambulatory patients after stroke. Mater...
| Publicado en: | Disability & Rehabilitation Vol. 48; no. 6; pp. 1617 - 1636 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192006451&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192006451 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Mar2026 vid: 48 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 192006451 188340665 192006451 192006451 10.1080/09638288.2025.2564287 192006451 ppf: 1617 ppct: 19 formats: tig: atl: Cognitive and motor multi-task balance training improves dual-task walking performance in ambulatory patients after stroke: a randomized controlled trial. aug: au: Lai, Liang-Chuan Hsu, An-Lun Hu, Gwo-Chi Ou, Yu-Chih Chen, Albert Chih-Kuang Chuang, Li-Ling affil: Graduate Institute of Physiology, College of Medicine, National Taiwan University, Taipei, Taiwan sug: subj: Task Performance and Analysis Taiwan Balance Training, Physical Stroke Patients Cognition Motor Activity Balance, Postural Walking Physical Performance Quality Improvement Human Randomized Controlled Trials Random Assignment Gait Analysis Reaction Time Clinical Assessment Tools Taiwan Descriptive Statistics Data Analysis Software Chi Square Test Kruskal-Wallis Test One-Way Analysis of Variance Friedman Test Post Hoc Analysis Wilcoxon Rank Sum Test Prospective Studies Single-Blind Studies Male Female Middle Age Aged Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: With stroke, declines in gait performance while performing another task have been observed. This study investigated the effects of Cognitive-Motor Multi-Task balance training on walking, cognition, and balance under single- and dual-task conditions in ambulatory patients after stroke. Material and methods: Fifty-seven individuals with stroke were randomized to Cognitive-Motor Multi-Task, Cognitive Dual-Task, or Motor Dual-Task training groups. Each group underwent three 60-minute training sessions per week for four weeks. The primary outcomes were gait speed (measured by the 10-meter walk test) and cognitive score (calculated as accuracy divided by reaction time), assessed under both single- and dual-task conditions. Secondary outcome measures included dual-task Timed Up and Go test (TUG), Functional Gait Assessment (FGA), and Activities-specific Balance Confidence scale (ABC). Outcomes were assessed before and after the intervention and at 1-month follow-up. Results: Both Cognitive-Motor Multi-Task and Cognitive Dual-Task groups demonstrated the greatest improvements in gait speeds under single- and dual-task conditions post-treatment and at follow-up. Furthermore, only the Cognitive-Motor Multi-Task group demonstrated significant improvements in dual-task TUG, FGA, and ABC at post-treatment and follow-up. Conclusion: Balance training combined with Cognitive-Motor Multi-Task enhances immediate and retained effects on cognitive and motor dual-task walking in ambulatory patients after stroke. Implications for rehabilitation: Gait-related dual-task impairments following stroke may reduce gait adaptability to changing environments and impede functional mobility and community participation. Cognitive and motor multi-task balance training improves dual-task walking performance in ambulatory stroke survivors, with sustained benefits over time. Rehabilitation professionals are encouraged to incorporate cognitive and motor multi-tasking into balance exercises to enhance walking under single- and dual-task conditions in patients after stroke pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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