Effects of dual-task training on walking and balance in stroke patients: A systematic review and network meta-analysis.
Objective: This study aimed to compare the effects of different dual-task training modalities on walking and balance in stroke patients using network meta-analysis. Data sources: Randomized controlled trials were searched in PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge...
| Published in: | Clinical Rehabilitation Vol. 40; no. 4; pp. 433 - 451 |
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| Main Authors: | , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Apr2026
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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=192476330&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192476330 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02692155 31B jtl: Clinical Rehabilitation issn: 02692155 maglogo: Y pubinfo: dt: Apr2026 vid: 40 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192476330 189511099 192476330 192476330 10.1177/02692155251394944 192476330 ppf: 433 ppct: 18 formats: tig: atl: Effects of dual-task training on walking and balance in stroke patients: A systematic review and network meta-analysis. aug: au: Zhao, Yuxin Guo, Chuanle Zhang, Deqi Wei, Xiaohui Jiang, Xiaoyu Bi, Hongyan affil: College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China sug: subj: Stroke Complications Stroke Rehabilitation Gait Disorders, Neurologic Rehabilitation Balance, Postural Physiology Walking Physiology Therapeutic Exercise Task Performance and Analysis Treatment Outcomes Human Systematic Review Meta Analysis PubMed Embase Cochrane Library Clinical Assessment Tools Scales Motor Skills Cognition Attention Virtual Reality Exposure Therapy Treadmills Robotics Rehabilitation, Cognitive Statistical Significance Data Analysis Software Descriptive Statistics ab: Objective: This study aimed to compare the effects of different dual-task training modalities on walking and balance in stroke patients using network meta-analysis. Data sources: Randomized controlled trials were searched in PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, and Chinese Biomedical Database from inception to September 2025. Review methods: Methodological quality was assessed using the Cochrane risk-of-bias tool. A frequentist approach was applied for network meta-analysis, and evidence quality was evaluated with confidence in the network meta-analysis framework. Results: Thirty-four trials covering 10 dual-task modalities were included. Network meta-analysis results showed that motor-walking dual-task training was the most effective in improving cadence (mean difference = 7.04, 95% CI : 1.95 to 12.12), walking speed (standardized mean difference = 0.67, 95% CI : 0.27 to 1.06), step length (standardized mean difference = 0.56, 95% CI : 0.20 to 0.92), stride (standardized mean difference = 0.76, 95% CI : 0.45 to 1.08), 10-Meter Walk Test (standardized mean difference = 0.73, 95% CI : 0.05 to 1.12) and berg balance scale (mean difference = 5.76, 95% CI : 1.38 to 10.14). Cognitive-balance dual-task training showed the greatest improvement in Timed Up and Go test (mean difference = −4.73, 95% CI : −10.24 to −0.78). The certainty of evidence for most outcomes, assessed using the Grading of Recommendations Assessment, Development and Evaluation framework, ranged from very low to high. Conclusions: Motor-walking dual-task training best improved cadence, walking speed, step length, stride, 10-Meter Walk Test, and Berg Balance Scale. Cognitive-balance dual-task training showed the greatest improvement in Timed Up and Go test. These results inform future guidelines and clinical decisions for stroke patients' walking and balance rehabilitation. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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