Effects of Augmented Reality Dual-Task Training with ChatGPT-Assisted Development on Strength, Balance, Spatiotemporal Gait Parameters, and Fall-Related Self-Efficacy in Patients with Chronic Stroke: A Randomized Controlled Trial.

Background: Dual-task and augmented reality (AR)–based interventions have been used to improve balance and gait in patients with stroke; however, evidence for AR programs developed using accessible approaches such as ChatGPT-assisted programming remains limited. Objective: This study aimed to invest...

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Publicado en:NeuroRehabilitation Vol. 59; no. 1; pp. 85 - 99
Autores principales: Han, Sangyong, Yoon, Jeongeun, Park, Donghwan
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      place: Thousand Oaks, California
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        atl: Effects of Augmented Reality Dual-Task Training with ChatGPT-Assisted Development on Strength, Balance, Spatiotemporal Gait Parameters, and Fall-Related Self-Efficacy in Patients with Chronic Stroke: A Randomized Controlled Trial.
      aug:
        au:
          Han, Sangyong
          Yoon, Jeongeun
          Park, Donghwan
        affil: Department of Physical Therapy, Kyungnam University, Changwon, Republic of Korea
      sug:
        subj:
          Chronic Disease Rehabilitation
          Stroke Rehabilitation
          Augmented Reality
          Artificial Intelligence, Generative
          Therapeutic Exercise Methods
          Lunge
          Cognition
          Motor Skills
          Gait Analysis
          Accidental Falls Prevention and Control
          Self-Efficacy Evaluation
          Lower Extremity Physiology
          Muscle Strength Evaluation
          Balance, Postural Evaluation
          Treatment Outcomes
          Human
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Multitasking Behavior
          Male
          Female
          Adult
          Middle Age
          Aged
          Stroke Patients
          Rehabilitation Patients
          Pilot Studies
          Throwing
          Walking Speed
          Step
          Analysis of Variance
          Paralysis Rehabilitation
          Clinical Assessment Tools
          Physical Therapy
          Virtual Reality
          Resistance Training
          Dual-Task Tests
          Quadriceps Muscles
          Ankle Joint
          Plantarflexion
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Dual-task and augmented reality (AR)–based interventions have been used to improve balance and gait in patients with stroke; however, evidence for AR programs developed using accessible approaches such as ChatGPT-assisted programming remains limited. Objective: This study aimed to investigate the effects of ChatGPT-assisted AR dual-task training on muscle strength, balance, gait parameters, and fall-related self-efficacy in patients with chronic stroke. Methods: Twenty-eight patients with chronic stroke were randomly assigned to an experimental group receiving ChatGPT-assisted AR dual-task training or a control group receiving lunge training combined with a throwing task. Both groups trained for 10 min per session, five times per week for four weeks. Primary outcomes were lower-limb strength and balance (static and dynamic). Secondary outcomes included gait parameters and fall-related self-efficacy. Gait speed and step length were measured using the GAITRite system, and step-length symmetry was calculated using a symmetry index derived from paretic and nonparetic step lengths. Group × time interactions were analyzed using mixed-design ANOVA. Results: Significant group × time interactions were observed for most primary and secondary outcomes (p < 0.05), in favor of the experimental group; however, the interaction for paretic step length was not statistically significant. Notably, improvement in dynamic balance, as assessed by the timed up and go test, exceeded the minimal clinically important difference in the experimental group. Conclusions: ChatGPT-assisted AR dual-task training improved muscle strength, balance, gait performance, and fall-related self-efficacy more than conventional dual-task training, providing preliminary evidence of short-term benefits for ambulatory patients with chronic stroke.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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