Effects of Dual Task Exercises Training Program on Stroke Patients

Mohammed, Asmaa; Hassanein, Amira Ahmed; Mohammed, Hanan G.; Hamed, Mohammad Kamal; Omran, Eman Sobhy

doi:10.21608/jnsbu.2021.186431

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…On the other hand, dual task exercises have been encouraged as a type of post-stroke intervention to improve balance, mobility, fall risk and activities of daily living (e.g., Mohammed et al, 2019), and cognition (e.g., Park and Lee, 2019).…”

Section: Introductionmentioning

confidence: 99%

Aerobic physical exercise versus dual-task cognitive walking in cognitive rehabilitation of people with stroke: a randomized clinical trial

Maeneja,

Silva,

Ferreira

et al. 2023

Front. Psychol.

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IntroductionStroke is a neurological deficit caused by an acute focal injury to the central nervous system due to vascular injury that can result in loss of neurological function, lasting brain damage, long-term disability and, in some cases, death. The literature reports that aerobic physical exercise, as well as dual-task cognitive walking, are used for the cognitive recovery of people with stroke. We aimed to assess whether aerobic physical exercise influences post-stroke cognitive recovery, namely performance on selective and sustained attention. We tested the hypothesis that post-stroke aerobic physical exercise leads to more significant gains than post-stroke dual-task cognitive walking.MethodsWe used a Randomized Clinical Trial, single-blind, parallel group, to verify the existence of differences between two groups. A total of 34 patients with subacute to chronic stroke were divided into two groups to train three times a week for 12 weeks: the aerobic physical exercise (PE) group engaged in 20 min on a treadmill, 20 min on a stationary bicycle and 5 min on a desk bike pedal exerciser per session; the dual-task (DT) gait exercise group walked for 45 min while simultaneously performing cognitive tasks per session. All participants were assessed on cognitive functioning with the Mini-Mental State Examination (MMSE) and d2 Test of Attention before acute interventions and post interventions. We have also applied a Visual Analog Scale to monitor the participants’ perceived difficulty, pre-, post-acute, and post-chronic interventions. Participants also responded to a Borg Scale of perceived exertion following the acute and the final session of chronic training.ResultsA mixed model ANOVA revealed a significant interaction effect with a large effect size for most of the cognitive variables under study. The variables associated with the d2 Test of Attention showed significant differences between the groups, mainly from T0 to T2. Also for MMSE, an ANOVA revealed a significant interaction effect with significant improvements from T0 to T2. Our results strongly suggest that aerobic physical exercise is more beneficial than dual-task cognitive-gait exercise since in the PE group, cognitive attention scores increase, and cognitive impairment and perception of exertion decrease, compared to the DT group.ConclusionThese findings support that PE provides more significant benefits for patients post-stroke when compared to DT.

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Section: Introductionmentioning

confidence: 99%

Aerobic physical exercise versus dual-task cognitive walking in cognitive rehabilitation of people with stroke: a randomized clinical trial

Maeneja,

Silva,

Ferreira

et al. 2023

Front. Psychol.

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Kinetic Approach in Overcoming Dual-Task Interference for Functional Proficiency, Societal Participation, and Community Re-Integration After Stroke (Preprint)

Gbiri,

Alade,

Aiyegbusi

2024

Preprint

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BACKGROUND Background and Objectives: Engaging in daily activities often requires simultaneously performing multiple tasks, as the execution of only one task at a time is infrequent. The capability to handle two tasks concurrently allows individuals to multitask without compromising balance and concentration, thereby enhancing optimal functional proficiency and societal participation. A reduced capacity for dual-task performance can markedly hinder engagement in functional mobility activities and community participation. OBJECTIVE This study was designed to assess the effectiveness of approaches in overcoming dual-task interference for functional proficiency, community re-integration, societal participation, and the return to productivity after a stroke. METHODS Methodology: In this double-blind, randomized controlled trial, 40 stroke participants with hemiparesis after cerebrovascular injury (mean age = 53.07± 10.15 years) were recruited from Lagos University Teaching Hospital (LUTH) Idi-Araba and Isolo General Hospital, Lagos. They were randomly assigned into two groups; Group A (Study Group) received Conventional Balance Training concurrently with an additional task and Group B (Control Group) received Conventional Balance Training. The participants were involved in a 12-week training intervention and 8 weeks of follow-up, 2 times a week for 45minutes per session. The outcome was assessed using Activities-specific Balance Confidence (ABC) Scale and Dynamic Gait Index for the assessment of functional performance and Dual Task Effect for assessment of level of dual-task interference. Data collected were analyzed using descriptive statistics of mean and standard deviation; the Mann-Whitney U test, Wilcoxon rank-sum test. The level of significance was established at p <.05. RESULTS Result: The study group had significant improvement in ABC (p<0.01), DGI (p<0.01), PS (p<0.05), MSCRIM (p<0.01), DTEFT1 (p<0.01), DTEFT2 (p<0.01), DTEFT3 (p<0.01), DTECRR1 (p<0.00), DTECRR2 (p<0.01) after eight and twelve weeks of intervention when compared to the control group, which revealed that Dual Task Training was more effective approach to overcoming dual-task interference for improved functional proficiency, community re-integration, societal participation, and the return to productivity after a stroke. CONCLUSIONS Conclusion: This study found that it was feasible to overcome dual task interference by implementing a long duration practice of individualized dual-task training, combining a conventional intervention with a variety of motor and cognitive tasks to enhance effective task integration, coordination and automatization in the rehabilitating post stroke survivors to enhance functional proficiency, community re-integration, societal participation and return to productivity after stroke. CLINICALTRIAL PACTR202012851961769

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Effects of Dual Task Exercises Training Program on Stroke Patients

Cited by 2 publications

References 14 publications

Aerobic physical exercise versus dual-task cognitive walking in cognitive rehabilitation of people with stroke: a randomized clinical trial

Aerobic physical exercise versus dual-task cognitive walking in cognitive rehabilitation of people with stroke: a randomized clinical trial

Kinetic Approach in Overcoming Dual-Task Interference for Functional Proficiency, Societal Participation, and Community Re-Integration After Stroke (Preprint)

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