Comparison of Dual-Task Specific Training & Conventional Physiotherapeutic Interventions in Ambulation of Left Hemiplegic Stroke Patients: A Randomized Control Trial
Published: 2023-09-01
Page: 121-128
Issue: 2023 - Volume 6 [Issue 1]
Muslim Khan *
Iqra National University, Pakistan.
Mutlk Aiyedh Almutairi
Department of Physiotherapy, Long Term Care Hospital, Ministry of Health, Hafer Albatin, 39921, Kingdom of Saudi Arabia.
Hamdan Mohsen Aldhafeeri
King Khalid Hospital Hafr Albatin, Kingdom of Saudi Arabia.
Mohammad Ahmad Sharahily
Department of Medical Rehabilitation, Physical Therapy Department, King Salman Hospital, Ministry of Health, Riyadh, 12769, Kingdom of Saudi Arabia.
Mohammed Ibrahim Amri
Department of Medical Rehabilitation, Physical Therapy Department, King Salman Hospital, Ministry of Health, Riyadh, 12769, Kingdom of Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Background: Physiotherapeutic interventions help in the motor relearning and functional recovery of stroke patients with motor impairments of the upper and lower limbs. Among the various physiotherapeutic interventions, dual-task training has been proven significantly effective in the functional recovery of stroke patients. The aim of this study is to compare the effectiveness of dual-task training (DTT) and conventional physical therapy in ambulatory left-hemiplegic stroke patients.
Methods: This RCT was conducted at the King Hospital, Swat, from March 2019 to August 2019 on chronic left-hemiplegic stroke patients. The patients recruited for the study on the basis of set inclusion criteria were randomised into 2 groups: the treatment group received DTT, while the control group received conventional physical therapy. The DTT menu intervention contained the following: slowly walking forward, backward, and sideways on a smooth, non-slippery surface while holding an 80-gram sandbag in hand. The CPT group received conventional physiotherapy, which included mat activities, strengthening and stretching exercises, and ambulation and gait training. Pre- and post-test clinical data were collected and analysed on SPSS 22 for spatial and temporal variables for CPT and DTT by using 10MWT and TUG (10-Meter Walk Test and Time Up and Go Test, respectively) along with step length, cadence, cycle time, and stride length.
Results: Of the 32 patients, there were 16 (50%) in each of the groups that both had 18 males (56%) and 14 females (44%). The mean age recorded in the CPT was 58.20 6.20 and in the DTT 58.27 6.12 years. Baseline clinical parameters among both groups were almost identical (P > 0.05). Post-test score showed improvement of gait variables (temporal and spatial), 10MWT score, cadence, step length, stride, and cycle time in DTT as compared to CPT (P 0.05).
Conclusion: Dual-task training and conventional physical therapy significantly improve the functional ability of the left-hemiplegic patients on all gait, temporal, and spatial parameters.
Keywords: Stroke, dual task training, conventional physical therapy, gait and ambulation
How to Cite
References
Iqbal M, Arsh A, Hammad SM, Haq IU, Darain H. Comparison of dual task specific training and conventional physical therapy in ambulation of hemiplegic stroke patients: A randomized controlled trial. J Pak Med Assoc. 2020; 70(1):7-10. DOI: 10.5455/JPMA.10443
Chiaramonte R, Bonfiglio M, PLJ of functional, undefined. ProprioceCPTive and Dual-Task Training: The Key of Stroke Rehabilitation, A Systematic Review. mdpi.comSign in; 2022.
Accessed August 31, 2022. Available:https://www.mdpi.com/1715742
Wong P, Yang Y, STB, undefined. Comparing different montages of transcranial direct current stimulation on dual-task walking and cortical activity in chronic stroke: double-blinded randomized. bmcneurol.biomedcentral.comSign in; 2022. Accessed August 31, 2022.
Available:https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-022-02644-y
Baek C, Chang W, Park B, therapy K, undefined. Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: A Randomized Controlled Trial. Acad; 2021.
Accessed August 31, 2022. Available:https://academic.oup.com/CPTj/article-abstract/101/6/pzab067/6145043
Collett J, Fleming M, … DMC, undefined. Dual-task walking and automaticity after Stroke: Insights from a secondary analysis and imaging sub-study of a randomised controlled trial. journals.sagepub.comSign in; 2021.
Accessed August 31, 2022. Available:https://journals.sagepub.com/doi/abs/10.1177/02692155211017360
Plummer P, Zukowski L, Practice JF… T and, 2021 undefined. Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial. Taylor Fr.
Accessed August 31, 2022. Available:https://www.tandfonline.com/doi/abs/10.1080/09593985.2021.1872129
Plummer P, Zukowski LA, Feld JA, Najafi B. Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial. Physiother Theory Pract. Published online 2021.
DOI: 10.1080/09593985.2021.1872129
dual task therapy in stroke patients - Google Scholar.
Accessed August 31, 2022. Available:https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&as_ylo=2021&q=dual+task+therapy+in+stroke+patients&btnG=
Collett J, Fleming MK, Meester D, et al. Dual-task walking and automaticity after Stroke: Insights from a secondary analysis and imaging sub-study of a randomised controlled trial. Clin Rehabil. 2021;35(11): 1599-1610.
DOI: 10.1177/02692155211017360
Ahmed U, Karimi H, … SAJ of international, 2021 undefined. Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: A randomized controlled trial. Journals.sagepub.comSign in.
Accessed August 31, 2022. Available:https://journals.sagepub.com/doi/abs/10.1177/03000605211059413
Kayabinar B, … İAGEJ of, 2021 undefined. The effects of virtual reality augmented robot-assisted gait training on dual-task performance and functional measures in chronic stroke: A randomized controlled. Res.
Дідо Ю, Дуло О, Готовський Р, Григус І. of the goal-oriented physical therapy and ergotherapy tasks and dual task activities on the Berg balance scale and balance indicators in patients with the unilateral …. Published online 2021. Accessed August 31, 2022. Available:https://dspace.uzhnu.edu.ua/jspui/handle/lib/37113
Zhang X, Xu F, Shi H, Liu R, rehabilitation XWC, 2022 undefined. Effects of dual-task training on gait and balance in stroke patients: A meta-analysis. journals.sagepub.comSign in.
Accessed August 31, 2022. Available:https://journals.sagepub.com/doi/abs/10.1177/02692155221097033
Zhou Q, Yang H, Zhou Q, Neuroscience HPJ of C, 2021 undefined. Effects of cognitive motor dual-task training on stroke patients: A RCT-based meta-analysis. ElsevierSign in.
Accessed August 31, 2022. Available:https://www.sciencedirect.com/science/article/pii/S0967586821004288
Wong PL, Yang YR, Tang SC, Huang SF, Wang RY. Comparing different montages of transcranial direct current stimulation on dual-task walking and cortical activity in chronic stroke: double-blinded randomized controlled trial. BMC Neurol. 2022;22(1). DOI: 10.1186/S12883-022-02644-Y
Ahmed U, Karimi H, Amir S, Ahmed A. Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial. J Int Med Res. 2021;49(11). DOI: 10.1177/03000605211059413
Zhang X, Xu F, Shi H, Liu R, Wan X. Effects of dual-task training on gait and balance in stroke patients: A meta-analysis. Clin Rehabil. Published online SeCPTember; 1, 2022. DOI: 10.1177/02692155221097033
Andelic N, Røe C, Tenovuo O, et al. Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study. J Clin Med. 2021;10(5):1-18. DOI: 10.3390/jcm10051035
Dever A, Powell D, Graham L, et al. Gait Impairment in Traumatic Brain Injury: A Systematic Review. Sensors. 2022;22(4). DOI: 10.3390/s22041480
An HS, Kim DJ. Effects of activities of daily living-based dual-task training on upper extremity function, cognitive function, and quality of life in stroke patients. Osong public Heal Res Perspect. 2021;12(5):304-313.
DOI: 10.24171/j.phrp.2021.0177
Zhou Q, Yang H, Zhou Q, Pan H. Effects of cognitive motor dual-task training on stroke patients: A RCT-based meta-analysis. J Clin Neurosci. 2021;92:175-182. DOI: 10.1016/j.jocn.2021.08.009
Mullick AA, Baniña MC, Tomita Y, Fung J, Levin MF. Obstacle Avoidance and Dual-Tasking During Reaching While Standing in Patients With Mild Chronic Stroke. Neurorehabil Neural Repair. 2021;35(10): 915-928.
DOI: 10.1177/15459683211023190
Baek CY, Chang WN, Park BY, Lee KB, Kang KY, Choi MR. Effects of Dual-Task Gait Treadmill Training on Gait Ability, Dual-Task Interference, and Fall Efficacy in People With Stroke: A Randomized Controlled Trial. Phys Ther. 2021;101(6). DOI: 10.1093/CPTj/pzab067
Ou H, Lang S, Zheng Y, et al. Motor dual-tasks for gait analysis and evaluation in post-stroke patients. J Vis Exp. 2021; 2021(169). DOI: 10.3791/62302
Iqbal M, Arsh A, Hammad SM, Ul Haq I, Darain H. Comparison of dual task specific training and conventional physical therapy in ambulation of hemiplegic stroke patients: A randomized controlled trial. J Pak Med Assoc. 2020;70(1):7-10. DOI: 10.5455/JPMA.10443
Muslim Khan et al, “Strokes Outcome Determinants in Pakistan Primary Stroke Center Annals of R.S.C.B., ISSN: 1583-6258. 2022;26(1):2015-2024.
Feld JA, Plummer P. Patterns of cognitive-motor dual-task interference post stroke: An observational inpatient study at hospital discharge. Eur J Phys Rehabil Med. 2021;57(3):327-336.
DOI: 10.23736/S1973-9087.20.06273-5
Kayabinar B, Alemdaroğlu-Gürbüz İ, Yilmaz Ö. The effects of virtual reality augmented robot-assisted gait training on dual-task performance and functional measures in chronic stroke: A randomized controlled single-blind trial. Eur J Phys Rehabil Med. 2021;57(2):227-237. DOI: 10.23736/S1973-9087.21.06441-8
dual task therapy in stroke patients - Search Results - PubMed.
Accessed August 31, 2022.
Available:https://pubmed.ncbi.nlm.nih.gov/?term=dual+task+therapy+in+stroke+patients&filter=years.2021-2022
Zhang X, Xu F, Shi H, Liu R, Wan X. Effects of dual-task training on gait and balance in stroke patients: A meta-analysis. Clin Rehabil. 2022;36(9):1186-1198. DOI: 10.1177/02692155221097033
Chiaramonte, Rita, et al. ProprioceCPTive and Dual-Task Training: The Key of Stroke Rehabilitation, A Systematic Review. Journal of Functional Morphology and Kinesiology. 2022;7(3):53.
Khan M, Ali A, Khan Z., Jan A, Fahad S, Khan S, Ahmad M, Alwabel RA. The Effectiveness of High Intensity Electromagnetic Stimulation in Spastic Stroke Patients: The Effectiveness of High Intensity Electromagnetic Stimulation. Pakistan BioMedical Journal. 2023;6(05): 19–23. Available:https://doi.org/10.54393/pbmj.v6i05.872