Dual task training in persons with Multiple Sclerosis: a feasability randomized controlled trial

2017 ◽  
Vol 31 (10) ◽  
pp. 1322-1331 ◽  
Author(s):  
Jacob J Sosnoff ◽  
Douglas A Wajda ◽  
Brian M Sandroff ◽  
Kathleen L Roeing ◽  
JongHun Sung ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Training Program ◽  
Dual Task ◽  
Retention Rate ◽  
Controlled Trial ◽  
Training Group ◽  
Adherence Rate ◽  
Control Group ◽  
Task Training ◽  
Dual Task Training

Objective: To determine the feasibility of dual task training in persons with Multiple Sclerosis. Design: Randomized, single-blinded controlled trial. Setting: University research laboratory. Participants: A total of 234 individuals inquired about the investigation. After screening, 20 individuals with multiple sclerosis who self-reported problems with multitasking and were ambulatory volunteered for the investigation. 14 participants completed the post-assessment following the 12-week intervention. Intervention: Participants were randomly assigned to either single task training program which focused on balance and walking function ( n=6) or dual task training program that incorporated cognitive tasks in balance and walking training ( n=8). Measures: Before and after the 12-week interventions participants underwent assessments of walking; dual task walking; balance (Berg Balance Scale and balance confidence) and cognition as indexed by the Brief International Cognitive Assessment for MS. Results: There was an 8.5% recruitment rate, a 70% retention rate, and a 100% adherence rate. There was a trend for dual task gait speed to improve in the dual task training group following the intervention (Pre: task 1: 109.8±39, task 2: 104.2±34.1; Post: task 1:127.6±40.1, task 2: 122.8±37.4; P=0.14; η2 = 0.24). There was also a trend for the dual task training group (28.1) to have greater performance than the control group (24.7) on visuospatial memory ( P=0.10; η2= 0.23). There were no changes in cognitive performance during walking trials. Conclusions: The study procedures were found to be feasible and improvements should be made in recruitment efforts going forward. Further examination of dual task training programs in individuals with multiple sclerosis is warranted.

scholarly journals The Effect of Cognitive and Motor Dual-task Training on Improvement of Balance and Some Spatiotemporal Gait Parameters in People With Idiopathic Parkinson's Disease

2019 ◽  
Vol 5 (4) ◽  
pp. 190-198
Author(s):  
Tahereh Pourkhani ◽  
◽  
Hassan Daneshmandi ◽  
Ali Asghar Norasteh ◽  
Babak Bakhshayesh Eghbali ◽  
...  
Keyword(s):  
Dual Task ◽  
Controlled Trial ◽  
Training Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Yahr Stage ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Background: Parkinson disease (PD) is characterized by motor and non-motor symptoms that affect patients’ functions, especially while performing dual-tasks a critical factor in everyday living. However, many controversies exist about the benefits of dual-task training in patients with PD. Objectives: This study assessed the efficacy of motor and cognitive dual-task training in improving balance and gait parameters in people with idiopathic PD. Materials & Methods: A single-blind controlled trial was conducted on PD patients living in Guilan Province of Iran, in 2018-2019. A total of 30 PD patients (Hoehn and Yahr stage II-III while on medication) were assigned to the cognitive dual-task training group (n=10), motor dual-task training group (n=10), and single-task control group (n=10). All groups received 30 sessions of different exercises for 10 consecutive weeks. The patients’ balance and some spatiotemporal gait parameters were respectively assessed with timed up and go test and HD VideoCam-Kinovea before and after training and then 1 month later. Results: Both dual-task and single-task trainings improved the outcome measures (timed up and go test (F=535.54; P=0.000), stride length (F=87.41; P=0.00), stride time (F=102.11; P=0.00), cadence (F=286.36; P=0.00), swing time (F=48.90; P=0.00), and stance time (F=40.56; P=0.00)). These improvements were maintained at 1-month follow-up, although the effect slightly reduced. No significant differences were found between the study groups (P>0.05). Conclusion: Motor/cognitive dual-task training and single-task training were found to be significantly and equally effective in improving balance and gait parameters in people with PD.

scholarly journals 32 Effect of Dual Task Training Regarding to Postural Stability in the Healthy Elderly

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Anyamanee Yingyongyudha ◽  
Thanakorn Ramrong ◽  
Piyatip Yodkue ◽  
Korawit Jamjit ◽  
Pawaris Suchart ◽  
...  
Keyword(s):  
Dual Task ◽  
Postural Stability ◽  
The Elderly ◽  
Postural Instability ◽  
Control Group ◽  
Healthy Elderly ◽  
Before And After ◽  
Task Training ◽  
Dual Task Training ◽  
Experimental Group

Abstract Introduction Postural instability problem in the elderly is associated the cognitive impairment. The ageing process is directly linked to impairments in postural stability. Dual task activity is a commonplace to most activities of daily living. The elderly who has a postural instability and cognitive decline that are mechanisms which lead to an increased risk of falls in the elderly. Objective To investigate the effect of dual task training on postural stability in the healthy elderly. Methods The sixty-six healthy elderly were selected based on the inclusion criteria. With randomized 33 participants in each experimental and control group. The experimental group received dual task training for 6 weeks delivered three days per week. The control group received education for postural stability and aerobic exercise. Their postural stability was assessed using the Mini-BESTest in before and after training. Results The score of the Mini-BESTest compare between before and after 6 weeks were significantly different in postural stability and cognitive from that before in experimental group (p<0.001). Conclusions The finding support the dual task training program can improve postural stability in the elderly. Therefore, the dual task training program should be implemented with the elderly to be a choice of exercises for the elderly with postural instability.

scholarly journals Effects of dual-task rehabilitative training in the early postoperative period after direct myocardial revascularization

2021 ◽  
Vol 10 (3) ◽  
pp. 15-25
Author(s):  
I. V. Tarasova ◽  
O. A. Trubnikova ◽  
I. N. Kuhareva ◽  
A. S. Sosnina ◽  
D. S. Kupriyanova ◽  
...  
Keyword(s):  
Cognitive Training ◽  
Postoperative Period ◽  
Dual Task ◽  
Myocardial Revascularization ◽  
Training Group ◽  
Early Postoperative Period ◽  
Cognitive State ◽  
Positive Effects ◽  
Task Training ◽  
Dual Task Training

Aim. To assess the effects of cognitive rehabilitation with dual-task training that involves a cognitive task combined with postural and walking control, as well as electroencephalogram indices in patients in the early postoperative period after direct myocardial revascularization.Methods. The study enrolled 48 patients scheduled for coronary artery bypass graft surgery. Subjects in this prospective, randomized study were randomized using envelopes to a postoperative cognitive training group (n = 23) and non-training group (n = 25). The cognitive training was carried out daily, starting 3-4 days after the procedure and until the discharge order. Dual tasks training (a cognitive task combined with postural and walking control) lasted 15-20 minutes. All patients were submitted to an extended neurophysiological assessment (psychometric tests and electroencephalogram study) and stabilography 3-5 days before and 8-11 days after coronary artery bypass grafting.Results. The patients who underwent cognitive training experienced postoperative cognitive dysfunction (POCD) in 39% cases in the early postoperative period after intervention, while the non-training group - in 64%. The relative risk of developing POCD in the non-training group was 2.77 (95% CI: 0.86-8.91, Z = 1.704, p = 0.08). The patients in cognitive training exhibited better cognitive state compared to the preoperative state (Z = 2.58; p = 0.01) in the absence of statistically significant differences in the non-training group. Moreover, type-1 theta power values increased in the non-training group in comparison to the preoperative values, while the cognitive training group did not have a statistically significant difference in theta power.Conclusion. Positive effects of dual task rehabilitation on the neurophysiological parameters of patients undergoing direct myocardial revascularization were demonstrated. Positive effects include lower frequency of POCD, improved cognitive state and less pronounced cortical dysfunction. The dual task training had proved a suitable training method for this category of patients. Additional studies are required to test the possibility of increasing the duration and intensity of dual task training for stronger recovery effect and improved cognitive and walking performance of patients in the postoperative period after direct myocardial revascularization.

scholarly journals Effects of Plyometric Training and Beta-Alanine Supplementation on Maximal-Intensity Exercise and Endurance in Female Soccer Players

2017 ◽  
Vol 58 (1) ◽  
pp. 99-109 ◽  
Author(s):  
Fabián Rosas ◽  
Rodrigo Ramírez-Campillo ◽  
Cristian Martínez ◽  
Alexis Caniuqueo ◽  
Rodrigo Cañas-Jamet ◽  
...  
Keyword(s):  
Training Program ◽  
Controlled Trial ◽  
Training Group ◽  
Soccer Players ◽  
Control Group ◽  
Plyometric Training ◽  
Change Of Direction ◽  
Maximal Intensity ◽  
Beta Alanine ◽  
Speed Performance

AbstractPlyometric training and beta-alanine supplementation are common among soccer players, although its combined use had never been tested. Therefore, a randomized, double-blind, placebo-controlled trial was conducted to compare the effects of a plyometric training program, with or without beta-alanine supplementation, on maximal-intensity and endurance performance in female soccer players during an in-season training period. Athletes (23.7 ± 2.4 years) were assigned to either a plyometric training group receiving a placebo (PLACEBO, n = 8), a plyometric training group receiving beta-alanine supplementation (BA, n = 8), or a control group receiving placebo without following a plyometric training program (CONTROL, n = 9). Athletes were evaluated for single and repeated jumps and sprints, endurance, and change-of-direction speed performance before and after the intervention. Both plyometric training groups improved in explosive jumping (ES = 0.27 to 1.0), sprinting (ES = 0.31 to 0.78), repeated sprinting (ES = 0.39 to 0.91), 60 s repeated jumping (ES = 0.32 to 0.45), endurance (ES = 0.35 to 0.37), and change-of-direction speed performance (ES = 0.36 to 0.58), whereas no significant changes were observed for the CONTROL group. Nevertheless, compared to the CONTROL group, only the BA group showed greater improvements in endurance, repeated sprinting and repeated jumping performances. It was concluded that beta-alanine supplementation during plyometric training may add further adaptive changes related to endurance, repeated sprinting and jumping ability.

scholarly journals Memory and communication support strategies in dementia: Effect of a training program for informal caregivers

2012 ◽  
Vol 24 (12) ◽  
pp. 1927-1942 ◽  
Author(s):  
Jacki Liddle ◽  
Erin R. Smith-Conway ◽  
Rosemary Baker ◽  
Anthony J. Angwin ◽  
Cindy Gallois ◽  
...  
Keyword(s):  
Training Program ◽  
Controlled Trial ◽  
Informal Caregivers ◽  
Training Group ◽  
Well Being ◽  
Care Recipient ◽  
Control Group ◽  
People With Dementia ◽  
Person With Dementia ◽  
The Impact

ABSTRACTBackground: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.Methods: A pre-test/post-test controlled trial was undertaken with caregiver–care-recipient dyads living in the community. Measures of the carers’ knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.Results: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers’ knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.Conclusions: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.

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