Effect of dual-task training on balance in patients with multiple sclerosis: A systematic review and meta-analysis

2021 ◽  
pp. 026921552110103
Author(s):  
Alex Martino Cinnera ◽  
Alessio Bisirri ◽  
Enza Leone ◽  
Giovanni Morone ◽  
Angela Gaeta
Keyword(s):  
Multiple Sclerosis ◽  
Systematic Review ◽  
Dual Task ◽  
Dynamic Balance ◽  
Meta Analysis ◽  
Berg Balance Scale ◽  
P Value ◽  
Balance Scale ◽  
Task Training ◽  
Dual Task Training

Objective: To evaluate the effects of dual-task training on static and dynamic balance in patients with multiple sclerosis. Data sources: PubMed/MEDLINE, EMBASE, Scopus, and PEDro databases were searched from inception to March 1, 2021. Methods: This study was conducted in agreement with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers assessed studies for inclusion and extracted data. We used the Physiotherapy Evidence Database scale to evaluate the methodological quality and the risk-of-bias. Randomized clinical trial data were pooled for the meta-analysis. The effect sizes and 95% confidence interval (CI) were calculated by random-effect models. Egger regression and Begg-Mazumdar rank correlation test were used for publication bias. Results: A total of 13 studies involving 584 patients (42.3 ± 9 years mean ± SD; 377 females) met the inclusion criteria for the systematic review, while nine were included in the meta-analysis. People who received dual-task training interventions showed significant improvements in the Timed Up & Go test 0.44 [(95% CI = 0.22; 0.65), P-value<0.001], and in the Berg Balance scale 0.46 [(95% CI = 0.07; 0.85), P-value = 0.02]. Low and moderate heterogeneity between the studies was found for the Timed Up & Go test and the Berg Balance scale, respectively. Conclusion: The findings from the current meta-analysis support dual-task training as a beneficial therapy for improving dynamic balance and functional mobility in patients with multiple sclerosis. The limited number of studies that investigated static balance performance after dual-task training do not currently allow us to draw a conclusion about any possible improvements in this ability.

Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis

2020 ◽  
Vol 34 (11) ◽  
pp. 1355-1367
Author(s):  
Zhenlan Li ◽  
Tian Wang ◽  
Haoyang Liu ◽  
Yan Jiang ◽  
Zhen Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Motor Symptoms ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Objective: The aim of the present study was to systematically evaluate and quantify the effectiveness of dual-task training on gait parameters, motor symptoms and balance in individuals diagnosed with Parkinson’s disease. Data resources: A systematic review of published literature was conducted until May 2020, using PubMed, EMBASE, Cochrane Library, Web of Science, EBSCO and CNKI databases. Methods: We included randomized controlled trials (RCTs) and non-RCTs to evaluate the effects of dual-task training compared with those of non-intervention or other forms of training. The measurements included gait parameters, motor symptoms and balance parameters. Methodological quality was assessed using the PEDro scale. Outcomes were pooled by calculating between-group mean differences using fixed- or random-effects models based on study heterogeneity. Results: A total of 11 RCTs comprising 322 subjects were included in the present meta-analysis. Results showed that dual-task training significantly improved gait speed (standardized mean difference [SMD], −0.23; 95% confidence interval [CI], −0.38 to −0.08; P = 0.002), cadence (SMD, −0.25; 95% CI, −0.48 to −0.02; P = 0.03), motor symptoms (SMD, 0.56; 95% CI, 0.18 to 0.94; P = 0.004) and balance (SMD, −0.44; 95% CI, −0.84 to −0.05; P = 0.03). However, no significant changes were detected in step length or stride length. Conclusion: Dual-task training was effective in improving gait performance, motor symptoms and balance in patients with Parkinson’s disease relative to other forms of training or non-intervention.

scholarly journals Efektivitas Dual-Task Training Motorik-Kognitif dalam Menurunkan Risiko Jatuh pada Lansia

2019 ◽  
Vol 15 (3) ◽  
pp. 284
Author(s):  
Nahdiah Purnamasari
Keyword(s):  
Dual Task ◽  
Berg Balance Scale ◽  
Test Design ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

Proses penuaan menyebabkan kemunduran dari berbagai aspek tubuh baik secara fisik, mental, maupun psikologis yang secara tidak langsung mengancam kemandirian lansia serta membuat mereka rentan terhadap kejadian jatuh. Latihan kombinasi Dual-Task motorik-kognitif menggabungkan latihan fisik dan kognitif secara bersama-sama dan menginduksi efek sinergis ketika digabungkan dalam satu intervensi. Penelitian ini bertujuan mengetahui pengaruh pemberian latihan dual-task terhadap risiko jatuh pada lansia. Metode yang digunakan adalah pre-eksperimental dengan one group pre-test post-test design dengan lama waktu perlakuan selama 4 minggu dengan frekuensi 3 kali seminggu. Sebelum dan setelah perlakuan, responden diukur tingkat keseimbangan dan risiko jatuhnya menggunakan Berg Balance Scale (BBS), Timed-Up and Go Test (TUGT), serta Tinetti Balance Assesment Tool. Hasil penelitian menunjukkan peningkatan keseimbangan lansia setelah pemberian 12 kali latihan berdasarkan alat ukur BBS (p<0.001) dan TUGT (p=0.079). Risiko jatuh terlihat mengalami penurunan setelah 12 kali perlakuan (p<0.001). Penurunan risiko jatuh paling tinggi terjadi setelah 6 kali perlakuan pertama (p=0.011). Disimpulkan bahwa latihan dual-task motorik-kognitif ini secara signifikan berpengaruh dalam penurunan risiko jatuh pada lansia.

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 Pengaruh Dual-Task Training (Motor-Cognitive) terhadap Keseimbangan Dinamis pada Anak Usia Sekolah

2019 ◽  
Vol 3 (2) ◽  
pp. 77-89
Author(s):  
Yulinar Anwar
Keyword(s):  
Motor Skills ◽  
Dual Task ◽  
Dynamic Balance ◽  
Wilcoxon Test ◽  
Primary Data ◽  
School Age Children ◽  
School Age ◽  
Post Test ◽  
Task Training ◽  
Dual Task Training

Background : School-age Children are characterized by agile movements and motor activity coupled with the need to begin exploring the environment so that motor skills are needed. One aspect of motor skills is dynamic balance. Dual-task training (motor-cognitive) is a method of training that combines motor and cognitive tasks. The purpose of this exercise is to activation pattern of circuits in brain to achieve an adaptive system so that automation can be generated which can affect dynamic balance. Methods : this research is experimental quasi with time series design. The sampling technique used purposive sampling with a sample size of 30 students in 10- and 11- years-old who were not flat foot, not obese, and did not experience balance disorders. Primary data collection is obtained through dynamic balance instruments with balance beam walking test. The collected data used Shapiro Wilk for the normality test and obtained a value of p <0.05, which means that the distribution of data is abnormally distributed then a difference test of the of the pre-test and post-test using Friedman post hoc Wilcoxon Test. Results : the study was conducted for four weeks with 12 training sessions. The result of the analysis were started from pre-test, post-test 1, post-test 2, post-test 3, and post-test 4. The results overall showed a changed in dynamic balance between before and after 12 times of exercise with a significant value p=0,0001 (p <0,05). Conclusion : Therefore, it can be conclused that there is an effect of dual-task training (motor-cognitive) to dynamic balance of school-age children. Keywords : Dual-Task Training (Motor Cognitive), Dynamic Balance, School-age Children

scholarly journals Effects of application of texture insoles on the balance of subjects with Multiple Sclerosis

2017 ◽  
Vol 16 (1) ◽  
pp. 9-16
Author(s):  
Wildja De Lima Gomes ◽  
Thais Botossi Scalha ◽  
Lucas Brino Mota ◽  
Viviane Almeida Kuroda ◽  
Juliana Cintra Garrafa ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Dynamic Balance ◽  
Step Length ◽  
Berg Balance Scale ◽  
Measuring Instruments ◽  
Balance Scale ◽  
Functional Gait ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Objective: The aim of this study was to evaluate the effects on static and dynamic balance after the use of textured insoles. Method: Fifteen subjects with multiple sclerosis were evaluated before using the insoles, after using them for 1 month, and after 2 months without using, them using the following measuring instruments: the Berg Balance Scale, Dynamic Gait Index, and 10-meter Walk Test, a means of functional gait assessment. Results: Improvement was observed in the Berg Balance Scale and Dynamic Gait Index scores, walking time, number of steps and step length after using the insoles for 1 month. The improvement in Berg Balance Scale score remained after two months without the insoles and there were no changes in gait speed. Conclusion: The use of textured insoles was effective as an intervention to improve static and dynamic balance in patients with multiple sclerosis.

scholarly journals Dual-Task Effect on Cognitive and Body Function, β-amyloid Levels in Alzheimer's Dementia Patients: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Seung Min Nam ◽  
SEONG-GIL KIM
Keyword(s):  
Dual Task ◽  
Dynamic Balance ◽  
Beta Amyloid ◽  
Alzheimer’S Dementia ◽  
Task Group ◽  
Cognitive Tasks ◽  
Alzheimer's Dementia ◽  
Dementia Patients ◽  
Task Training ◽  
Dual Task Training

The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and bodily functioning and &beta;-amyloid levels in Alzheimer's dementia patients. The subjects were 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in Gyeongsansi, South Korea. The patients were randomly divided into a dual-task group (n = 16) and a single-task group (n = 18). The dual-task group performed cognitive tasks at the same time as exercising tasks, while the single-task group performed only exercise tasks. Each group was trained for 30 minutes three times a week for eight weeks. The Mini-Mental State Examination was used to measure the patients&rsquo; cognitive function. Static and dynamic balance were measured to evaluate bodily functioning. Static balance was measured using Biorescue, while dynamic balance was measured using the Berg Balance Scale. Blood analysis was performed to measure levels of &beta;-amyloid, which is known to cause Alzheimer's dementia. Both groups exhibited statistically significant improvements in gait function after the training (p &lt; .05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and &beta;-amyloid levels after training (p &lt; .05). A significant difference was observed between the two groups (p &lt; .05). Dual-task activities were found to be effective in improving cognitive and bodily functioning and reducing &beta;-amyloid levels in Alzheimer's dementia patients. Therefore, dual-task training is thought to be an effective method of treating and preventing Alzheimer's dementia.

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