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.

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.

Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Chang Yoon Baek ◽  
Woo Nam Chang ◽  
Beom Yeol Park ◽  
Kyoung Bo Lee ◽  
Kyoung Yee Kang ◽  
...  
Keyword(s):  
Dual Task ◽  
Cognitive Task ◽  
Gait Training ◽  
Control Group ◽  
Task Condition ◽  
Dual Task Condition ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Task Conditions

Abstract Objective This study aimed to investigate the effects of dual-task gait training using a treadmill on gait ability, dual-task interference, and fall efficacy in people with stroke. Methods Patients with chronic stroke (N = 34) were recruited and randomly allocated to the experimental or control group. Both groups underwent gait training on a treadmill and a cognitive task. In the experimental group, gait training was conducted in conjunction with the cognitive task, whereas in the control group, the training and the cognitive task were conducted separately. Each intervention was provided for 60 minutes, twice a week, for a period of 6 weeks for both groups. The primary outcomes were as follows: gait parameters (speed, stride, variability, and cadence) under single-task and dual-task conditions, correct response rate (CRR) under single-task and dual-task conditions, and dual-task cost (DTC) in gait parameters and CRR. The secondary outcome was the fall efficacy scale. Results Dual-task gait training using a treadmill improved all gait parameters in the dual-task condition, speed, stride, and variability in the single-task condition, and CRR in both conditions. Difference between the groups was observed in speed, stride, and variability in the dual-task condition. Furthermore, dual-task gait training on a treadmill improved DTC in speed, variability, and cadence along with that in CRR, indicating true improvement of DTC, which led to significant improvement in DTC in speed and variability compared with single-task training. Conclusions Dual-task gait treadmill training was more effective in improving gait ability in dual-task training and DTI than single-task training involving gait and cognitive task separately in people with chronic stroke.

scholarly journals To Compare the Effect Between Two Different Priorities Dual Task Balance Training in Older Adults with Balance Impairment

2020 ◽  
pp. 238-250
Author(s):  
Meenakshi Verma ◽  
Supriya Awasthi ◽  
Bhavna Sharma
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Balance Training ◽  
Training Group ◽  
Balance Performance ◽  
Post Intervention ◽  
Single Task ◽  
Balance Impairment ◽  
Task Training ◽  
Dual Task Training

<p style="text-align: justify;"><strong>Background </strong>and Purpose: Balance is controlled through a complex process involving sensory, visual, vestibular and cerebral functioning which get affected by various neurological disorders such as fall. The purpose of the study was to compare the efficiency of three different balance training strategies in an effort to understand the mechanisms underlying training-related changes in dual task balance performance of older adults with balance impairment.</p> <p style="text-align: justify;"><strong>Methods:</strong> 45 older adults with balance impairment were recruited and randomly assigned to three groups. Group one received single task balance training, group two received dual task training balance training under fixed priority, group three received dual task balance training under variable priority. Subjects received one-hour individualized training sessions, five times in a week for two weeks. Berg balance scale and time up and go test were the outcome measure and their scores for all groups were taken prior and after the training.</p> <p style="text-align: justify;"><strong>Results:</strong> One-way analysis of variance was used to analyse the difference among the balance improvement in Group one, two and three. And the results revealed that post intervention scores were highly significant (p£ 0.05) in group two and group three performed better than group one.</p> <p style="text-align: justify;"><strong>Conclusion:</strong> In conclusion, dual task training is effective in improving balance under dual task context in older adults with balance impairment, and single task training may not generalize to balance performance under dual task conditions.</p>

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&lt;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.

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 Training of Balance Under Single- and Dual-Task Conditions in Older Adults With Balance Impairment

2006 ◽  
Vol 86 (2) ◽  
pp. 269-281 ◽  
Author(s):  
Patima Silsupadol ◽  
Ka-Chun Siu ◽  
Anne Shumway-Cook ◽  
Marjorie H Woollacott
Keyword(s):  
Older Adults ◽  
Case Report ◽  
Dual Task ◽  
Balance Training ◽  
Single Task ◽  
Balance Impairment ◽  
Instructional Set ◽  
Task Training ◽  
Dual Task Training ◽  
Task Conditions

Background and Purpose. Traditionally, rehabilitation programs emphasize training balance under single-task conditions to improve balance and reduce risk for falls. The purpose of this case report is to describe 3 balance training approaches in older adults with impaired balance. Case Descriptions. Three patients were randomly assigned to 1 of 3 interventions: (1) single-task balance training, (2) dual-task training under a fixed-priority instructional set, and (3) dual-task training under a variable-priority instructional set. Outcomes. The patients who received balance training under dual-task conditions showed dual-task training benefits; these training benefits were maintained for 3 months. The patient who received variable-priority training showed improvement on novel dual tasks. Discussion. Older adults may be able to improve their balance under dual-task conditions only following specific types of balance training. This case report gives insight on how this intervention might be combined with more traditional physical therapy intervention. [Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006;86:269–281.]

scholarly journals Does dual-task training improve spatiotemporal gait parameters in Parkinson's disease?

2018 ◽  
Vol 55 ◽  
pp. 86-91 ◽  
Author(s):  
Christian Geroin ◽  
Jorik Nonnekes ◽  
Nienke M. de Vries ◽  
Carolien Strouwen ◽  
Nicola Smania ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

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.

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