A Systematic Review of the Dual-Task Training for Stroke With Hemiplegia

When I first would walk post stroke, I couldn't walk and talk at the same time, not sure how I got over that problem.

 A Systematic Review of the Dual-Task Training for Stroke With Hemiplegia

뇌졸중 환자에게 적용한 이중과제 훈련이 미치는 효과에 대한 체계적 고찰.  Therapeutic Science for Neurorehabilitation , Volume 5(1) , Pgs. 23-32.

NARIC Accession Number: I246624.  What's this?
Author(s): Lee, Yei-Jin; Jung, Min-Ye.
Publication Year: 2016.

Abstract: 

The objective of this study was to investigate current international research which identifies the effect of dual-task training on stroke with hemiplegia. To this end, journals published from 2007 to 2015 and searched in PubMed were systematically examined. A total of 5 articles were selected for the analysis. The selected studies were all in international journals, using two-group experimental design. In addition, all the papers got PEDro scores above 6. The studies conducted gait task as the motor task, at the same time using various domains of cognitive task such as sustained attention and working memory. The outcome measure tools used, for evaluation by the standardized assessment tool and operational definition, also included assessment tools designed for dual-task training, such as a variety of tools to assess various aspects of effect. Dual-task training in this study was found to have a positive effect on dual-task performance, as well as improving the motor and cognitive functions in patients with stroke. However, there were also limitations to the studies conducted so far. These results suggest complementary points for application in the field of occupational therapy, which may help inform the role of basic data and effective treatment of stroke with hemiplegia.
Descriptor Terms: Literature reviews, Measurements, Stroke, Therapeutic training.
Language: Korean
Geographic Location(s): Republic of Korea, East & Southeast Asia.

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Citation: Lee, Yei-Jin, Jung, Min-Ye. (2016). A Systematic Review of the Dual-Task Training for Stroke With Hemiplegia.  뇌졸중 환자에게 적용한 이중과제 훈련이 미치는 효과에 대한 체계적 고찰.  Therapeutic Science for Neurorehabilitation , 5(1), Pgs. 23-32. Retrieved 12/27/2020, from REHABDATA database.

Comparative Study to Evaluate the Effectiveness of Vestibular Rehabilitation Therapy versus Dual Task Training on Balance and Gait in Posterior Cerebral Artery (PCA) Stroke

So VRT is more effective but you didn't write up a protocol on it, so completely useless.  Didn't your mentors and senior researchers tell you the only goal of stroke research is rehab protocols leading to 100% recovery?  They were that incompetent? Did you account for this possibly being the Hawthorne effect?

Comparative Study to Evaluate the Effectiveness of Vestibular Rehabilitation Therapy versus Dual Task Training on Balance and Gait in Posterior Cerebral Artery (PCA) Stroke

• Source: Journal of Clinical & Diagnostic Research . Nov2019, Vol. 13 Issue 11, p10-17. 8p.
• Author(s): SALEEM, SANA; ARORA, BHARTI; CHAUHAN, PRIYA

• Abstract: 

• Introduction: Vestibular Rehabilitation Therapy (VRT) and Dual Task (DT) training are rehabilitation approaches increasingly used in the care of stroke patients to improve balance and gait, although no comparative evidence has been provided for their efficacy. Aim: The study was aimed to compare the effectiveness of vestibular rehabilitation therapy versus dual task training on balance and gait in posterior cerebral artery stroke. Materials and Methods: A total of 30 subjects i.e., subacute Posterior Cerebral Arterystroke individuals were randomly assigned into 2 groups, group A Vestibular Rehabilitation with Conventional Therapy (n=15) and group B DT training (n=15). Each group received treatment for 45 minutes in a day, 3 times in a week for 4 weeks. Both the groups A and B were also given Conventional Physiotherapy treatment comprising of stretching, strengthening and stability exercises, over the period for 5 days for 4 weeks. Participants were assisted with Wisconsin Gait Scale (WGS) to assess the performance of gait and Mini-BEST test to assess the balance. Mean change score were calculated as the difference between post and pre-test scores and an independent t-test was used to test the difference in the changed scores between two groups. Paired t-test was used to analyse within group differences. A level of significance was set at p≤0.05. Results: The comparison of post intervention scores of Mini- BESTest between Group A and Group B showed significant difference (t-value=2.577, p-value=0.018). The comparison of post intervention scores of WGS between Group A and Group B showed significant difference (t-value= -2.356, p-value=0.028). So, result showed that Group A (Vestibular Rehabilitation) was more significant as compared to Group B (DT training) in both Mini-BESTest and WGS. 
• Conclusion: The result of this study is encouraging to use VRT as a part of rehabilitation protocol by alleviating their gait disturbances, improving balance and gaining confidence of walking with PCA stroke patients as compared with DT Training.
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