Cognitive Motor Dual Task Versus Task Specific Training on Cognition and Motor Functioning in Stroke Patients
NCT ID: NCT06454279
Last Updated: 2024-06-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
44 participants
INTERVENTIONAL
2024-05-30
2024-12-05
Brief Summary
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Detailed Description
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RCT conducted on two groups, Dual Task Training and Task Specific training. interventions applied with a frequency of three times a week for eight weeks protocol. Participants will be divided into 2 groups. 1st group will receive Dual task training for motor and cognition simultaneously. 2nd group will receive task specific training for motor and cognition functioning.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Dual Task Training
Dual task exercises for example Crossing over the obstacles placed on their path while answering simple questions "yes" or "no" Walking while bouncing the ball with spell the word like WORLD Picking up an object from the floor. Walking on straight line while Calculation. Tandem walk while counting money
Dual Task Training
Exercise which combines cognitive task with motor task e.g Backward counting during sit ups.
Calculation questions during stationary cycle for 10 mins. Sequentially perform movements on commands like normal standing (bipedal support with feet separated at shoulder width, Feet together (bipedal support with feet side by side), Semitandem stance, Tandem stance, one leg support on the dominant leg, one leg support on the nondominant leg by first laterally moving the trunk with shoulder abducted at least above 60 degree
Task Specific Training
Picking up the card, Picking up the right color, Box and block activity, Picking up different shapes, Gait training, Sit/ standing marching.
Task Specific Training
Wide based gait training.
Auditory forward digit span:
Remember as many as possible of the number/letter forward sequence, you were told
Auditory backward digit span:
Remember as many as possible of the number/letter back sequence, you were told
Visual forward digit span:
Remember as many as possible of the number forward sequence shown to you by means of cardboard
Visual backward digit span:
Remember as many as possible
Interventions
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Dual Task Training
Exercise which combines cognitive task with motor task e.g Backward counting during sit ups.
Calculation questions during stationary cycle for 10 mins. Sequentially perform movements on commands like normal standing (bipedal support with feet separated at shoulder width, Feet together (bipedal support with feet side by side), Semitandem stance, Tandem stance, one leg support on the dominant leg, one leg support on the nondominant leg by first laterally moving the trunk with shoulder abducted at least above 60 degree
Task Specific Training
Wide based gait training.
Auditory forward digit span:
Remember as many as possible of the number/letter forward sequence, you were told
Auditory backward digit span:
Remember as many as possible of the number/letter back sequence, you were told
Visual forward digit span:
Remember as many as possible of the number forward sequence shown to you by means of cardboard
Visual backward digit span:
Remember as many as possible
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients with Mild cognitive impairment with MOCA score of 18-25.
* Patients with sub-acute or chronic stage of stroke and are able to sit
* independently for 30 secs.
* Patients with primary level education.
Exclusion Criteria
* Patients with neurological, psychiatric, or medical disorders.
* Patients with auditory or visual impairments.
45 Years
75 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Bushra Sultana, MSPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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National Institute of Rehabilitation sciences
Islamabad, Punjab Province, Pakistan
Countries
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References
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Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6.
Yeh TT, Chang KC, Wang JJ, Lin WC, Wu CY. Neuroplastic Changes Associated With Hybrid Exercise-Cognitive Training in Stroke Survivors With Mild Cognitive Decline: A Randomized Controlled Trial. Neurorehabil Neural Repair. 2023 Sep;37(9):662-673. doi: 10.1177/15459683231200220.
Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, Fisher M, Pandian J, Lindsay P. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke. 2022 Jan;17(1):18-29. doi: 10.1177/17474930211065917.
Wolfe CD. The impact of stroke. Br Med Bull. 2000;56(2):275-86. doi: 10.1258/0007142001903120.
Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.
Rost NS, Brodtmann A, Pase MP, van Veluw SJ, Biffi A, Duering M, Hinman JD, Dichgans M. Post-Stroke Cognitive Impairment and Dementia. Circ Res. 2022 Apr 15;130(8):1252-1271. doi: 10.1161/CIRCRESAHA.122.319951. Epub 2022 Apr 14.
Traxler K, Schinabeck F, Baum E, Klotz E, Seebacher B. Feasibility of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2021 Jul 27;7(1):146. doi: 10.1186/s40814-021-00886-0.
V.Rajalaxmi JA. Effects of Dual Task Training Versus PNF Pattern on Balance and Cognition in geriatrics population. International Journal of Life science and Pharma Research. 2022 July; 12(4).
Xiao Y, Yang T, Shang H. The Impact of Motor-Cognitive Dual-Task Training on Physical and Cognitive Functions in Parkinson's Disease. Brain Sci. 2023 Mar 3;13(3):437. doi: 10.3390/brainsci13030437.
Kim KH, Jang SH. Effects of Task-Specific Training after Cognitive Sensorimotor Exercise on Proprioception, Spasticity, and Gait Speed in Stroke Patients: A Randomized Controlled Study. Medicina (Kaunas). 2021 Oct 13;57(10):1098. doi: 10.3390/medicina57101098.
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 Jan;70(1):7-10. doi: 10.47391/JPMA.10443.
Kim H Yeh. Reliability, concurrent validity, and responsiveness of the FuglMeyer Assessment (FMA) for hemiplegic patients. Journal Of Physical Therapy Science. 2012; 24(9): 893.
Marchesi G, Ballardini G, Barone L, Giannoni P, Lentino C, De Luca A, Casadio M. Modified Functional Reach Test: Upper-Body Kinematics and Muscular Activity in Chronic Stroke Survivors. Sensors (Basel). 2021 Dec 29;22(1):230. doi: 10.3390/s22010230.
Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8. doi: 10.1080/09638280801927830.
Lam B, Middleton LE, Masellis M, Stuss DT, Harry RD, Kiss A, Black SE. Criterion and convergent validity of the Montreal cognitive assessment with screening and standardized neuropsychological testing. J Am Geriatr Soc. 2013 Dec;61(12):2181-2185. doi: 10.1111/jgs.12541. Epub 2013 Dec 9.
Tombaugh TN. Trail Making Test A and B: normative data stratified by age and education. Arch Clin Neuropsychol. 2004 Mar;19(2):203-14. doi: 10.1016/S0887-6177(03)00039-8.
Muangpaisan W, Intalapaporn S, Assantachai P. Digit span and verbal fluency tests in patients with mild cognitive impairment and normal subjects in Thai-community. J Med Assoc Thai. 2010 Feb;93(2):224-30.
Scarpina F, Tagini S. The Stroop Color and Word Test. Front Psychol. 2017 Apr 12;8:557. doi: 10.3389/fpsyg.2017.00557. eCollection 2017.
Other Identifiers
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REC/MS-PT/018 Qudsia Hafeez
Identifier Type: -
Identifier Source: org_study_id
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