Effects of Dual Task Training Versus Task-specific Training on Lower Limb Function, Trunk Control and Balance in Chronic Stroke Patients: A Randomized Controlled Trial

NCT ID: NCT07100899

Last Updated: 2025-08-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-05
• Study Completion Date: 2025-07-10

Brief Summary

One of the leading causes of disability among the elderly is stroke. After a stroke, it is highly usual for lower extremity function, balance and trunk control to be compromised. After a stroke, trunk control is a crucial early predictor of functional recovery. Following a stroke, proximal trunk control is necessary for distal limb movement control, balance, and functional capacity.

Detailed Description

Forty-five chronic stroke patients, ages 45 to 55, were divided into three equal groups for this randomized controlled study: GA consisted of 15 patients, GB of 15 patients, and GC of 15 patients each. Group A (the study group) received dual motor task training in addition to the selected physiotherapy program, Group B (the study group) received task-oriented training in addition to the selected physiotherapy program, and Group C only received the selected physiotherapy program for 12 weeks. All groups received treatment three times a week for twelve weeks, with each session lasting sixty minutes. The Trunk Impairment Scale (TIS), Functional Reach Test (FRT), Biodex Balance System (BBS), and Fugl Meyer Lower Extremity (FM-LE) were used to evaluate each of the three groups pre and post treatments.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Group A

received dual motor task training in addition to the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes.

Group Type: EXPERIMENTAL

Dual task training

Intervention Type: OTHER

Dual motor task training for 30 minutes. The dual motor training was divided into two phases. The first part involved a single task condition in which the stroke patient was instructed to stand up from a seated position at a self-selected speed without the use of upper limb assistance. Cognitive and physical tasks, is the second part of training. In addition to a 30-minute selected physiotherapy program.

Selected physiotherapy program

Intervention Type: OTHER

Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes.

Group B

received task-oriented training in addition to the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes.

Group Type: EXPERIMENTAL

Task-specific training

Intervention Type: OTHER

Began with a highchair before switching to a low one. In addition to a 30-minute selected physiotherapy program.

Selected physiotherapy program

Intervention Type: OTHER

Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes.

Group C

only received the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes.

Group Type: OTHER

Selected physiotherapy program

Intervention Type: OTHER

Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes.

Interventions

Dual task training

Dual motor task training for 30 minutes. The dual motor training was divided into two phases. The first part involved a single task condition in which the stroke patient was instructed to stand up from a seated position at a self-selected speed without the use of upper limb assistance. Cognitive and physical tasks, is the second part of training. In addition to a 30-minute selected physiotherapy program.

Intervention Type: OTHER

Task-specific training

Began with a highchair before switching to a low one. In addition to a 30-minute selected physiotherapy program.

Intervention Type: OTHER

Selected physiotherapy program

Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 45 chronic stroke patients between the ages of 45 and 55 who were of both sexes, had been ill with stroke for more than six months to a year, had received at least nine years of education, had a score on the Berg balance scale between 41 and less than 45, and had cognitive functions greater than 26 on the MOCA scale were included in this study

Exclusion Criteria

• Patients who had any neurological condition that affected balance other than stroke (such as inner ear, vestibular, or cerebellar dysfunction), communication disorders, uncontrolled hypertension, diabetes, or unstable angina, hearing or vision issues, or respiratory disorders were not allowed to participate.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ahmed Alshimy

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Alshimy

Lecturer of Physical Therapy for Neurology and it's Surgery

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Countries

Egypt

Other Identifiers

P.T.REC/ 012/003564

Identifier Type: -

Identifier Source: org_study_id