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Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial.

Publication ,  Journal Article
Plummer, P; Zukowski, LA; Feld, JA; Najafi, B
Published in: Physiother Theory Pract
October 2022

BACKGROUND: Dual-task gait training may improve dual-task gait speed after stroke, but the effects on the relative amount of dual-task interference are unclear. OBJECTIVE: To compare the efficacy of dual-task gait training (DTGT) and single-task gait training (STGT) on cognitive-motor dual-task interference after stroke. METHODS: 36 adults within 3 years of stroke were randomized 1:1 to STGT or DTGT, 3 times a week for 4 weeks. The primary outcomes were the relative dual-task effect on gait speed (DTEg, %) and cognitive task performance (DTEc, %) during walking at preferred and fast speed in two different dual-task conditions (auditory Stroop, auditory clock task). RESULTS: There were no treatment effects on DTEg or DTEc in either group for either dual-task at either walking speed. Across all participants, there were significant improvements in both single and dual-task gait speed in all conditions, without any relative change in the dual-task effect. Subgroup analysis suggested that those with greater interference at baseline may benefit more from DTGT. CONCLUSIONS: DTGT and STGT improved single and dual-task gait speed but did not change the amount of relative interference. The findings may be confounded by an unexpectedly small amount of gait-related dual-task interference at baseline.

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Published In

Physiother Theory Pract

DOI

EISSN

1532-5040

Publication Date

October 2022

Volume

38

Issue

10

Start / End Page

1329 / 1344

Location

England

Related Subject Headings

  • Walking
  • Stroke
  • Rehabilitation
  • Humans
  • Gait
  • Exercise Therapy
  • Cognition
  • Adult
  • 4201 Allied health and rehabilitation science
  • 1106 Human Movement and Sports Sciences
 

Citation

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Plummer, P., Zukowski, L. A., Feld, J. A., & Najafi, B. (2022). Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial. Physiother Theory Pract, 38(10), 1329–1344. https://doi.org/10.1080/09593985.2021.1872129
Plummer, Prudence, Lisa A. Zukowski, Jody A. Feld, and Bijan Najafi. “Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial.Physiother Theory Pract 38, no. 10 (October 2022): 1329–44. https://doi.org/10.1080/09593985.2021.1872129.
Plummer P, Zukowski LA, Feld JA, Najafi B. Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial. Physiother Theory Pract. 2022 Oct;38(10):1329–44.
Plummer, Prudence, et al. “Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial.Physiother Theory Pract, vol. 38, no. 10, Oct. 2022, pp. 1329–44. Pubmed, doi:10.1080/09593985.2021.1872129.
Plummer P, Zukowski LA, Feld JA, Najafi B. Cognitive-motor dual-task gait training within 3 years after stroke: A randomized controlled trial. Physiother Theory Pract. 2022 Oct;38(10):1329–1344.

Published In

Physiother Theory Pract

DOI

EISSN

1532-5040

Publication Date

October 2022

Volume

38

Issue

10

Start / End Page

1329 / 1344

Location

England

Related Subject Headings

  • Walking
  • Stroke
  • Rehabilitation
  • Humans
  • Gait
  • Exercise Therapy
  • Cognition
  • Adult
  • 4201 Allied health and rehabilitation science
  • 1106 Human Movement and Sports Sciences