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Comparative Effects of Dual Task Training and Repetitive Task Training in Chronic Stroke

21 juillet 2026 mis à jour par: Riphah International University

Comparative Effects of Dual-task Gait Training and Repetitive Task Training on Dynamic Balance, Walking Function, Muscle Strength and Risk of Fall in Chronic Stroke

Chronic stroke survivors those who have had a stroke for more than six months frequently experience long-lasting, incapacitating deficits, particularly when it comes to motor task impairment. Furthermore, following a stroke, muscle coordination is frequently compromised, resulting in deficiencies in gait and balance control. Dual-task gait training involves incorporating the concept of "doing two tasks" simultaneously. Stroke survivors frequently struggle with walking and multitasking, such as juggling multiple things at once while walking. Repetitive task training (RTT) is a component of contemporary therapeutic approaches in stroke rehabilitation that entails the active practice of task-specific motor exercises. Repetitive task training strategy known as a task-oriented approach entails training a task repeatedly with an emphasis on functional performance aimed at successfully completing it. This study aims to determine the Comparative effects of Dual-task Gait Training and Repetitive task training on dynamic balance, walking function, muscle strength and risk of fall in chronic stroke patients.

Aperçu de l'étude

Statut

Recrutement

Les conditions

Intervention / Traitement

Description détaillée

It will be a single-blinded randomized clinical trial. Non-Probability Convenience sampling technique will be used to recruit 82 participants aged 40 to 70 years from diverse community areas in Gujrat. Through the computerized table generator method of randomization, the individuals will be randomly allocated to two groups, one undergoing Dual task gait training and the other Repetitive task training. Both the groups will perform their respective trainings for 3 days a week for 8 weeks. Tools such as Time Up and Go test (TUG) for walking function, Activity Specific Balance and Confidence ABC scale for fall risk assessment, Manual Muscle Testing (MMT) for strength, Berg Balance Scale (BBS) for balance will be used to measure outcomes. Data will be analyzed in the SPSS version 25. After normality testing of the data, the Paired sample t-test will be used for parametric data while Wilcoxon test will be used for non-parametric data in intragroup comparison, while for intergroup comparison, the independent t-test will be for parametric data and Mann-Whitney U test for non-parametric.

Type d'étude

Interventionnel

Inscription (Estimé)

82

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Lieux d'étude

  • Pakistan
      • Sialkot, Pakistan
        • Recrutement
        • Amin Welfare & Teaching Hospital
        • Contact:

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  • The patient is between the age of 40 to 70 Male and female patients. Chronic post-stroke patients who experienced either ischemic or hemorrhagic stroke between 6 months to 1 year.

Participants who have issues in balance control and walking with berg balance score < 22 that indicates need for walking assistance and are at fall risk.

Participants who reported at least one fall in the past 6 months but retain ambulatory ability with/without aid.

Exclusion Criteria:

  • Recurrent stroke patients. Participants included in other training/study. other neurological conditions, cardiovascular condition, other serious diseases or conditions (e.g., osteoporosis) Patient with severe hypertension, congestive heart failure, unstable cardiac status, aphasia, or cognitive disabilities for which exercise is not recommended.

Patients whose walking abilities are impacted by various medical conditions and neurologic illnesses that are worsening.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Autre
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Dual task training group A
Participants will receive 45-minute individualized training sessions, 3 times a week for 8weeks. The duration and intensity will be varying. Balance training and dual task training programs will be effective in improving balance function and dual-task performance in post stroke patients respectively The balance training program will use progressive activities related to body stability (e.g., standing with eyes closed, tandem standing, and standing on compliant surfaces), to body stability plus hand manipulation (e.g., standing on foam with rapid alternating hand movement or while throwing and catching a ball, and tandem standing while holding a basket), then body transport (e.g., narrow walking, walking backward, and transferring from 1 chair to another), and finally body transport plus hand manipulation. The participants receiving dual-task training with fixed-priority instructions will practice balance tasks while simultaneously performing cognitive tasks, and will be instructed to
Autre: Dual task training
Participants will receive 45-minute individualized training sessions, 3 times a week for 8weeks. The duration and intensity will be varying. Balance training and dual task training programs will be effective in improving balance function and dual-task performance in post stroke patients respectively The balance training program will use progressive activities related to body stability (e.g., standing with eyes closed, tandem standing, and standing on compliant surfaces), to body stability plus hand manipulation (e.g., standing on foam with rapid alternating hand movement or while throwing and catching a ball, and tandem standing while holding a basket), then body transport (e.g., narrow walking, walking backward, and transferring from 1 chair to another), and finally body transport plus hand manipulation. The participants receiving dual-task training with fixed-priority instructions will practice balance tasks while simultaneously performing cognitive tasks, and will be instructed to m
Comparateur actif: Repetitive task training group B
While for Repetitive task training Participants would encouraged to perform arms and legs movement in different directions as quickly. This programme is comprised of functional tasks, embedded in routine everyday activities completed on the ward or at home. This aims to make the programme highly relevant to participants, promote 'carry over' into real life situations, and encourage self-practice. Recovery activities like: washing, dressing and eating/ drinking. Participants will be asked to practice each selected recovery activity independently for up to 20 times, twice per day. To performs RTT, the therapist selects a task relevant to the patient's daily activities-such as sit-to-stand transfers, stepping exercises, or walking-and guides the patient through high repetitions of that task. For example, a lower limb RTT session may include 3 sets of 10-15 sit-to-stand repetitions, step- ups on a low platform, or repeated 10-meter walking laps. Session time typically varies is repeated 3
Autre: Repetitive task training
Repetitive task training Participants would encouraged to perform arms and legs movement in different directions as quickly. This programme is comprised of functional tasks, embedded in routine everyday activities completed on the ward or at home. This aims to make the programme highly relevant to participants, promote 'carry over' into real life situations, and encourage self-practice. Recovery activities like: washing, dressing and eating/ drinking. Participants will be asked to practice each selected recovery activity independently for up to 20 times, twice per day. To performs RTT, the therapist selects a task relevant to the patient's daily activities-such as sit-to-stand transfers, stepping exercises, or walking-and guides the patient through high repetitions of that task. For example, a lower limb RTT session may include 3 sets of 10-15 sit-to-stand repetitions, step- ups on a low platform, or repeated 10-meter walking laps. Session time typically varies is repeated 3 times per

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Dynamic Balance
Délai: Baseline and post 8 weeks
Berg Balance Scale (BBS)
Baseline and post 8 weeks
Walking function
Délai: Baseline and post 8 weeks
Time up and Go test (TUG)
Baseline and post 8 weeks
Muscle strength
Délai: Baseline and post 8 weeks
Manual muscle testing(MMT)
Baseline and post 8 weeks
Risk of Fall
Délai: Baseline and post 8 weeks
Activities specific Balance Confidence Scale (ABC)
Baseline and post 8 weeks

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Riphah International University

Les enquêteurs

  • Chercheur principal: Aiza Yousaf, MS-OMPT, Riphah International University

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

1 juin 2025

Achèvement primaire (Estimé)

30 juillet 2026

Achèvement de l'étude (Estimé)

2 août 2026

Dates d'inscription aux études

Première soumission

21 juillet 2026

Première soumission répondant aux critères de contrôle qualité

21 juillet 2026

Première publication (Réel)

24 juillet 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

24 juillet 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

21 juillet 2026

Dernière vérification

1 juillet 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • REC/RCR & AHS/25/0239

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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