Comparative Effects of Dual Task Training and Repetitive Task Training in Chronic Stroke
2026年7月21日 更新者：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.
調査の概要
詳細な説明
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.
研究の種類
介入
入学 (推定)
82
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Imran Amjad, PhD
- 電話番号：03324390125
- メール：imran.amjad@riphah.edu.pk
研究場所
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Sialkot、パキスタン
- 募集
- Amin Welfare & Teaching Hospital
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コンタクト：
- Dr. Aqsa Gulzar Ahmed
- 電話番号：03484071699
- メール：aqsachodhary504@gmail.com
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
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.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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
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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
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アクティブコンパレータ：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
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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
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Dynamic Balance
時間枠：Baseline and post 8 weeks
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Berg Balance Scale (BBS)
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Baseline and post 8 weeks
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Walking function
時間枠：Baseline and post 8 weeks
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Time up and Go test (TUG)
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Baseline and post 8 weeks
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Muscle strength
時間枠：Baseline and post 8 weeks
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Manual muscle testing(MMT)
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Baseline and post 8 weeks
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Risk of Fall
時間枠：Baseline and post 8 weeks
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Activities specific Balance Confidence Scale (ABC)
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Baseline and post 8 weeks
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Aiza Yousaf, MS-OMPT、Riphah International University
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2025年6月1日
一次修了 (推定)
2026年7月30日
研究の完了 (推定)
2026年8月2日
試験登録日
最初に提出
2026年7月21日
QC基準を満たした最初の提出物
2026年7月21日
最初の投稿 (実際)
2026年7月24日
学習記録の更新
投稿された最後の更新 (実際)
2026年7月24日
QC基準を満たした最後の更新が送信されました
2026年7月21日
最終確認日
2026年7月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。