Comparative Effects of Dual Task Training and Repetitive Task Training in Chronic Stroke
21. juli 2026 oppdatert av: 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.
Studieoversikt
Status
Rekruttering
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Intervensjonell
Registrering (Antatt)
82
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiekontakt
- Navn: Imran Amjad, PhD
- Telefonnummer: 03324390125
- E-post: imran.amjad@riphah.edu.pk
Studiesteder
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Sialkot, Pakistan
- Rekruttering
- Amin Welfare & Teaching Hospital
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Ta kontakt med:
- Dr. Aqsa Gulzar Ahmed
- Telefonnummer: 03484071699
- E-post: aqsachodhary504@gmail.com
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Nei
Beskrivelse
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.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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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Aktiv komparator: 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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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Dynamic Balance
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Aiza Yousaf, MS-OMPT, Riphah International University
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. juni 2025
Primær fullføring (Antatt)
30. juli 2026
Studiet fullført (Antatt)
2. august 2026
Datoer for studieregistrering
Først innsendt
21. juli 2026
Først innsendt som oppfylte QC-kriteriene
21. juli 2026
Først lagt ut (Faktiske)
24. juli 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
24. juli 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
21. juli 2026
Sist bekreftet
1. juli 2026
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- REC/RCR & AHS/25/0239
Plan for individuelle deltakerdata (IPD)
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NEI
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