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.
研究概览
详细说明
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.
研究类型
介入性
注册 (估计的)
82
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Imran Amjad, PhD
- 电话号码：03324390125
- 邮箱：imran.amjad@riphah.edu.pk
学习地点
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Sialkot、巴基斯坦
- 招聘中
- Amin Welfare & Teaching Hospital
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接触：
- Dr. Aqsa Gulzar Ahmed
- 电话号码：03484071699
- 邮箱：aqsachodhary504@gmail.com
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
不
描述
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.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：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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有源比较器：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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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Dynamic Balance
大体时间：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
大体时间：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
大体时间：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
大体时间：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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Aiza Yousaf, MS-OMPT、Riphah International University
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2025年6月1日
初级完成 (估计的)
2026年7月30日
研究完成 (估计的)
2026年8月2日
研究注册日期
首次提交
2026年7月21日
首先提交符合 QC 标准的
2026年7月21日
首次发布 (实际的)
2026年7月24日
研究记录更新
最后更新发布 (实际的)
2026年7月24日
上次提交的符合 QC 标准的更新
2026年7月21日
最后验证
2026年7月1日
更多信息
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