Cognitive Motor Dual Task Versus Task Specific Training on Cognition and Motor Functioning in Stroke Patients

NCT06454279 | Active Not Recruiting

• 1 other identifier: REC/MS-PT/018 Qudsia Hafeez
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This study focuses on Dual Task Training as daily living involves many dual task conditions, in which a person requires to do two or more tasks at same time. without the ability to carry out these types of Dual movements. This study aims to improve the ability to do two tasks at same time, targeted to decrease the risk of fall in stroke patients. This study helps in understanding how multiple tasks simultaneously affects patients' abilities and creating effectiveness programs.

Conditions

Stroke

Keywords

Cognition, Motor Functioning, Stroke

Outcome Measures

Primary Outcomes (2)

• Fugl Meyer Assessment Tool

  The Fugyl-Meyer scale was developed as the first quantitative evaluative instrument for measuring sensorimotor stroke recovery.

  8th week

• Trail Making Test A and B

  The Trail Making Test (TMT) is one of the most popular neuropsychological tests and is included in most test batteries.

  8 weeks

Secondary Outcomes (3)

• Digit Span Test

  8 weeks

• stroop color and word test

  8 weeks

• Modified Functional Reach Test

  8 weeks

Study Arms (2)

Dual Task Training

EXPERIMENTAL

Dual task exercises for example Crossing over the obstacles placed on their path while answering simple questions "yes" or "no" Walking while bouncing the ball with spell the word like WORLD Picking up an object from the floor. Walking on straight line while Calculation. Tandem walk while counting money

Other: Dual Task Training

Task Specific Training

EXPERIMENTAL

Picking up the card, Picking up the right color, Box and block activity, Picking up different shapes, Gait training, Sit/ standing marching.

Other: Task Specific Training

Interventions

Dual Task Training OTHER

Exercise which combines cognitive task with motor task e.g Backward counting during sit ups. Calculation questions during stationary cycle for 10 mins. Sequentially perform movements on commands like normal standing (bipedal support with feet separated at shoulder width, Feet together (bipedal support with feet side by side), Semitandem stance, Tandem stance, one leg support on the dominant leg, one leg support on the nondominant leg by first laterally moving the trunk with shoulder abducted at least above 60 degree

Also known as: Cognitive task + Motor Task

Dual Task Training

Task Specific Training OTHER

Wide based gait training. Auditory forward digit span: Remember as many as possible of the number/letter forward sequence, you were told Auditory backward digit span: Remember as many as possible of the number/letter back sequence, you were told Visual forward digit span: Remember as many as possible of the number forward sequence shown to you by means of cardboard Visual backward digit span: Remember as many as possible

Also known as: cognitive task and motor task

Task Specific Training

Eligibility Criteria

• Age: 45 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with age ≥ 45 years' old both male and female.
• Patients with Mild cognitive impairment with MOCA score of 18-25.
• Patients with sub-acute or chronic stage of stroke and are able to sit
• independently for 30 secs.
• Patients with primary level education.

You may not qualify if:

• Patients with dementia that had been diagnosed by a neurologist.
• Patients with neurological, psychiatric, or medical disorders.
• Patients with auditory or visual impairments.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

National Institute of Rehabilitation sciences

Islamabad, Punjab Province, Pakistan

Location

Related Publications (18)

• Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6.

  PMID: 32837228 BACKGROUND

• Yeh TT, Chang KC, Wang JJ, Lin WC, Wu CY. Neuroplastic Changes Associated With Hybrid Exercise-Cognitive Training in Stroke Survivors With Mild Cognitive Decline: A Randomized Controlled Trial. Neurorehabil Neural Repair. 2023 Sep;37(9):662-673. doi: 10.1177/15459683231200220.

  PMID: 37750660 BACKGROUND

• Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, Fisher M, Pandian J, Lindsay P. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke. 2022 Jan;17(1):18-29. doi: 10.1177/17474930211065917.

  PMID: 34986727 BACKGROUND

• Wolfe CD. The impact of stroke. Br Med Bull. 2000;56(2):275-86. doi: 10.1258/0007142001903120.

  PMID: 11092079 BACKGROUND

• Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.

  PMID: 21571152 BACKGROUND

• Rost NS, Brodtmann A, Pase MP, van Veluw SJ, Biffi A, Duering M, Hinman JD, Dichgans M. Post-Stroke Cognitive Impairment and Dementia. Circ Res. 2022 Apr 15;130(8):1252-1271. doi: 10.1161/CIRCRESAHA.122.319951. Epub 2022 Apr 14.

  PMID: 35420911 BACKGROUND

• Traxler K, Schinabeck F, Baum E, Klotz E, Seebacher B. Feasibility of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2021 Jul 27;7(1):146. doi: 10.1186/s40814-021-00886-0.

  PMID: 34311772 BACKGROUND

• V.Rajalaxmi JA. Effects of Dual Task Training Versus PNF Pattern on Balance and Cognition in geriatrics population. International Journal of Life science and Pharma Research. 2022 July; 12(4).

  BACKGROUND

• Xiao Y, Yang T, Shang H. The Impact of Motor-Cognitive Dual-Task Training on Physical and Cognitive Functions in Parkinson's Disease. Brain Sci. 2023 Mar 3;13(3):437. doi: 10.3390/brainsci13030437.

  PMID: 36979247 BACKGROUND

• Kim KH, Jang SH. Effects of Task-Specific Training after Cognitive Sensorimotor Exercise on Proprioception, Spasticity, and Gait Speed in Stroke Patients: A Randomized Controlled Study. Medicina (Kaunas). 2021 Oct 13;57(10):1098. doi: 10.3390/medicina57101098.

  PMID: 34684135 BACKGROUND

• Iqbal M, Arsh A, Hammad SM, Haq IU, Darain H. Comparison of dual task specific training and conventional physical therapy in ambulation of hemiplegic stroke patients: A randomized controlled trial. J Pak Med Assoc. 2020 Jan;70(1):7-10. doi: 10.47391/JPMA.10443.

  PMID: 31954014 BACKGROUND

• Kim H Yeh. Reliability, concurrent validity, and responsiveness of the FuglMeyer Assessment (FMA) for hemiplegic patients. Journal Of Physical Therapy Science. 2012; 24(9): 893.

  BACKGROUND

• Marchesi G, Ballardini G, Barone L, Giannoni P, Lentino C, De Luca A, Casadio M. Modified Functional Reach Test: Upper-Body Kinematics and Muscular Activity in Chronic Stroke Survivors. Sensors (Basel). 2021 Dec 29;22(1):230. doi: 10.3390/s22010230.

  PMID: 35009772 BACKGROUND

• Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8. doi: 10.1080/09638280801927830.

  PMID: 18608433 BACKGROUND

• Lam B, Middleton LE, Masellis M, Stuss DT, Harry RD, Kiss A, Black SE. Criterion and convergent validity of the Montreal cognitive assessment with screening and standardized neuropsychological testing. J Am Geriatr Soc. 2013 Dec;61(12):2181-2185. doi: 10.1111/jgs.12541. Epub 2013 Dec 9.

  PMID: 24320735 BACKGROUND

• Tombaugh TN. Trail Making Test A and B: normative data stratified by age and education. Arch Clin Neuropsychol. 2004 Mar;19(2):203-14. doi: 10.1016/S0887-6177(03)00039-8.

  PMID: 15010086 BACKGROUND

• Muangpaisan W, Intalapaporn S, Assantachai P. Digit span and verbal fluency tests in patients with mild cognitive impairment and normal subjects in Thai-community. J Med Assoc Thai. 2010 Feb;93(2):224-30.

  PMID: 20302005 BACKGROUND

• Scarpina F, Tagini S. The Stroop Color and Word Test. Front Psychol. 2017 Apr 12;8:557. doi: 10.3389/fpsyg.2017.00557. eCollection 2017.

  PMID: 28446889 BACKGROUND

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Bushra Sultana, MSPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 6, 2024
• First Posted: June 12, 2024
• Study Start: May 30, 2024
• Primary Completion: November 5, 2024
• Study Completion: December 5, 2024
• Last Updated: June 12, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)