Effect of Cognitive-Motor Dual-Task Training on Postural Stability and Functional Mobility in Stroke

NCT07629856 | Not Yet Recruiting

• 1 other identifier: 02269/ Muattar Hina
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

This Randomized Controlled Trial is conducted to investigate the effects of Cognitive-Motor Dual-Task Training on Postural Stability and Functional Mobility in Stroke Survivors.

Conditions

Stroke

Keywords

Stroke rehabilitation; Cognitive-motor dual task; Postural control; Functional mobility; Tasks- Oriented training

Outcome Measures

Primary Outcomes (4)

• Berg Balance Scale(BBS)

  A clinical tool used to assess static and dynamic balance through 14 functional tasks. Tasks include sitting, standing, reaching, turning, and single-leg stance. It evaluates a person's ability to maintain balance during common daily activities and helps determine the risk of falls, especially in stroke patients and older adults. Scoring: Each item is scored from 0 to 4 (maximum score: 56) * Low fall risk: 41-56 * Moderate fall risk: 21-40 * High fall risk: 0-20

  6 weeks

• Timed-Up and Go Test

  A simple test used to assess mobility, balance, walking ability, and fall risk. The participant is timed while standing up from a chair, walking 3 meters, turning around, walking back, and sitting down. Scoring: Time recorded in seconds * \<10 sec: Normal mobility * 10-20 sec: Good mobility, mostly independent * \>20 sec: Limited mobility, may require assistance

  6 weeks

• Postural Assessment Scale (PASS)

  A stroke-specific tool used to assess postural control in lying, sitting, and standing positions. It includes 12 items that evaluate the ability to maintain or change postures. Scoring: Each item scored 0-3 (Total score: 36) Higher scores indicate better postural control.

  6 weeks

• Dual Task Cost (DTC)

  Quantifies the impact of performing a cognitive task on motor performance (e.g., gait or balance). Calculated as: DTC(%)= Single-task performance-Dual-task performance×100 Higher DTC values indicate greater dual-task interference and poorer ability to manage simultaneous cognitive and motor demands.

  6 weeks

Study Arms (2)

Cognitive-motor dual-task training (CMDT) Group

EXPERIMENTAL

Cognitive-motor dual-task training (CMDT) conducted three times weekly for 45-60 minutes with 10 repetitions each task over 6 weeks progressively challenges stroke survivors with static and dynamic tasks in weeks 1-2, anticipatory tasks in weeks 3-4, and reactive tasks in weeks 5-6, integrating cognitive challenges such as verbal fluency, Stroop tests, and auditory reactions with motor activities like walking and balance exercises

Other: Cognitive-motor dual-task training (CMDT) Group

Conventional Balance Training

ACTIVE COMPARATOR

Static and dynamic balance exercises without cognitive load, e.g., standing and shifting weight, conducted three times weekly for 45-60 minutes with 10 repetitions each task over 6 weeks progressively challenges stroke survivors with static and dynamic tasks in weeks 1-2, anticipatory tasks in weeks 3-4, and reactive tasks in weeks 5-6.

Other: Conventional Balance Training

Interventions

Cognitive-motor dual-task training (CMDT) Group OTHER

Cognitive-motor dual-task training (CMDT) conducted three times weekly for 45-60 minutes with 10 repetitions each task over 6 weeks progressively challenges stroke survivors with static and dynamic tasks in weeks 1-2, anticipatory tasks in weeks 3-4, and reactive tasks in weeks 5-6, integrating cognitive challenges such as verbal fluency, Stroop tests, and auditory reactions with motor activities like walking and balance exercises

Cognitive-motor dual-task training (CMDT) Group

Conventional Balance Training OTHER

Static and dynamic balance exercises without cognitive load, e.g., standing and shifting weight, conducted three times weekly for 45-60 minutes with 10 repetitions each task over 6 weeks progressively challenges stroke survivors with static and dynamic tasks in weeks 1-2, anticipatory tasks in weeks 3-4, and reactive tasks in weeks 5-6.

Conventional Balance Training

Eligibility Criteria

• Age: 40 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age between 40-75 years.
• Clinically diagnosed ischemic or hemorrhagic stroke (≥3 months,post-onset).
• Ability to follow verbal commands (MMSE≥24).
• Medically stable and cleared for physical activity.
• Able to walk independently or with minimal assistance (Functional Ambulation Categories ≥3)
• Berg Balance Scale score between 21-45 (indicating moderate fall risk).

You may not qualify if:

• Severe aphasia or language deficits impacting task comprehension.
• Severe spasticity (modified Ashworth scale ≥2 in lower limbs).
• Visual or vestibular impairments affecting balance.
• Severe musculoskeletal conditions or orthopedic impairments that limit safe participation in balance and gait training. (e.g. recent fractures , severe arthritis).
• Diagnosed Dementia or neurodegenerative disorders
• Participation in any other structured dual-task or cognitive training program within the past 3 months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Family Diagnostic Center

Chak One Hundred Fifty-seven, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Stroke

Interventions

Population Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Demography; Population Characteristics

Study Officials

• Muattar Hina, MS-NMPT*

  Riphah International Unversity

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Abrish H Abbasi, PhD* Rehab

CONTACT

03155311799; abrish.habib@riphah.edu.pk

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 1, 2026
• First Posted: June 5, 2026
• Study Start: May 20, 2026
• Primary Completion (Estimated): October 20, 2026
• Study Completion (Estimated): November 20, 2026
• Last Updated: June 5, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)