Comparative Effects of Dual Task Training and Repetitive Task Training in Chronic Stroke

NCT07726017 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/25/0239
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Stroke

Keywords

Dual-task Gait Training; Repetitive task training; Dynamic Balance; walking function; muscle strength; risk of fall

Outcome Measures

Primary Outcomes (4)

• Dynamic Balance

  Berg Balance Scale (BBS)

  Baseline and post 8 weeks

• Walking function

  Time up and Go test (TUG)

  Baseline and post 8 weeks

• Muscle strength

  Manual muscle testing(MMT)

  Baseline and post 8 weeks

• Risk of Fall

  Activities specific Balance Confidence Scale (ABC)

  Baseline and post 8 weeks

Study Arms (2)

Dual task training group A

EXPERIMENTAL

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

Other: Dual task training

Repetitive task training group B

ACTIVE COMPARATOR

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

Other: Repetitive task training

Interventions

Dual task training OTHER

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

Dual task training group A

Repetitive task training OTHER

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

Repetitive task training group B

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Amin Welfare & Teaching Hospital

Sialkot, Pakistan

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Aiza Yousaf, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: An independent assessor, who is blinded to the group allocations, will be responsible for evaluating outcomes.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized Clinical Trial

Study Record Dates

• First Submitted: July 21, 2026
• First Posted: July 24, 2026
• Study Start: June 1, 2025
• Primary Completion: July 30, 2026
• Study Completion (Estimated): August 2, 2026
• Last Updated: July 24, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)