None listed
Conditions
Brief summary
This study will investigate whether adding simple cognitive tasks to balance exercises can improve balance and gait in people after stroke. Participants will be randomly assigned to either receive combined cognitive dual-task training with standard balance exercises or conventional physiotherapy alone. Both groups will receive three sessions per week for four weeks. The study hypothesizes that stroke patients who will undergo cognitive dual-task training will demonstrate greater improvements in balance compared to those who will receive conventional balance training only
Interventions
Participants allocated to the experimental group will receive cognitive dual-task training (CDTT) in combination with conventional balance exercises. The cognitive tasks include: addition/subtraction, forward and backward counting, category naming, word chain execution, poem recitation, backward sentence recitation, colour discrimination, backward spelling, and verbal analogical reasoning. All tasks will be performed concurrently with conventional balance exercises.
The intervention will be del
Participants allocated to the experimental group will receive cognitive dual-task training (CDTT) in combination with conventional balance exercises. The cognitive tasks include: addition/subtraction, forward and backward counting, category naming, word chain execution, poem recitation, backward sentence recitation, colour discrimination, backward spelling, and verbal analogical reasoning. All tasks will be performed concurrently with conventional balance exercises. The intervention will be delivered by a qualified physiotherapist with experience in neurorehabilitation and stroke rehabilitation. Sessions will be conducted face-to-face on an individual basis under direct supervision. The intervention will be provided 3 times per week for 4 weeks. Each session will last 30 minutes, consisting of 10 tasks performed for 3 minutes each alongside balance exercises. The intervention will be conducted in the outdoor neurology unit of the physiotherapy department of Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh. Adherence will be monitored through supervised sessions and attendance records. Participants will receive reminders for scheduled sessions, and missed sessions will be followed up. The intervention will not be individualised. All participants allocated to the experimental group will receive the same standardized cognitive dual-task training (CDTT) protocol, combined with conventional balance exercises.
Sponsors
Sabrina Tina – Bangladesh Health Professions Institute (BHPI), Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343, Bangladesh
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Patients with stroke who are taking rehabilitation service at CRP 2. Age between 20 to 80 (Liu et al., 2017) 3. Both male and female (Rai and Ganvir, 2020) 4. A score of greater than 24 on the mini-mental state examination (MMSE) (Liu et al., 2017) 5. Ability to take one or more steps with or without assistance (Zheng Jiejiao et al., 2012) 6. Stable medical condition to allow participation in testing protocol and intervention (Zheng Jiejiao et al., 2012)
Exclusion criteria
1. Any uncontrolled health condition for which exercise was contraindicated (Liu et al., 2017) 2. Non-stroke-related sensory or motor impairments (Zheng Jiejiao et al., 2012) 3. Aphasia (Rai and Ganvir, 2020) 4. Hearing impairment or visual impairment (Rai and Ganvir, 2020) 5. Seizures disorder (Rai and Ganvir, 2020) 6. Any other significant neurological or orthopedic disorder of gait including amputation (Rai and Ganvir, 2020)
Outcome results
None listed