Stroke
Conditions
Keywords
Cognition, Motor Functioning, Stroke
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.
Detailed description
The World Health Organization (WHO) defines the stroke as a brain injury that causes rapid and noticeable changes in cerebral function, lasting 24 hours or longer, or resulting in death. Strokes can be caused by vascular issues and include cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. Stroke is a syndrome characterized by acute neurological deficits caused by vascular injury in the central nervous system. It's a major cause of disability and mortality globally, resulting from various risk factors, diseases, and mechanisms. Dual-task training refers to the ability to simultaneously perform multiple cognitive and motor activities while maintaining postural control. Divided attention is the capacity to do more than one thing at the same time. Dual-task training innovatively combines motor and cognitive rehabilitation in a comprehensive module. TST, or task-specific training, is a popular rehab approach that emphasizes function and is commonly used for stroke patients. It's all about targeting specific tasks to help with recovery. RCT conducted on two groups, Dual Task Training and Task Specific training. interventions applied with a frequency of three times a week for eight weeks protocol. Participants will be divided into 2 groups. 1st group will receive Dual task training for motor and cognition simultaneously. 2nd group will receive task specific training for motor and cognition functioning.
Interventions
OTHERDual Task Training
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
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
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
45 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* 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.
Exclusion criteria
* Patients with dementia that had been diagnosed by a neurologist. * Patients with neurological, psychiatric, or medical disorders. * Patients with auditory or visual impairments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl Meyer Assessment Tool | 8th week | The Fugyl-Meyer scale was developed as the first quantitative evaluative instrument for measuring sensorimotor stroke recovery. |
| Trail Making Test A and B | 8 weeks | The Trail Making Test (TMT) is one of the most popular neuropsychological tests and is included in most test batteries. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Digit Span Test | 8 weeks | The Digit Sequencing or Digit Span test is one of the main tools developed to measure one's verbal working memory The Digit Sequence test is one of the main tools developed to measure one's verbal working memory, overall intelligence, attention, and cognitive functioning |
| stroop color and word test | 8 weeks | The Stroop Color and Word Test (SCWT) is a neuropsychological test extensively used to assess the ability to inhibit cognitive interference that occurs when the processing of a specific stimulus feature impedes the simultaneous processing of a second stimulus attribute, well-known as the Stroop Effect |
| Modified Functional Reach Test | 8 weeks | The Modified Functional Reach Test (MFRT) is a simple and adaptive clinical assessment instrument for determining sitting balance, an important part of functional ability. |
Countries
Pakistan
Outcome results
None listed