Circulatory System
Conditions
Interventions
Dual task training
Sponsors
Alade Taiwo Michael
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Hemiparetic from a single stroke occurring at most a year earlier. 2. Patients with stable medical condition. 3. Patients that are able to understand instructions and follow commands. (MMSE = 25). 4. Patients that are able to maintain a stationary standing position with or without an assistive device for a minimum of 2 consecutive minutes without manual assistance. 5. Patients without any other neurological impairment such as Parkinson disease, spinal cord injury, Traumatic brain injury and muliple sclerosis
Exclusion criteria
Exclusion criteria: 1. Any uncontrolled health condition for which exercise is contraindicated such as heart abnormalities. 2. Patient with any comorbidity or disability other than stroke that would preclude balance training such as amputation. 3. Severe uncontrolled visual impairment such as homonymous hemianopia. 4. Known vertigo patients or undergoing treatment for vestibular system dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| DUAL-TASK EFFECTS Dual-task interference will be the primary outcome measure. Three different tasks of varying levels of difficulty (ie, simple, intermediate, advanced) will be used in the dual-task testing paradigm, namely, forward walking test, sit to stand and pick up an object from the floor, and an obstacle crossing test. For the forward walking test, participants walked along a 15-m walkway and time taken to walk the middle 10 m of the 15-m walkway will be measured For the sit to stand and pick up an object from the floor, participants sits on a chair stands and walks a 3 m, picks an object, turns walks back to the chair and sit down. The time to completion will be recorded by a stopwatch. For the obstacle crossing task, a 10-m walkway will be used and 10 obstacles (length 70 cm, width 4 cm, height 4 cm) will be placed 1 m apart from one another and time taken to walk the 10-m walkway will also be measured. For all 3 tests, participants will be instructed to complete the task as fast as possible while maintaining safety. A shorter walking time will indicate better functional proficiency. Two cognitive task domains, namely, verbal fluency and mental tracking, will be evaluated. For the verbal fluency task, participants will be asked to name any word start with letter A-J. For the mental tracking task, participants will be asked to performed serial-5-subtractions from a random number between 40 and 80. The number of correct answers generated will be recorded. The sequence of the 3 functional tests will be randomized first, followed by randomization of the sequence of the 2 cognitive tasks. Participants will start with one of the randomized functional tasks in the single-task condition, and then performs the same functional task in the dual-task condition (in conjunction with one of the cognitive tasks, in randomized sequence). Subsequently, the cognitive tasks will be performed in a sitting position (single-task condition). The time given to perform the cogniti | — |
Secondary
| Measure | Time frame |
|---|---|
| PARTICIPATION SCALE It is an 18-item interview-based instrument that was designed to assess the participation of individuals with a health condition or disability. The scale was developed in an effort to better describe the participation of people living in middle-income and low-income countries. The items in the scale are closed, structured questions with Crohnbach's a of 0.92, intra-tester stability of 0.83 and inter-tester reliability of 0.80 (Wim t al, 2006; Souza et al, 2017). ;MINI MENTAL STATE EXAMINATION SCALES It is a brief 30-point questionnaire test that is used to screen for cognitive impairment. It is also used to estimate the severity of cognitive impairment and to follow the course of cognitive changes in an individual over time, thus making it an effective way to document an individual's response to treatment. It examines functions including arithmetic, memory and orientation. The test includes simple questions and problems in a number of areas: the time and place of the test, repeating lists of words, arithmetic such as the serial sevens, language use and comprehension, and basic motor skills. Any score greater than or equal to 27 points (out of 30) indicates a normal cognition. Below this, scores can indicate severe (=9 points), moderate (10–18 points) or mild (19–24 points) cognitive impairment (Espino et al, 2004; Morales et al, 2006; Guerrero-Berroa et al, 2009);DYNAMIC GAIT INDEX It includes 8 different gait tasks including walking on a level surface, walking while changing gait speeds, walking with vertical or horizontal head turns, walking with pivot turns, stepping over or around obstacles, and walking up and downstairs. Participants’ performance of each test item was rated on a 4-point scale (0-3), with the total score ranging between 0 and 24 (Marchetti et al, 2006) ;THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE (ABC) SCALE It is designed to measure an individual’s confidence in his/her ability to perform daily activities without | — |
Countries
Nigeria
Contacts
Public ContactAyoola Aiyegbusi
Senior Lecturer
Outcome results
None listed