The Effect of Dual-Task Training on Balance and Cognition in Patients With Subacute Post-Stroke
Identifieur interne : 000501 ( Main/Curation ); précédent : 000500; suivant : 000502The Effect of Dual-Task Training on Balance and Cognition in Patients With Subacute Post-Stroke
Auteurs : Jun Hwan Choi [Corée du Sud] ; Bo Ryun Kim [Corée du Sud] ; Eun Young Han [Corée du Sud] ; Sun Mi Kim [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2015.
Abstract
To investigate the effect of dual-task training on the recovery of balance ability and cognitive function in patients with subacute stroke.
Twenty patients (12 males and eight females; average age, 59.70 years) with subacute stroke were enrolled in this study. All participants were randomly assigned to one of two groups, the dual-task group (n=10) or the control group (n=10). The dual task was simultaneous balance and cognitive training using the BioRescue. All patients were evaluated with posturographic parameters and the Berg Balance Scale for balance ability, a computerized neuropsychological test and the Korean version of the Mini-Mental State Examination for cognitive function, the Fugl-Meyer Assessment for motor function, and the Korean-Modified Barthel Index for activities of daily living (ADL) function before and after 4 weeks of rehabilitation.
The dual-task group showed significant improvements in the pressure of the weight distribution index (WDI), surface area, and length of the stability index during the eyes-open condition; surface area of the limit of stability (LOS) on the hemiparetic and intact sides, and the auditory continuous performance test and backward visual span test after rehabilitation. Although no significant difference was observed for the changes in balance ability or cognitive, motor, and ADL functions between the groups, changes in the WDI pressure during the eyes-open condition and in the area ratio of LOS (hemiparetic/intact) showed a tendency to improve in the dual-task group.
Our findings suggest that dual-task training could be as effective as conventional balance training for improving balance and cognition in subacute post-stroke patients.
Url:
DOI: 10.5535/arm.2015.39.1.81
PubMed: 25750876
PubMed Central: 4351499
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Effect of Dual-Task Training on Balance and Cognition in Patients With Subacute Post-Stroke</title><author><name sortKey="Choi, Jun Hwan" sort="Choi, Jun Hwan" uniqKey="Choi J" first="Jun Hwan" last="Choi">Jun Hwan Choi</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Bo Ryun" sort="Kim, Bo Ryun" uniqKey="Kim B" first="Bo Ryun" last="Kim">Bo Ryun Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Han, Eun Young" sort="Han, Eun Young" uniqKey="Han E" first="Eun Young" last="Han">Eun Young Han</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sun Mi" sort="Kim, Sun Mi" uniqKey="Kim S" first="Sun Mi" last="Kim">Sun Mi Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25750876</idno><idno type="pmc">4351499</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4351499</idno><idno type="RBID">PMC:4351499</idno><idno type="doi">10.5535/arm.2015.39.1.81</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001B73</idno><idno type="wicri:Area/Pmc/Curation">001B73</idno><idno 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Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Bo Ryun" sort="Kim, Bo Ryun" uniqKey="Kim B" first="Bo Ryun" last="Kim">Bo Ryun Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Han, Eun Young" sort="Han, Eun Young" uniqKey="Han E" first="Eun Young" last="Han">Eun Young Han</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sun Mi" sort="Kim, Sun Mi" uniqKey="Kim S" first="Sun Mi" last="Kim">Sun Mi Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju</wicri:regionArea><wicri:noRegion>Jeju</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the effect of dual-task training on the recovery of balance ability and cognitive function in patients with subacute stroke.</p></sec><sec><title>Methods</title><p>Twenty patients (12 males and eight females; average age, 59.70 years) with subacute stroke were enrolled in this study. All participants were randomly assigned to one of two groups, the dual-task group (n=10) or the control group (n=10). The dual task was simultaneous balance and cognitive training using the BioRescue. All patients were evaluated with posturographic parameters and the Berg Balance Scale for balance ability, a computerized neuropsychological test and the Korean version of the Mini-Mental State Examination for cognitive function, the Fugl-Meyer Assessment for motor function, and the Korean-Modified Barthel Index for activities of daily living (ADL) function before and after 4 weeks of rehabilitation.</p></sec><sec><title>Results</title><p>The dual-task group showed significant improvements in the pressure of the weight distribution index (WDI), surface area, and length of the stability index during the eyes-open condition; surface area of the limit of stability (LOS) on the hemiparetic and intact sides, and the auditory continuous performance test and backward visual span test after rehabilitation. Although no significant difference was observed for the changes in balance ability or cognitive, motor, and ADL functions between the groups, changes in the WDI pressure during the eyes-open condition and in the area ratio of LOS (hemiparetic/intact) showed a tendency to improve in the dual-task group.</p></sec><sec><title>Conclusion</title><p>Our findings suggest that dual-task training could be as effective as conventional balance training for improving balance and cognition in subacute post-stroke patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wolfe, Cd" uniqKey="Wolfe C">CD Wolfe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balami, Js" uniqKey="Balami J">JS Balami</name></author><author><name sortKey="Chen, Rl" uniqKey="Chen R">RL Chen</name></author><author><name sortKey="Buchan, Am" uniqKey="Buchan A">AM 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