Multiple Effects of Dual-Task Focused Training in Individuals with Chronic Stroke

University of Beykent

Status: Completed

Conditions: Physiotherapy; Chronic Stroke; Dual Task

Treatments: Other: Traditional Neurological Rehabilitation + Dual Task Focused Training; Other: Traditional Neurological Rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06559930

UBeykent-8

Details and patient eligibility

About

The aim of this study is to comprehensively investigate dual-task-focused training on balance, functionality, anxiety, healthy function and quality of life in chronic individuals. Stroke is a clinical condition that occurs as a result of deaths in the brain blood and is an important public health problem, ranking third among the causes of death in the world and first among the diseases that cause disability. There are a limited number of studies in the literature investigating the effectiveness of dual task training in stroke rehabilitation.

Full description

Unlike other studies in the literature, this designed study evaluates balance, functionality, anxiety, cognitive functions and quality of life in addition to walking, making it unique. In the light of all this information, the hypothesis of the study is as follows: Application of dual-task-oriented training in addition to the regular physiotherapy program in individuals with chronic stroke affects balance, functionality, anxiety levels, cognitive functions and quality of life. It is planned to include 40 participants who meet the inclusion criteria in the study. After giving the necessary verbal and written information about the study, participants who receive informed consent will be randomized and divided into 2 groups of 20 people each. Group 1 will receive 30 sessions of traditional neurological rehabilitation program every day for 6 weeks. In Group 2, in addition to traditional neurological rehabilitation, a dual-task-oriented training program will be applied for a total of 12 sessions, twice a week. Participants will be evaluated twice, before and after treatment. Researchers will record personal information through a socio-demographic data form. Balance will be evaluated with the Berg Balance Test, functional status will be evaluated with the 10 Meter Walk Test and Timed Up and Go Test, anxiety level will be evaluated with the Beck Anxiety Scale, cognitive functions will be evaluated with the Verbal Fluency Test, and Standardized Mini Mental Test and quality of life will be evaluated with the Stroke Specific Quality of Life Scale.

Enrollment: 40 patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteering to work
• Being between the ages of 40-70
• Being diagnosed with stroke
• Those who are not bedridden or wheelchair bound

Exclusion criteria

• People with sensory impairments (those with severe hearing and vision loss)
• Those with incompletely unioned fractures
• People with infection
• Those who have vestibular problems and balance problems
• Those who cannot cooperate due to psychiatric or cognitive problems
• Serious heart failure etc. those with systemic disease
• Bilateral involvement
• Accompanying serious orthopedic problem

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

40 participants in 2 patient groups

Traditional Neurological Rehabilitation

Active Comparator group

Description:

In-bed lower and upper extremity passive-active assisted-active ROM exercises Lower and upper extremity strengthening exercises with Theraband Electrotherapy will be applied to increase muscle strength in the tibialis anterior, quadriceps femoris, forearm extensors and elbow extensors.

Treatment:

Other: Traditional Neurological Rehabilitation

Traditional Neurological Rehabilitation + Dual Task Focused Training

Experimental group

Description:

In our Traditional Neurological Rehabilitation + Dual Task Focused Training group; Dual-task exercises were added in addition to the conventional treatment program. For dual task training: During in-bed exercises, the person will be asked to perform simple addition operations and rhythmic counting by 4 from 1 to 100. During balance and walking exercises, the person will be asked to count rhythmically by 2 from 1 to 40.

Treatment:

Other: Traditional Neurological Rehabilitation + Dual Task Focused Training