Your competent? doctor created protocols to fix your cognitive impairment a long time ago, right! NO? So, you DON'T have a functioning stroke doctor, do you?
Efficacy and Safety of Dual Task Training in Enhancing Cognitive and Motor Recovery for Post-Stroke Rehabilitation
Nicholas Aderinto 1,
Israel Charles Abraham 2,
Gbolahan Olatunji 2,
Emmanuel Kokori 2,
Ismaila
Ajayi Yusuf 3,
Faith Adedayo Adejumo 4,
Joy Oluwagbohunmi Olatunbosun 5,
Sulaiman Olaide
Bukky 6,
Florence Oluwatoyin Akintepede 1,
David B Olawade 7,
Adetola Emmanuel Babalola 8,
Olamide Asifat 9,
Adeolu Morawo 10
Affiliations:
1. Department of Medicine and Surgery, Ladoke Akintola University of Technology, Og
bomoso, Nigeria
2. Department of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria
3. Department of Medicine and Surgery, Obafemi Awolowo University, Ife, Nigeria
4. Department of Medicine and Surgery, Bowen University, Iwo, Nigeria
5. Lagos University Teaching Hospital, Lagos, Nigeria
6. Accident and Emergency, Mid Cheshire NHS Trust, Cheshire, UK
7. Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, United Kingdom
8. Kornberg School of Dentistry, Temple University, Philadelphia, USA
9. Georgia Southern University, Georgia, USA
10. Department of Neurology, Creighton University School of Medicine, Omaha, Nebraska,
USA
*Corresponding author:
Nicholas Aderinto
Email: nicholasoluwaseyi6@gmail.com
Department of Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
Abstract
Stroke is a leading cause of disability and mortality worldwide, with survivors frequently
experiencing motor and cognitive impairments that hinder their daily functioning and
independence. Dual-task training (DTT), an innovative rehabilitation approach, targets
simultaneous improvement in motor and cognitive functions by addressing cognitive-motor
interference. This narrative review evaluates the efficacy and safety of DTT in post-stroke
rehabilitation. PubMed, Google Scholar, Cochrane Library, Scopus, and the Directory of Open
Access Journals were searched, yielding 31 studies, including randomized controlled trials and
observational studies. Articles were identified that evaluated the safety and efficacy of DTT for
post-stroke rehabilitation in patients who had suffered from hemorrhagic or ischemic stroke.
Before extracting variables, the studies were imported into Rayyan software, and thematic
analysis was subsequently conducted using Microsoft Excel. The findings indicate that DTT
enhances gait parameters, balance, and cognitive functions, particularly attention and executive
function. Additionally, it improves functional outcomes, including activities of daily living
(ADLs), and reduces fall risk. While DTT demonstrates promise in fostering neuroplasticity and
improving recovery outcomes, questions regarding its long-term efficacy, optimal
implementation, and safety warrant further investigation. This review highlights the potential of
DTT as a promising approach in stroke rehabilitation, supporting more integrated recovery
strategies.
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