Deans' stroke musings: Differential Effects of Cognitive vs. Motor Dual-Task Training in Stroke Rehabilitation: A Precision-Focused Meta-Analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, January 28, 2026

Differential Effects of Cognitive vs. Motor Dual-Task Training in Stroke Rehabilitation: A Precision-Focused Meta-Analysis

Your competent? doctor started producing protocols on this 8 years ago, right!

OH NO, INCOMPETECE REIGNED AND NOTHIG WAS DONE!

dual tasks (8 posts to July 2018)

Differential Effects of Cognitive vs. Motor Dual-Task Training in Stroke Rehabilitation: A Precision-Focused Meta-Analysis

Hui Gaoa, † MPT, Man Langb, † MS, Mustapha Mangdowa MS, Wen Liua, * PhD aDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Profession, University of Kansas Medical Center, Kansas City, Kansas, USA bDepartment of Rehabilitation Therapy, Yangzhi Affiliated Rehabilitation Hospital of Tongji University (Shanghai Sunshine Rehabilitation Center), Shanghai, China † Co-first authors, *Corresponding author

Abstract:

This systematic review and meta-analysis primarily aimed to investigate the differential effectiveness of motor dual-task training (MDT) and cognitive dual-task training (CDT) on gait performance, balance control, and motor function in stroke survivors, and explored other important moderating factors such as stroke chronicity and individual functional profiles to inform a precision-based, personalized approach. Twenty-one RCTs involving 786 stroke survivors were included. Dual-task training demonstrated a medium overall beneficial effect on both temporal and spatial gait performance (SMD=0.50, p=0.03; SMD=0.5, p=0.04) and balance control (SMD=0.71, p=0.02), whereas no statistically significant improvement was observed in lower-extremity motor function. Subgroup analysis revealed that dual-task training modality was a critical determinant of treatment response. MDT was significantly superior for gait performance on both gait speed and stride length (SMD=1.15, p=0.01; SMD=0.89, p<0.01), while CDT demonstrated a significant benefit for balance control (SMD=0.59, p<0.01). Those modality-specific effects were further supported by meta-regression analysis. Stroke survivors at high risk of falls showed greater balance improvements following dual-task training. Furthermore, improvements in balance control and motor function were observed in non-chronic stroke survivors ( ≤ 6 months post-stroke) but not in chronic stroke survivors. These results offer crucial prescriptive insights, guiding clinicians to match the dual-task modality and timing of intervention to the individual patient’s functional profile. However, the high heterogeneity among studies and the lack of direct comparative trials between CDT and MDT limit the conclusive strength of these recommendations.