Cognitive Motor Dual Task Versus Task Specific Training on Cognition and Motor Functioning in Stroke Patients

Not Applicable

Active, not recruiting

• Conditions: Stroke
• Interventions: Other: Task Specific Training; Other: Dual Task Training

• Registration Number: NCT06454279
• Lead Sponsor: Riphah International University

Brief Summary

This study focuses on Dual Task Training as daily living involves many dual task conditions, in which a person requires to do two or more tasks at same time. without the ability to carry out these types of Dual movements. This study aims to improve the ability to do two tasks at same time, targeted to decrease the risk of fall in stroke patients. This study helps in understanding how multiple tasks simultaneously affects patients' abilities and creating effectiveness programs.

Detailed Description

The World Health Organization (WHO) defines the stroke as a brain injury that causes rapid and noticeable changes in cerebral function, lasting 24 hours or longer, or resulting in death. Strokes can be caused by vascular issues and include cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. Stroke is a syndrome characterized by acute neurological deficits caused by vascular injury in the central nervous system. It's a major cause of disability and mortality globally, resulting from various risk factors, diseases, and mechanisms. Dual-task training refers to the ability to simultaneously perform multiple cognitive and motor activities while maintaining postural control. Divided attention is the capacity to do more than one thing at the same time. Dual-task training innovatively combines motor and cognitive rehabilitation in a comprehensive module. TST, or task-specific training, is a popular rehab approach that emphasizes function and is commonly used for stroke patients. It's all about targeting specific tasks to help with recovery.

RCT conducted on two groups, Dual Task Training and Task Specific training. interventions applied with a frequency of three times a week for eight weeks protocol. Participants will be divided into 2 groups. 1st group will receive Dual task training for motor and cognition simultaneously. 2nd group will receive task specific training for motor and cognition functioning.

Study Timeline

• Study Start: 2024-05-30
• Status Verified: 2024-06
• Study First Submitted: 2024-06-06
• Study First Submitted QC: 2024-06-06
• Last Update Submitted: 2024-06-06
• Study First Posted: 2024-06-12
• Last Update Posted: 2024-06-12
• Primary Completion: 2024-11-05
• Study Completion: 2024-12-05

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Patients with age ≥ 45 years' old both male and female.
• Patients with Mild cognitive impairment with MOCA score of 18-25.
• Patients with sub-acute or chronic stage of stroke and are able to sit
• independently for 30 secs.
• Patients with primary level education.

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Exclusion Criteria

• Patients with dementia that had been diagnosed by a neurologist.
• Patients with neurological, psychiatric, or medical disorders.
• Patients with auditory or visual impairments.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Task Specific Training	Task Specific Training	Picking up the card, Picking up the right color, Box and block activity, Picking up different shapes, Gait training, Sit/ standing marching.
Dual Task Training	Dual Task Training	Dual task exercises for example Crossing over the obstacles placed on their path while answering simple questions "yes" or "no" Walking while bouncing the ball with spell the word like WORLD Picking up an object from the floor. Walking on straight line while Calculation. Tandem walk while counting money

Primary Outcome Measures

Name	Time	Method
Trail Making Test A and B	8 weeks	The Trail Making Test (TMT) is one of the most popular neuropsychological tests and is included in most test batteries.
Fugl Meyer Assessment Tool	8th week	The Fugyl-Meyer scale was developed as the first quantitative evaluative instrument for measuring sensorimotor stroke recovery.

Secondary Outcome Measures

Name	Time	Method
Digit Span Test	8 weeks	The Digit Sequencing or Digit Span test is one of the main tools developed to measure one's verbal working memory The Digit Sequence test is one of the main tools developed to measure one's verbal working memory, overall intelligence, attention, and cognitive functioning
Modified Functional Reach Test	8 weeks	The Modified Functional Reach Test (MFRT) is a simple and adaptive clinical assessment instrument for determining sitting balance, an important part of functional ability.
stroop color and word test	8 weeks	The Stroop Color and Word Test (SCWT) is a neuropsychological test extensively used to assess the ability to inhibit cognitive interference that occurs when the processing of a specific stimulus feature impedes the simultaneous processing of a second stimulus attribute, well-known as the Stroop Effect

Trial Locations

Locations (1)

National Institute of Rehabilitation sciences; 🇵🇰 Islamabad, Punjab, Pakistan