Browse > Article
http://dx.doi.org/10.13066/kspm.2013.8.1.001

The Effect of Dual Motor Task Training on Balance of Subacute Stroke Patients  

Ji, Sang-Goo (Department of Physical Therapy, Eulji University Hospital)
Kim, Myoung-Kwon (Department of Physical Therapy, Youngsan University)
Cha, Hyun-Kyu (Department of Physical Therapy, Eulji University Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.1, 2013 , pp. 1-9 More about this Journal
Abstract
PURPOSE: This study compared the effects of dual motor task training and simple task training on the balance of subacute stroke patients. METHODS: A total of 23 subacute stroke patients participated in the study. The subjects were allocated randomly to two groups: an experimental group and a control group. Both groups received conventional treatment for 50 minutes, 5 times per week for 6 weeks. In addition, the experimental group stacked blocks, moved catch cups, and moved rings while standing and gait. To evaluate the effects of the exercises, subjects were evaluated by using the balance system and the timed get up and go test(TUG) for balance measurement. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. RESULTS: The experimental group showed a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group (p<.05) for the simple task and a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group for the dual task. In addition, the experimental group showed a significant increase in TUG time compared to the control group (p<.05). CONCLUSION: These results support the perceived benefits of dual motor task training to augment the balance of subacute stroke patients. Therefore, dual motor task training is recommended for subacute stroke patients.
Keywords
Subacute stroke; Dual motor task training; Balance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Silsupadol P, Lugade V, Shumway-Cook A et al. Trainingrelated changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled trial. Gait Posture. 2009;29(4):634-9.   DOI   ScienceOn
2 Stoffregen TA, Pagulayan RJ, Bardy BG et al. Modulating postural control to facilitate visual performance. Hum Mov Sci. 2009;19:203-20.
3 Tappan RS. Rehabilitation for balance and ambulation in a patient with attention impairment due to intracranial hemorrhage. Phys Ther. 2002;82(5):473-84.
4 Van Iersel MB, Ribbers H, Munneke M et al. The effect of cognitive dual tasks on balance during walking in physically fit elderly people. Arch Phys Med Rehabil. 2007;88(2):187-91.   DOI   ScienceOn
5 Yadley L, Gardner M, Leadbetter A et al. Effect of articulatory and mental tasks on postural control. Neuroreport. 1999;10(2):215-9.   DOI   ScienceOn
6 Yagura H, Miyai I, Seike Y et al. Benefit of inpatient multidisciplinary rehabilitation up to 1 year after stroke. Arch Phys Med Rehabil. 2003;84(11):1687-91.   DOI   ScienceOn
7 Yang YR, Chen YC, Lee CS et al. Dual-task-related gait changes in individual with stroke. Gait Posture. 2007; 25(2): 185-90.   DOI   ScienceOn
8 Hausdorff JM, Yogev G, Springer S et al. Walking is more like catching than tapping: gait in the elderly as a complex cognitive task. Exp Brain Res. 2005; 164(4):541-8.   DOI   ScienceOn
9 Hollman JH, Kovash FM, Kubik JJ et al. Age-related difference in spatiotemporal markers of gait stability during dual task walking. Gait Posture. 2007;26(1):113-9.   DOI   ScienceOn
10 Horak FB. Clinical assessment of balance disorders. Gait posture. 1997;6(1):76-84.   DOI   ScienceOn
11 Hunter MC, Hoffman MA. Postural control: visual and cognitive manipulations. Gait Posture, 2001;13(1):41-8.   DOI   ScienceOn
12 Huxhold O, Li SC, Schmiedek F et al. Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bulletin. 2006;69(3):294-305.   DOI   ScienceOn
13 Hwang BY. Effects of proprioceptive control program on the balance and walking in the person with chronic stroke. Graduate School of Health Science Keimyung Univ. Doctor's thesis. 2002.
14 Hyndman D, Ashburn A, Yardley L et al. Interference between balance, gait and cognitive task performance among people with stroke living in the community. Disabil Rehabil. 2006;28(13-14):849-56.   DOI   ScienceOn
15 Johansson BB. Brain plasticity and stroke rehabilitation. The Willis lecture. Stroke. 2000;31(1):223-30.   DOI   ScienceOn
16 Lee JJ, Lee HJ, Park JH et al. The Korean version of berg balance scale as an index of activity related to ambulation in subjects with stroke. J Korean Acad Rehab Med. 2007;31(4):400-3.
17 McCulloch KL, Buxton E, Hackney J et al. Balance, attention, and dual-task performance during walking after brain injury: associations with falls history. J Head Trauma Rehabil. 2010;25(3):155-63.   DOI   ScienceOn
18 McNevin NH, Shea CH, Wulf G. Increasing the distance of an external focus of attention enhances learning. Psychol Res. 2003;67(1):22-9.
19 Melzer I, Tzedek I, Or M et al. Speed of voluntary stepping in chronic stroke survivors under single-and dual-task conditions: a case-control study. Arch Phys Med Rehabil. 2009;90(6):927-33.   DOI   ScienceOn
20 Salbach NM, Mayo NE, Robichaud-Ekstrand S et al. The effect of a task-oriented walking intervention on improving balance self-efficacy post stroke: randomized controlled trial. J Am Geriatr Soc. 2005;53(4):576-82.   DOI   ScienceOn
21 Patia AE, Frank JS, Winter DA. Assessment of balance control in the elderly. major issues physiother can. 1990;42:89-97.
22 Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav. 2005;37(3): 239-46.   DOI   ScienceOn
23 Plummer-D'amato P, Altmann LJ, Saracino D et al. Interactions between cognitive tasks and gait after stroke: a dual task study. Gait Posture. 2008;27(4):683-8.   DOI   ScienceOn
24 Ragnarsdottir M. The concept of balance. Physiotherapy. 1996;82(6):368-75.   DOI   ScienceOn
25 Brauer SG, Woollacott M, Shumway-Cook A. The influence of a concurrent cognitive task on the compensatory stepping response to a pertubation in balance-impaired and healthy elders. Gait Posture. 2002;15(1):83-93.   DOI   ScienceOn
26 Regnaux JP, David D, Daniel O et al. Evidence for cognitive processes involved in the control of steady state of walking in healthy subjects and after cerebral damage. Neurorehabil Neural Repair. 2005;19(2):125-32.   DOI
27 Baek NY. Effects of mirror therapy on hemiplegia in the function of lower extremity. Graduate School of Rehabilitation Science Daegu Univ. Masterʼs thesis. 2009.
28 Bowen A, Wenman R, Mickelborough J et al. Dual-task effects of talking while walking on velocity and balance following a stroke. Age Ageing. 2001;30(4):319-23.   DOI   ScienceOn
29 Braun SM, Beurskens AJ, van Kroonenburgh SM. Effects of mental practice embedded in daily therapy compared to therapy as usual in adult stroke patients in dutch nursing homes: design of a randomised controlled trial. BMC Neurol. 2007;7:34.   DOI
30 Brown LA, Sleik RJ, Winder TR. Attentional demands for static postural control after stroke. Arch Phys Med Rehabil. 2002;83(12):1732-5.   DOI   ScienceOn
31 Campbell AJ, Borrie MJ, Spears GF et al. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing. 1990;19(2):136-41.   DOI   ScienceOn
32 Canning CG, Ada L, Woodhouse E. Multiple-task walking training in people with mild to moderate parkinson's disease: a pilot study. Clin Rehabil. 2008; 22(3): 226-33.
33 Dennis A, Dawes H, Elsworth C et al. Fast walking under cognitive-motor interference conditions in chronic stroke. Brain Res. 2009;1287:104-10.   DOI   ScienceOn
34 Dubost V, Annweiler C, Aminian K et al. Stride-to-stride variability while enumerating animal names among healthy young adults: result of stride velocity or effect of attention-demanding task?. Gait Posture. 2008; 27(1):138-43.   DOI   ScienceOn
35 Shumway-Cook A, Woollacott M. Motor control: theory and practical application. Baltimore. Williams & Wilkins. 1995.
36 Riley MA, Stoffregen TA, Grocki MJ et al. Postural stabilization for the control of touching. Hum Mov Sci. 1999; 18(6):795-817.   DOI   ScienceOn
37 Silsupadol P, Shumway-Cook A, Lugade V et al. Effects of single-task versus dual task trainning on balance performance in older adults: a double-blind randomized controlled trial. Arch Phys Med Rehabil. 2009;90(3):381-7.   DOI   ScienceOn
38 Silsupadol P, Lugade V, Shumway-Cook A et al. Trainingrelated changes in dual-task walking performance of elderly persons with balance impairment: a double-blind, randomized controlled traial. Gait Posture, 2009;29(4):634-9.   DOI   ScienceOn