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http://dx.doi.org/10.22156/CS4SMB.2020.10.06.217

The Effects of Dual Task Training on the Balance, Upper Extremity Function, and Activities of Daily Living in the Chronic Stroke Patients  

Yu, Ji-Ae (Department of Occupational Therapy, Chungju University)
Park, Ju-Hyung (Department of Occupational Therapy, Chungju University)
Publication Information
Journal of Convergence for Information Technology / v.10, no.6, 2020 , pp. 217-227 More about this Journal
Abstract
This study investigated the effects of dual task training on balance, upper extremity motor function and activities of daily living in patients with chronic stroke. The study subjects were 14 chronic stroke patients. dual task training groups(n=7), and single task training groups(n=7). The intervention period was conducted for 3 times a week, 30 minutes per session, and 4 weeks for all groups. To measure the BT4, JTT, K-MBI were used before and after the intervention. Dual task training groups showed a significant increase in BT 4 and JTT scores(p<.05). The difference between the two groups was significant in the BT4 and JJT scores(p<.05). There was a score improvement in K-MBI, but there was no statistically significant difference(p>.05) Dual task training was effective in facilitating balance, upper extremity function and activities of daily living in patients with chronic stroke.
Keywords
Balance ability; Chronic stroke; Upper extremity function; Dual task training; Activities of daily living;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 H. K. Park, K. H. Cho & W. H. Lee. (2011). The Effects of Dual Task Training on Postural Stability and Balance in Chronic Stroke. Journal of the Korea Academia-Industrial cooperation Society, 12(8), 3555-3562. DOI : 10.5762/KAIS.2011.12.8.3555   DOI
2 H. S. Hwang, J. H. Kim & B. R. Choi. (2017). Comparison of the effects of visual feedback training and unstable surface training on static and dynamic balance in patients with stroke. Phys Ther Sci, 29(10), 1720-1722. DOI : 10.1589/jpts.29.1720   DOI
3 K. Jadelis, M. E. Miller, W. H. Ettinger & S. P. Messier. (2001). Strength, Balance, and the Modifying Effects of Obesity and Knee Pain: Results from the Observational Arthritis Study in Seniors (OASIS). Journal of the American Geriatrics Society, 49(7), 884-891. DOI : 10.1046/j.1532-5415.2001.49178.x   DOI
4 R. H. Jebsen, N. Taylor, R. B. Trieschmann, M. J. Trotter & L. A. Howard. (1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50, 311-319.
5 S. Shah, F. Vanclay & B. Cooper. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42(8), 703-709. DOI : 10.1016/0895-4356(89)90065-6   DOI
6 S. M. Jung & D. H. An. (2007). Effects of Short-Term Intensive Balance Training for the Performance Ability of Lower Extremities in the Elderly. Korean Research Society of Physical Therapy, 14(1), 11-20.
7 S. W. Lee, J. H. Lee & Y. W. Lee. (2012). The Effect of Dual Motor Task Training on Sitting for Balance in Patients with Chronic Stroke. Journal of Special Education & Rehabilitation Science, 51(2), 301-318. DOI : 10.1589/jpts.24.345
8 J. W. Kim, S. M. Kim & R. J. Park. (2003). The Effects of Task-Oriented Functional Training on Standing Balance in Stroke Patients. The Journal of Korean Society of Physical Therapy, 15(4), 923-936.
9 G. B. Prange, M. J. A. Jannink, C. G. M. Groothuis-Oudshoorn, H. J. Hermens & M. J. IJzerman. (2006). Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. The Journal of Rehabilitation Research and Development, 43(2), 171. DOI : 10.1682/jrrd.2005.04.0076   DOI
10 M. A. Riley, T. A. Stoffregen, M. J. Grocki & M. T. Turvey. (1999). Postural stabilization for the control of touching. Human Movement Science, 18(6), 795-817. DOI : 10.1016/S0167-9457(99)00041-X   DOI
11 N. H. McNevin, C. H. Shea & G. Wulf. (2003). Increasing the distance of an external focus of attention enhances learning. Psychological Research, 67(1), 22-29.   DOI
12 T. A. Stoffregen, R. J. Pagulayan, B. G. Bardy & L. J. Hettinger. (2000). Modulating postural control to facilitate visual performance. Human Movement Science, 19(2), 203-220. DOI : 10.1016/S0167-9457(00)00009-9   DOI
13 J. M. Kim, Y. S. Kim, J. W. Lee, H. Y. Chung & J. S. Roh. (1997). The Relationship Between Sensory Organization and Balance in Patients With Hemiplegia. Korean Research Society of Physical Therapy, 4(3), 61-69.
14 H. K. Hur, M. C. Kim, M. O. Cho & S. S. Choi. (1997). The relationships among Berg's balance, daily living activities and depression for the aged. Korean Journal of Research in Gerontology, 6, 3-18.
15 S. H. An, C. S. Park & Y. J. Seo. (2007). The Relationship Between Postural Control, ADL Function, Muscle Tone, and Functional Improvement in Chronic Stroke Patients. Korean Research Society of Physical Therapy, 14(1), 64-73.
16 Y. H. Gu & B. R. Kim. (2013) An Impact of Action-Observation Training and Task-Oriented Training on Activities of Daily Living of Stroke Patients. Journal of Korean Society of Integrative Medicine, 1(3), 19-28. DOI : 10.15268/ksim.2013.1.3.019   DOI
17 R. Kitatani, K. Ohata, K. Sakuma, Y. Aga, N. Yamakami, Y. Hashiguchi & S. Yamada, (2016). Ankle muscle coactivation during gait is decrease immediately after anterior weight shift practice in adults after stroke. Gait & Posture. 45(3), 35-40. DOI : 10.1016/j.gaitpost.2016.01.006   DOI
18 Y. R. Kim, Y. I. Kim & M. J. Kim. (2017). A Convergent study of the physical related quality of life using SF-8 of stroke patient's caregiver. Journal of the Korea Convergence Society, 8(12), 119-127. DOI : 10.15207/JKCS.2017.8.12.119   DOI
19 P. W. Duncan, L. B. Goldstein, R. D. Horner, P. B. Landsman, G. P. Samsa, & D. B. Matchar. (1994). Similar motor recovery of upper and lower extremities after stroke. Stroke, 25(6), 1181-1188. DOI : 10.1161/01.str.25.6.1181   DOI
20 A. F. Pettersson, E. Olsson, & L. O. Wahlund. (2007). Effect of Divided Attention on Gait in Subjects With and Without Cognitive Impairment. Journal of Geriatric Psychiatry and Neurology, 20(1), 58-62. DOI : 10.1177/0891988706293528   DOI
21 S. C. Watson, L. S. Chipchase & S. Mackintosh. (2004). Balance, fear of falling, pain and gait aiduse by low care older people: Pilot study. Australasian Journal on Ageing, 23(2), 77-81. DOI : 10.1111/j.1741-6612.2004.00021.   DOI
22 G. M. Babulal, T. N. Huskey, C. M. Roe, S. A. Goette & L. T. Connor. (2015). Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke. Topics in Stroke Rehabilitaion, 22(2), 144-151. DOI : 10.1179/1074935714Z.0000000012   DOI
23 E. Kal, H. Houdijk, J. van der Kamp, M. Verhoef, R. Prosee, E. Groet & E. Scherder. (2018). Are the effects of internal focus instructions different from external focus instructions given during balance training in stroke patients? A double-blind randomized controlled trial. Clinical Rehabilitation 33(2). DOI : 10.1177/0269215518795243
24 I. Melzer, M. Goldring, Y. Melzer, E. Green & I. Tzedek. (2010). Voluntary stepping behavior under single- and dual-task conditions in chronic stroke survivors: A comparison between the involved and uninvolved legs. Journal of Electromyography and Kinesiology, 20(6), 1082-1087. DOI : 10.1016/j.jelekin.2010.07.001   DOI
25 K. J. Park, H. S. Rhee, E. H. Cho, S. H. Koh & K. W. Lee. (1998). The influence of Lowenstein Occupational Therapy Cognitive Assessment on admition to Functional Independence Measure at discharge. The Journal of Korean Society of Occupational Therapy, 6(1), 1-13.
26 S. O'Shea, M. E. Morris & R. Iansek. (2002). Dual Task Interference During Gait in People With Parkinson Disease: Effects of Motor Versus Cognitive Secondary Tasks. Physical Therapy, 82(9), 888-897. DOI : 10.1093/ptj/82.9.888   DOI
27 D. A. Wajda, A. Mirelman, J. M. Hausdorff & J. J. Sosnoff. (2017). Intervention modalities for targeting cognitive-motor interference in individuals with neurodegenerative disease A systematic review. Expert Review of Neurotherapeutics, 17(3), 251-261. DOI : 10.1080/14737175.2016.1227704   DOI
28 Y. R. Yang, R. Y. Wang, Y. C. Chen & M. J. Kao. (2007). Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 88(10), 1236-1240. DOI : 10.1016/j.apmr.2007.06.762   DOI
29 K. I. Erickson, S. J. Colcombe, R. Wadhwa, L. Bherer, M. S. Peterson & P. Scalf. (2007). Training-induced functional activation changes in dual-task processing: an FMRI study. Cerebral Cortex, 17(1), 192-204. DOI : 10.1093/cercor/bhj137   DOI
30 Y. J. Kim, H. H. Son, J. L. Oh & R. J. Park. (2011). Effects of Dual Task Balance Training on Balance and Activities of Daily Living in Stroke Patient. The Journal of Korean Society of Physical Therapy, 6(1), 19-29.