The Effect of Dual-Task Training on Balance and Cognition in Patients With Subacute Post-Stroke
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Objective To investigate the effect of dual-task training on the recovery of balance ability and cognitive function in patients with subacute stroke.Methods Twenty patients (12 males and eight females; average age, 59.70 years) with subacute stroke were enrolled in this study. All participants were randomly assigned to one of two groups, the dual-task group (n=10) or the control group (n=10). The dual task was simultaneous balance and cognitive training using the BioRescue. All patients were evaluated with posturographic parameters and the Berg Balance Scale for balance ability, a computerized neuropsychological test and the Korean version of the Mini-Mental State Examination for cognitive function, the Fugl-Meyer Assessment for motor function, and the Korean-Modified Barthel Index for activities of daily living (ADL) function before and after 4 weeks of rehabilitation.Results The dual-task group showed significant improvements in the pressure of the weight distribution index (WDI), surface area, and length of the stability index during the eyes-open condition; surface area of the limit of stability (LOS) on the hemiparetic and intact sides, and the auditory continuous performance test and backward visual span test after rehabilitation. Although no significant difference was observed for the changes in balance ability or cognitive, motor, and ADL functions between the groups, changes in the WDI pressure during the eyes-open condition and in the area ratio of LOS (hemiparetic/intact) showed a tendency to improve in the dual-task group.Conclusion Our findings suggest that dual-task training could be as effective as conventional balance training for improving balance and cognition in subacute post-stroke patients.
Abstract
Objective To investigate the effect of dual-task training on the recovery of balance ability and cognitive function in patients with subacute stroke.Methods Twenty patients (12 males and eight females; average age, 59.70 years) with subacute stroke were enrolled in this study. All participants were randomly assigned to one of two groups, the dual-task group (n=10) or the control group (n=10). The dual task was simultaneous balance and cognitive training using the BioRescue. All patients were evaluated with posturographic parameters and the Berg Balance Scale for balance ability, a computerized neuropsychological test and the Korean version of the Mini-Mental State Examination for cognitive function, the Fugl-Meyer Assessment for motor function, and the Korean-Modified Barthel Index for activities of daily living (ADL) function before and after 4 weeks of rehabilitation.Results The dual-task group showed significant improvements in the pressure of the weight distribution index (WDI), surface area, and length of the stability index during the eyes-open condition; surface area of the limit of stability (LOS) on the hemiparetic and intact sides, and the auditory continuous performance test and backward visual span test after rehabilitation. Although no significant difference was observed for the changes in balance ability or cognitive, motor, and ADL functions between the groups, changes in the WDI pressure during the eyes-open condition and in the area ratio of LOS (hemiparetic/intact) showed a tendency to improve in the dual-task group.Conclusion Our findings suggest that dual-task training could be as effective as conventional balance training for improving balance and cognition in subacute post-stroke patients.
참고문헌 (32)
- Wolfe CD., "The impact of stroke", Br Med Bull, 56, pp.275~286 (2000)
- Balami JS, "Stroke syndromes and clinical management", QJM, 106, pp.607~615 (2013)
- Winstein CJ, "Standing balance training: effect on balance and locomotion in hemiparetic adults", Arch Phys Med Rehabil, 70, pp.755~762 (1989)
- Kelly VE, "A review of dual-task walking deficits in people with Parkinson’s disease: motor and cognitive contributions, mechanisms, and clinical implications", Parkinsons Dis, 2012, pp.918719~ (2012)
- de Haart M, "Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study", Arch Phys Med Rehabil, 85, pp.886~895 (2004)
- Abernethy B., "Dual-task methodology and motor skills research: some applications and methodological constraints", J Hum Mov Stud, 14, pp.101~132 (1988)
- McCulloch K., "Attention and dual-task conditions:physical therapy implications for individuals with acquired brain injury", J Neurol Phys Ther, 31, pp.104~118 (2007)
- Plummer-D’Amato P, "Interactions between cognitive tasks and gait after stroke: a dual task study", Gait Posture, 27, pp.683~688 (2008)
- Bowen A, "Dual-task effects of talking while walking on velocity and balance following a stroke", Age Ageing, 30, pp.319~323 (2001)
- Hyndman D, "Interference between balance, gait and cognitive task performance among people with stroke living in the community", Disabil Rehabil, 28, pp.849~856 (2006)
- Hyndman D, "Reduced sway during dual task balance performance among people with stroke at 6 and 12 months after discharge from hospital", Neurorehabil Neural Repair, 23, pp.847~854 (2009)
- Kizony R, "Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment", Phys Ther, 90, pp.252~260 (2010)
- McCulloch KL, "Balance, attention, and dual-task performance during walking after brain injury: associations with falls history", J Head Trauma Rehabil, 25, pp.155~163 (2010)
- Melzer I, "Speed of voluntary stepping in chronic stroke survivors under single- and dual-task conditions:a case-control study", Arch Phys Med Rehabil, 90, pp.927~933 (2009)
- Yang YR, "Dual-task exercise improves walking ability in chronic stroke: a randomized controlled trial", Arch Phys Med Rehabil, 88, pp.1236~1240 (2007)
- Blum L, "Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review", Phys Ther, 88, pp.559~566 (2008)
- 정한영, "한글화된 Berg 균형검사법의 신뢰도 분석", Annals of Rehabilitation Medicine, 30(6), pp.611~618 (2006), 대한재활의학회
- Kang Y, "A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients", J Korean Neurol Assoc, 15, pp.300~308 (1997)
- 김연희, "뇌손상 환자의 인지기능 평가를 위한 전산화 신경심리검사의 유용성", Annals of Rehabilitation Medicine, 25(2), pp.209~216 (2001), 대한재활의학회
- 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
- 홍석하, "The Effects of Visual and Haptic Vertical Stimulation on Standing Balance in Stroke Patients", Annals of Rehabilitation Medicine, 37(6), pp.862~870 (2013), 대한재활의학회
- Gopalai AA, "Real-time stability measurement system for postural control", J Bodyw Mov Ther, 15, pp.453~464 (2011)
- Lee SW, "The effects of visual feedback training on sitting balance ability and visual perception of patients with chronic stroke", J Phys Ther Sci, 25, pp.635~639 (2013)
- French B, "Does repetitive task training improve functional activity after stroke? A Cochrane systematic review and meta-analysis", J Rehabil Med, 42, pp.9~14 (2010)
- Wevers L, "Effects of task-oriented circuit class training on walking competency after stroke: a systematic review", Stroke, 40, pp.2450~2459 (2009)
- Bensoussan L, "Changes in postural control in hemiplegic patients after stroke performing a dual task", Arch Phys Med Rehabil, 88, pp.1009~1015 (2007)
- Marshall SC, "Attentional deficits in stroke patients: a visual dual task experiment", Arch Phys Med Rehabil, 78, pp.7~12 (1997)
- Ben-Yishay Y, "Neuropsychological rehabilitation", pp.165~181 (1987), Guilford Press
- 이숙정, "뇌졸중 환자에서 이중과제 수행 시 자세의 안정성과 집중력간의 상호관계", Annals of Rehabilitation Medicine, 34(1), pp.20~26 (2010), 대한재활의학회
- Hyndman D, "People with stroke living in the community: attention deficits, balance, ADL ability and falls", Disabil Rehabil, 25, pp.817~822 (2003)
- McDowd JM, "Attentional abilities and functional outcomes following stroke", J Gerontol B Psychol Sci Soc Sci, 58, pp.P45~P53 (2003)
- Robertson IH, "Motor recovery after stroke depends on intact sustained attention: a 2-year follow-up study", Neuropsychology, 11, pp.290~295 (1997)