| Objective: To study the effects of cognitive-motor dual-task (DT) training on attention, memory and activities of daily living in patients with cognitive impairment after stroke. Methods: Totally, 40 stroke patients were divided into experimental group (DT) and control group (single task, ST) (n=20 in each group). DT group was given cognitive-motor dual-task training, and ST group was given routine single-task rehabilitation training. Cognitive assessment including MMSE, MoCA, DS, SDMT and TMT-A was performed at the time of enrollment, 1st week and 2nd week after treatment to assess attention and memory, and Barthel Index was used to assess the ability of daily living. Results: There was no significant difference in MMSE, MoCA, DS, SDMT, TMT-A and BI between the two groups before treatments. After one week of treatments, the scores of all scales in DT group were better than those before treatments (P<0.05), and MMSE, MoCA, DS scores and other scores in SD group were better than in ST group (P<0.05). The scores of MMSE, MoCA, TMT-A and BI scales in ST group were better than those before treatment (P<0.05). After two weeks of treatments, the scores of all scales in the two groups were better than those before treatments (P<0.05), and those of MMSE, MoCA, DS, SDMT and TMT-A in DT group were better than in ST group (P<0.05). Although the BI scores patients in the two groups increased at each time point after treatment as compared with those before treatments and there was a significant difference within the group (P<0.05), there was no significant difference between the groups. Conclusion: Cognitive-motor dual-task training can improve the attention and memory of patients with cognitive impairment after stroke better than conventional single-task rehabilitation training, but there was no obvious difference between the two groups in improving the ability of daily living. |
