| Effect of cognitive motor dual task training on walking stability in stroke patients: a Meta-analysis |
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| DOI：10.3870/zgkf.2025.06.008 |
| EN KeyWords: cognitive-motor dual-task training stroke walking stability falls Meta-analysis |
| Fund Project:深圳市三名工程“南京医科大学励建安团队”资助项目（SZSM202111010）；国际化基础研究和应用基础研究机构建设计划（HTHZQSWS-KCCYB-2023060）；广东省普通高校重点领域专项 (No. 2024ZDZX2083) |
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| EN Abstract: |
| Objective: To explore the impact of cognitive-motor dual-task training on the walking stability of stroke patients. Methods: Computerized searches were conducted in Chinese and English literature databases such as CNKI, Wanfang Database, Pubmed, Web of Science, and Cochrane Library for randomized controlled trials related to the impact of cognitive-motor dual-task training on the walking stability of stroke patients. The search time was from the establishment of the database to August 20, 2024. Two researchers independently screened the included literature, extracted data, and evaluated the quality. Meta-analysis was performed using Revman 5.4 software. Results: A total of 19 randomized controlled trials were included, involving 823 patients. Meta-analysis results showed that compared with the single-task rehabilitation group, the cognitive-motor dual-task group could improve patients’ balance function ［MD = 3.94, 95%CI (2.84, 5.05), P<0.0001］, FMA-LE score ［MD = 2.19, 95%CI (0.57, 3.81), P=0.008］, single-task walking speed ［MD = 0.07, 95%CI (0.04, 0.09), P<0.0001］, dual-task walking speed ［MD = 0.12, 95%CI (0.09, 0.15), P<0.0001］, single-task step length ［MD = 0.03, 95%CI (0.00, 0.06), P=0.04］, and dual-task step length ［MD = 0.01, 95%CI (0.01, 0.02), P=0.0008］. The incidence of falls was reduced ［OR = 0.32, 95%CI (0.11, 0.87), Z = 2.24, P=0.03］. The above differences were statistically significant (P<0.05). There was no statistically significant difference in the MMSE scale score between the two groups ［MD =-0.65, 95%CI (-5.82, 4.51), P=0.80］ (P>0.05). Conclusion: Cognitive-motor dual-task training can bet-ter improve the single-task step length, dual-task step length, single-task walking speed, dual-task walking speed, balance function, and FMA-LE score of stroke patients, and reduce the incidence of falls and improve their gait stability. However, more research is needed to further verify the improvement of cognitive function. |
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