Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series
This case series explored the feasibility and efficacy of cognitive-motor dual-task gait training in community-dwelling adults within 12 months of stroke. A secondary aim was to assess transfer of training to different dual-task combinations. Seven male participants within 12 months of stroke partic...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2014/538602 |
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| _version_ | 1832555057780883456 |
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| author | Prudence Plummer Raymond M. Villalobos Moira S. Vayda Myriam Moser Erin Johnson |
| author_facet | Prudence Plummer Raymond M. Villalobos Moira S. Vayda Myriam Moser Erin Johnson |
| author_sort | Prudence Plummer |
| collection | DOAJ |
| description | This case series explored the feasibility and efficacy of cognitive-motor dual-task gait training in community-dwelling adults within 12 months of stroke. A secondary aim was to assess transfer of training to different dual-task combinations. Seven male participants within 12 months of stroke participated in 12 sessions of dual-task gait training. We examined single and dual-task performance in four different dual-task combinations at baseline, after 6 and 12 sessions, and if possible, at 1-month followup. Feasibility was assessed by asking participants to rate mental and physical fatigue, perceived difficulty, anxiety, and fear of falling at the end of each session. Five of the seven participants demonstrated reduced dual-task cost in gait speed in at least one of the dual-task combinations after the intervention. Analysis of the patterns of interference in the gait and cognitive tasks suggested that the way in which the participants allocated their attention between the simultaneous tasks differed across tasks and, in many participants, changed over time. Dual-task gait training is safe and feasible within the first 12 months after stroke, and may improve dual-task walking speed. Individuals with a combination of physical and cognitive impairments may not be appropriate for dual-task gait training. |
| format | Article |
| id | doaj-art-88849864a8de4626a73f643581a3fd63 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-88849864a8de4626a73f643581a3fd632025-02-03T05:49:46ZengWileyStroke Research and Treatment2090-81052042-00562014-01-01201410.1155/2014/538602538602Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case SeriesPrudence Plummer0Raymond M. Villalobos1Moira S. Vayda2Myriam Moser3Erin Johnson4Division of Physical Therapy, Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, 3020 Bondurant Hall, Campus Box No. 7135, Chapel Hill, NC 27599, USANew England Rehabilitation Hospital, Woburn, MA 01801, USANew England Rehabilitation Hospital, Woburn, MA 01801, USANew England Rehabilitation Hospital, Woburn, MA 01801, USANew England Rehabilitation Hospital, Woburn, MA 01801, USAThis case series explored the feasibility and efficacy of cognitive-motor dual-task gait training in community-dwelling adults within 12 months of stroke. A secondary aim was to assess transfer of training to different dual-task combinations. Seven male participants within 12 months of stroke participated in 12 sessions of dual-task gait training. We examined single and dual-task performance in four different dual-task combinations at baseline, after 6 and 12 sessions, and if possible, at 1-month followup. Feasibility was assessed by asking participants to rate mental and physical fatigue, perceived difficulty, anxiety, and fear of falling at the end of each session. Five of the seven participants demonstrated reduced dual-task cost in gait speed in at least one of the dual-task combinations after the intervention. Analysis of the patterns of interference in the gait and cognitive tasks suggested that the way in which the participants allocated their attention between the simultaneous tasks differed across tasks and, in many participants, changed over time. Dual-task gait training is safe and feasible within the first 12 months after stroke, and may improve dual-task walking speed. Individuals with a combination of physical and cognitive impairments may not be appropriate for dual-task gait training.http://dx.doi.org/10.1155/2014/538602 |
| spellingShingle | Prudence Plummer Raymond M. Villalobos Moira S. Vayda Myriam Moser Erin Johnson Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series Stroke Research and Treatment |
| title | Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series |
| title_full | Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series |
| title_fullStr | Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series |
| title_full_unstemmed | Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series |
| title_short | Feasibility of Dual-Task Gait Training for Community-Dwelling Adults after Stroke: A Case Series |
| title_sort | feasibility of dual task gait training for community dwelling adults after stroke a case series |
| url | http://dx.doi.org/10.1155/2014/538602 |
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