Cognitive motor interference is effective for improving gait and balance function for stroke in the short term .
However , only little evidence supports assumptions regarding CMI 's long-term benefits
BACKGROUND AND PURPOSE An increasing interest in the potential benefits of cognitive motor interference ( CMI ) for stroke has recently been observed , but the efficacy of CMI for gait and balance is controversial .
A systematic review and meta- analysis of r and omized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke .
Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness.
Using r and omized control trial methodology , we evaluated the effectiveness of a 5-week cognitive-motor dual-tasking training program developed to improve performance of a group of people with dual-tasking difficulties arising from acquired brain injury . Training involved twice-daily practice on exercises involving walking being combined with tasks which increased in cognitive dem and over the course of the intervention . A treatment group ( n = 10 ) was compared with a control group ( n = 9 ) . The primary outcome measure was a task requiring participants to walk and carry out a spoken sentence verification task simultaneously . Secondary outcome measures were measures of dual-tasking involving either two motor tasks or two cognitive tasks . A question naire measure relating to activities of daily living requiring dual-tasking was also completed . Compliance with the training program was good . We found evidence of improvement in performance on the primary outcome measure , but little evidence of generalization to other measures . There was some evidence that participants believed that their dual-tasking performance in everyday life was improved after the intervention . The study was limited in terms of sample size , was not blinded and did not control fully for therapist contact time , but has produced valuable data relating to effect sizes associated with this form of intervention . ( JINS , 2009 , 15 , 112 - 120 . )
Cognitive motor interference is effective for improving gait and balance function for stroke in the short term .
However , only little evidence supports assumptions regarding CMI 's long-term benefits
BACKGROUND AND PURPOSE An increasing interest in the potential benefits of cognitive motor interference ( CMI ) for stroke has recently been observed , but the efficacy of CMI for gait and balance is controversial .
A systematic review and meta- analysis of r and omized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke .