Clinical trial NCT06454279: Cognitive Motor Dual Task Versus Task Specific Training on Cognition and Motor Functioning in Stroke Patients
Official title: Effects of Cognitive Motor Dual Task Versus Task Specific Training on Cognition and Motor Functioning in Stroke Patients
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Stroke
Keywords: Cognition, Motor Functioning, Stroke
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-06-12
Enrollment: 44
Sex: ALL
Minimum age (years): 45
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study focuses on Dual Task Training as daily living involves many dual task conditions, in which a person requires to do two or more tasks at same time. without the ability to carry out these types of Dual movements. This study aims to improve the ability to do two tasks at same time, targeted to decrease the risk of fall in stroke patients. This study helps in understanding how multiple tasks simultaneously affects patients' abilities and creating effectiveness programs.

Detailed description: The World Health Organization (WHO) defines the stroke as a brain injury that causes rapid and noticeable changes in cerebral function, lasting 24 hours or longer, or resulting in death. Strokes can be caused by vascular issues and include cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. Stroke is a syndrome characterized by acute neurological deficits caused by vascular injury in the central nervous system. It's a major cause of disability and mortality globally, resulting from various risk factors, diseases, and mechanisms. Dual-task training refers to the ability to simultaneously perform multiple cognitive and motor activities while maintaining postural control. Divided attention is the capacity to do more than one thing at the same time. Dual-task training innovatively combines motor and cognitive rehabilitation in a comprehensive module. TST, or task-specific training, is a popular rehab approach that emphasizes function and is commonly used for stroke patients. It's all about targeting specific tasks to help with recovery.

RCT conducted on two groups, Dual Task Training and Task Specific training. interventions applied with a frequency of three times a week for eight weeks protocol. Participants will be divided into 2 groups. 1st group will receive Dual task training for motor and cognition simultaneously. 2nd group will receive task specific training for motor and cognition functioning.

Eligibility criteria: Inclusion Criteria:

* Patients with age ≥ 45 years' old both male and female.
* Patients with Mild cognitive impairment with MOCA score of 18-25.
* Patients with sub-acute or chronic stage of stroke and are able to sit
* independently for 30 secs.
* Patients with primary level education.

Exclusion Criteria:

* Patients with dementia that had been diagnosed by a neurologist.
* Patients with neurological, psychiatric, or medical disorders.
* Patients with auditory or visual impairments.

Primary outcomes:
measure: Fugl Meyer Assessment Tool
timeFrame: 8th week
measure: Trail Making Test A and B
timeFrame: 8 weeks
Secondary outcomes:
measure: Digit Span Test
timeFrame: 8 weeks
measure: stroop color and word test
timeFrame: 8 weeks
measure: Modified Functional Reach Test
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: National Institute of Rehabilitation sciences
state: Punjab
Study officials:
affiliation: Riphah International University
name: Bushra Sultana, MSPT
role: PRINCIPAL_INVESTIGATOR
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