Comparing Dual-Task Gait Training and Repetitive Task Training to Improve Balance, Walking, Muscle Strength, and Fall Risk in Adults After Chronic Stroke

What this Trial Is About

This research evaluates the effects of two different training approaches on adults who have survived a stroke more than six months ago and continue to have difficulties with walking, balance, muscle strength, and fall risk. The study focuses on chronic stroke patients aged 40 to 70 who experience motor impairments and muscle coordination challenges after their stroke. It aims to compare how dual-task gait training and repetitive task training impact dynamic balance, walking function, muscle strength, and the risk of falling. Participants are randomly assigned to one of two groups one group receives dual-task gait training, and the other undergoes repetitive task training. Both groups participate in individualized 45-minute training sessions three times per week for eight weeks. Dual-task training involves practicing balance tasks while performing cognitive tasks simultaneously, progressing through activities that challenge body stability and movement. Repetitive task training focuses on practicing functional tasks related to daily activities, such as washing, dressing, and eating, with repeated movements guided by a therapist to encourage carryover into daily life. Throughout the study, participants will be assessed before and after the eight-week training period using several measures. These include tests for walking function, balance confidence, muscle strength, and fall risk. Researchers will collect data using tools like the Time Up and Go test, Berg Balance Scale, Manual Muscle Testing, and the Activity Specific Balance and Confidence scale. The study involves regular monitoring and data analysis to understand the impact of these training methods on the participants recovery and safety.

Comparative Effects of Dual Task Training and Repetitive Task Training in Chronic Stroke