Saeideh Monjezi1, Hossein Negahban2, Shirin Tajali3, Nava Yadollahpour3, Nastaran Majdinasab4. 1. 1 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 2. 2 Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. 3. 3 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 4. 4 Neurologist, Department of Neurology, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract
OBJECTIVE: To investigate the effects of dual-task balance training on postural performance in patients with multiple sclerosis as compared with single-task balance training. DESIGN: Double-blind, pretest-posttest, randomized controlled pilot trial. SETTING: Local Multiple Sclerosis Society. SUBJECTS:A total of 47 patients were randomly assigned to two equal groups labeled as single-task training and dual-task training groups. INTERVENTIONS: All patients received supervised balance training sessions, 3 times per week for 4 weeks. The patients in the single-task group performed balance activities, alone. However, patients in dual-task group practiced balance activities while simultaneously performing cognitive tasks. MAIN MEASURES: The 10-Meter Walk Test and Timed Up-and-Go under single-task and dual-task conditions, in addition to Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment were assessed pre-, and post intervention and also 6-weeks after the end of intervention. RESULTS: Only 38 patients completed the treatment plan. There was no difference in the amount of improvement seen between the two study groups. In both groups there was a significant effect of time for dual-10 Meter Walk Test (F1, 36=11.33, p=0.002) and dual-Timed Up-and-Go (F1, 36=14.27, p=0.001) but not for their single-tasks. Moreover, there was a significant effect of time for Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment ( P<0.01). CONCLUSIONS: This pilot study did not show more benefits from undertaking dual-task training than single-task training. A power analysis showed 71 patients per group would be needed to determine whether there was a clinically relevant difference for dual-task gait speed between the groups.
RCT Entities:
OBJECTIVE: To investigate the effects of dual-task balance training on postural performance in patients with multiple sclerosis as compared with single-task balance training. DESIGN: Double-blind, pretest-posttest, randomized controlled pilot trial. SETTING: Local Multiple Sclerosis Society. SUBJECTS: A total of 47 patients were randomly assigned to two equal groups labeled as single-task training and dual-task training groups. INTERVENTIONS: All patients received supervised balance training sessions, 3 times per week for 4 weeks. The patients in the single-task group performed balance activities, alone. However, patients in dual-task group practiced balance activities while simultaneously performing cognitive tasks. MAIN MEASURES: The 10-Meter Walk Test and Timed Up-and-Go under single-task and dual-task conditions, in addition to Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment were assessed pre-, and post intervention and also 6-weeks after the end of intervention. RESULTS: Only 38 patients completed the treatment plan. There was no difference in the amount of improvement seen between the two study groups. In both groups there was a significant effect of time for dual-10 Meter Walk Test (F1, 36=11.33, p=0.002) and dual-Timed Up-and-Go (F1, 36=14.27, p=0.001) but not for their single-tasks. Moreover, there was a significant effect of time for Activities-specific Balance Confidence, Berg Balance Scale, and Functional Gait Assessment ( P<0.01). CONCLUSIONS: This pilot study did not show more benefits from undertaking dual-task training than single-task training. A power analysis showed 71 patients per group would be needed to determine whether there was a clinically relevant difference for dual-task gait speed between the groups.
Entities:
Keywords:
Dual-task; balance; multiple sclerosis; outcome; training
Authors: Marcia Aparecida Ciol; Patricia Noritake Matsuda; Seema Rani Khurana; Melissa Jaclyn Cline; Jacob Jonathan Sosnoff; George Howard Kraft Journal: Int J MS Care Date: 2017 Jul-Aug
Authors: Sara Hayes; Rose Galvin; Catriona Kennedy; Marcia Finlayson; Christopher McGuigan; Cathal D Walsh; Susan Coote Journal: Cochrane Database Syst Rev Date: 2019-11-28
Authors: Renee Veldkamp; Ilse Baert; Alon Kalron; Andrea Tacchino; Mieke D'hooge; Ellen Vanzeir; Fanny Van Geel; Joke Raats; Mieke Goetschalckx; Giampaolo Brichetto; Nov Shalmoni; Peter Hellinckx; Natasja De Weerdt; Dorien De Wilde; Peter Feys Journal: J Clin Med Date: 2019-12-10 Impact factor: 4.241