Article

This systematic review aimed to examine the effects of dual-task
balance and mobility training in people with stroke.
METHODS: An extensive
electronic databases literature search was conducted using MEDLINE, PubMed,
EBSCO, The Cochrane Library, Web of Science, SCOPUS, and Wiley Online Library.
Randomized controlled studies that assessed the effects of dual-task training in
stroke patients were included for the review (last search in December 2017). The
methodological quality was evaluated using the Cochrane Collaboration
recommendation, and level of evidence was determined according to the criteria
described by the Oxford Center for Evidence-Based Medicine. RESULTS: About 13
articles involving 457 participants were included in this systematic review. All
had substantial risk of bias and thus provided level IIb evidence only. Dual-task
mobility training was found to induce more improvement in single-task walking
function (standardized effect size = 0.14-2.24), when compared with single-task
mobility training. Its effect on dual-task walking function was not consistent.
Cognitive-motor balance training was effective in improving single-task balance
function (standardized effect size = 0.27-1.82), but its effect on dual-task
balance ability was not studied. The beneficial effect of dual-task training on
cognitive function was provided by one study only and thus inconclusive.
CONCLUSION: There is some evidence that dual-task training can improve
single-task walking and balance function in individuals with stroke. However, any
firm recommendation cannot be made due to the weak methodology of the studies
reviewed.

Langue : ANGLAIS