Effects Of Cognitive-motor Dual-task Training On Gait And Balance Function In Patients With Stroke

Objective:On the basis of routine rehabilitation training,this study conducted cognitivemotor dual-task intervention on patients,and explored the effect of dual-task training on the improvement of walking and balance function in hemiplegic patients after stroke.to improve the health promotion theory of cognitive-motor function improvement after stroke,so as to provide theoretical basis and practical reference for clinical selection of more effective rehabilitation training program.Methods:32 stroke patients who were hospitalized in the Department of Rehabilitation Medicine of our hospital from November 2021 to January 2023 were randomly divided into experimental group(n=16)and control group(n=16)after signing informed consent.Both groups received routine rehabilitation training,and the experimental group combined motor and cognitive dual-task training on the basis of routine rehabilitation training.Before and after treatment,the patients in the two groups were evaluated.The walking function was evaluated with the lower extremity portion of the Fugl-Meyer assessment and 10m walking test,and the balance function was evaluated with the Berg balance scale and timed "up&go" test.The experimental data were analyzed and processed by EXCEL and SPSS version 19.0 statistical software.Paired sample t-test was used before and after intervention,and independent sample t-test was used between the two groups.Results:1.The results of the lower extremity portion of the Fugl-Meyer assessment,the 10m walking test,the Berg balance scale and the timed "up&go" test in the control group and the experimental group after intervention were significantly different from those before intervention(P<0.01).2.Comparison of the two group:the experimental group was better than the control group in the evaluation of lower limb motor function in Fugl-Meyer after intervention treatment,and the difference was statistically significant(P<0.05).The time used in the 10m walking test was less than that in the control group,and the difference was statistically significant(P<0.05).At the same time,score of the Berg balance scale in the experimental group was also higher than that in the control group,and the difference was statistically significant(P<0.01).For the timed "up&go" test,the total time of the experimental group was also shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:1.Both routine rehabilitation therapy and auxiliary dual-task training can significantly improve patients’ walking ability(the lower extremity portion of the Fugl-Meyer assessment and the 10m walking test)and balance ability(the Berg balance scale and timed "up&go" test).2.Routine rehabilitation therapy combined with motor and cognitive dual-task training can better improve the walking ability(the lower extremity portion of the Fugl-Meyer assessment and the 10m walking test)and balance ability(the Berg balance scale and timed "up&go" test)in hemiplegic patients with stroke.