Effects Of Cognitive-motor Dual-task Training On Attention And Memory After Stroke

0bjective:To study the effects of cognitive-motor dual-task(DT)training on attention,memory and activities of daily living in patients with cognitive impairment after stroke.Methods:Forty stroke patients were divided into experimental group(DT)and control group(single task,ST)and 20 cases in each group.DT group was given cognitive-motor dual-task training,ST group was given single-task sequential rehabilitation training.All patients were assessed for cognition and the activities of daily living at enrollment,the1 st and the 2nd week after treatments,including MMSE,Mo CA,DS(including DS-forward),TMT-A,and BI.The SDMT scale was only evaluated at enrollment and the2 nd week after treatments.Results:There were no significant differences in MMSE,Mo CA,DS(including DS-forward),SDMT,TMT-A,and BI between the two groups before treatments(P>0.05).After treatments,repeated measures ANOVA showed that the MMSE,Mo CA,and DS(including DS-forward)of DT group were better than those of ST group after 1 week and 2 weeks(P<0.05),while TMT-A was only better than ST group after 2 weeks(P<0.05).BI had no difference between the two groups at each time point after treatments(P>0.05).After the 1st week of treatments,MMSE,Mo CA,DS(including DS-forward),TMT-A,and BI in DT group were better than those before treatments(P<0.05),while in ST group,only MMSE,Mo CA,and BI were better than those before treatments(P<0.05).After 2 weeks of treatments,MMSE,Mo CA,DS(including DS-forward),TMT-A,and BI in the two groups were better than those before treatments(P<0.05),and MMSE,Mo CA,DS(including DS-forward),TMT-A,and BI in the DT group showed significant differences between the 1st and the 2nd week(P<0.05),while the results of MMSE,Mo CA,DS(including DS-forward),and BI in the ST group showed significant differences between the 1st and the 2nd week(P<0.05).In the SDMT scale,the DT group was better than the ST group after 2 weeks of treatments(P<0.05),and the SDMT in both groups were better than it before treatments(P<0.05).Conclusion:Cognitive-motor dual-task training(DT)can improve the attention and memory of patients with cognitive impairment after stroke well than single-task sequential rehabilitation training(ST).However,there was no obvious difference between the two groups in improving the activities of daily living.