Effect of dual task training on mobility and balance in stroke patients: a meta-analysis
10.3969/j.issn.1006-9771.2026.07.008
- VernacularTitle:双任务训练对脑卒中患者移动和平衡功能康复疗效的Meta分析
- Author:
Yiyi YUAN
1
;
Wuchao TIAN
2
;
Xianbin ZHANG
1
;
Qiang CHAO
2
;
Yongsheng LI
2
;
Guixin LIU
2
;
Wanqing WU
1
;
Pu WANG
3
Author Information
1. School of Biomedical Engineering, Sun Yat-sen University, Shenzhen, Guangdong 518107, China
2. Department of Rehabilitation Medicine, Shenzhen Lansheng Brain Hospital, Shenzhen, Guangdong 518110, China
3. Department of Rehabilitation Medicine, the Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong 518107, China
- Publication Type:Journal Article
- Keywords:
stroke;
dual-task training;
mobility;
balance;
meta-analysis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2026;32(7):807-816
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo systematically review the effect of dual-task training (DTT) on mobility and balance in stroke patients. MethodsCNKI, Wanfang Data, VIP, PubMed, Web of Science, Embase and Cochrane Library were searched for randomized controlled trials (RCT) on DTT in stroke rehabilitation from inception to June, 2025. The quality of the included studies was assessed using the Cochrane Risk of Bias Tool and the PEDro scale. Meta-analysis was performed using RevMan 5.4. ResultsA total of eleven RCT involving 517 stroke patients were included, and the scores of PEDro scale were four to eight. DTT was more effective on the score of Fugl-Meyer Assessment-Lower Extremity (MD = 3.70, 95%CI 1.88 to 5.53, P < 0.001) and Berg Balance Scale (BBS) (MD = 3.04, 95%CI 1.58 to 4.49, P < 0.001), fall incidence (OR = 0.32, 95%CI 0.11 to 0.87, P = 0.025), gait speed under a single-task condition (MD = 0.08, 95%CI 0.03 to 0.12, P = 0.002), gait speed under a dual-task condition (MD = 0.13, 95%CI 0.10 to 0.16, P < 0.001), Timed Up and Go Test time (MD = -2.78, 95%CI -3.85 to -1.72, P < 0.001), and score of modified Barthel Index (MD = 4.77, 95%CI 1.88 to 7.66, P = 0.001). Subgroup analysis indicated that motor-motor DTT was more effective than cognitive-motor DTT on BBS scores and single-task gait speed. ConclusionsDTT can improve mobility and balance in stroke patients, especially with motor-motor tasks.
