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Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial

Pooja Kumari Digra, MANOJ DESHMUKH.

Abstract
BACKGROUND: The motor and sensory deficits occur in stroke patients which affects on walking ability, leading to difficulties in performing the ADLís. Cognitive task performance along with the conventional physiotherapy treatment may cause profound effect on various gait parameters in stroke patients.
AIM OBJECTIVES: To find out the effects of dual task cognitive Performance in patients with sub-acute ischemic stroke.
DESIGN: A RCT
SETTING/ DURATION : The study was conducted at outpatient Department of MM Hospital, Mullana, Haryana and Duration 1 year
POPULATION: Sub-acute Ischemic stroke (3 to 6 months)
.
METHOD: 40 subjects of sub-acute stroke were randomly into two groups- Group A (conventional treatment) and Group B (Dual task cognitive training and conventional physiotherapy treatment.) Both groups was receive 45 minutes sessions per weeks, 2 or 3times a day. The primary outcome measure was DGI. Secondary outcome include Gait parameters (Cadence, Step length, Stride length, Gait velocity). DATA ANALYSIS: Paired t-test was used to compare pre and post mean values of cadence, step length, stride length, gait velocity and Wilcoxson rank test for DGI within group A and B. Independent t-test was used to compare the pre-test and post-test score changes between groups A and B respectively for, cadence, gait velocity step length and stride length variables and Mann Whitney test for DGI scores.
ETHICAL APPROVED: The study was approved by the Ethical Review board of M. M. University, Mullana, Haryana

RESULTS: Our results suggest marked improvement in DGI, cadence, gait velocity after treatment in both the groups and these differences are statistically significant after 4 weeks of treatment. But the changes obtained in step length and stride length are statistically not significant.

CONCLUSION: Dual task cognitive training along with conventional physiotherapy treatment shows more significant improvement than conventional group alone to improve the Gait parameters in patients with stroke.

CLINICALLY REHABILITATION IMPACT: The dual task cognitive performance under dual task condition helps the sub-acute ischemic stroke patients to improve the gait parameters because; introducing two different functional components simultaneously will help in improving functional capacity as well as helps in developing cognitive functions. This dual task training can be included with other therapeutic approaches and help stroke patients to improve their independence level and quality of life

Key words: Gait, Dual task cognitive performance, Subacute, DGI, Ink footprint


 
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How to Cite this Article
Pubmed Style

Digra PK, DESHMUKH M. Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research. 2017; 6(5): 34-42.


Web Style

Digra PK, DESHMUKH M. Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. www.onlineijtrr.com/?mno=271834 [Access: May 22, 2018].


AMA (American Medical Association) Style

Digra PK, DESHMUKH M. Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research. 2017; 6(5): 34-42.



Vancouver/ICMJE Style

Digra PK, DESHMUKH M. Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research. (2017), [cited May 22, 2018]; 6(5): 34-42.



Harvard Style

Digra, P. K. & DESHMUKH, M. (2017) Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research, 6 (5), 34-42.



Turabian Style

Digra, Pooja Kumari, and MANOJ DESHMUKH. 2017. Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research, 6 (5), 34-42.



Chicago Style

Digra, Pooja Kumari, and MANOJ DESHMUKH. "Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial." International Journal of Therapies and Rehabilitation Research 6 (2017), 34-42.



MLA (The Modern Language Association) Style

Digra, Pooja Kumari, and MANOJ DESHMUKH. "Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial." International Journal of Therapies and Rehabilitation Research 6.5 (2017), 34-42. Print.



APA (American Psychological Association) Style

Digra, P. K. & DESHMUKH, M. (2017) Effect of Dual task cognitive performance along with conventional physiotherapy treatment on gait parameters in patients with ischemic stroke-A Randomized Clinical Trial. International Journal of Therapies and Rehabilitation Research, 6 (5), 34-42.








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