Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis
ABSTRACT This article aims to investigate the effects of dual-task training in the gait and balance of post-stroke individuals via a systematic review with meta-analysis of clinical trials with adequate methodological quality. Searches in the electronic databases PubMed, Lilacs, SciELO, PEDro, up to...
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Universidade de São Paulo
2025-08-01
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| Series: | Fisioterapia e Pesquisa |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100901&lng=en&tlng=en |
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| author | Ally Summer Santiago Procópio Deivid Barbosa Portilho Patrick Roberto Avelino Kênia Kiefer Parreiras de Menezes |
| author_facet | Ally Summer Santiago Procópio Deivid Barbosa Portilho Patrick Roberto Avelino Kênia Kiefer Parreiras de Menezes |
| author_sort | Ally Summer Santiago Procópio |
| collection | DOAJ |
| description | ABSTRACT This article aims to investigate the effects of dual-task training in the gait and balance of post-stroke individuals via a systematic review with meta-analysis of clinical trials with adequate methodological quality. Searches in the electronic databases PubMed, Lilacs, SciELO, PEDro, up to September 2024, by two independent researchers. We included randomized clinical trials, with dual-task training in post-stroke individuals, with an average PEDro scale score of six or higher. The outcome measures of interest were any related to gait and/or balance, which could be assessed using tests or questionnaires. Study methodological quality was assessed using the PEDro scale. Eight studies were included. Overall, dual-task training showed to be effective in improving gait speed by 0.11 m/s (95%CI 0.02–0.21; I2=11%; p=0.02), cadence by 7.30 steps/minute (95%CI 2.46–12.14; I2=0%; p=0.003), and balance (SMD 0.45; 95%CI 0.08–0.81; I2=36%; p=0.02). No significant results were found for stride length (SD 1.72; 95%CI −9.15–12.59; I2=22%; p=0.76) and mobility (95%CI −5.64–1.88; I2=0%; p=0.33). This systematic review showed, via meta-analysis, that dual-task training can significantly improve gait speed, cadence, and balance in post-stroke individuals. However, we recommend new clinical trials, with higher methodological quality, especially studying the effects on mobility and balance. |
| format | Article |
| id | doaj-art-ec48d367874448c78c01e0991d6cd085 |
| institution | Kabale University |
| issn | 2316-9117 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Fisioterapia e Pesquisa |
| spelling | doaj-art-ec48d367874448c78c01e0991d6cd0852025-08-20T03:44:13ZengUniversidade de São PauloFisioterapia e Pesquisa2316-91172025-08-013210.1590/1809-2950/e24005024enEffects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysisAlly Summer Santiago Procópiohttps://orcid.org/0009-0006-3740-7949Deivid Barbosa Portilhohttps://orcid.org/0009-0003-8373-9563Patrick Roberto Avelinohttps://orcid.org/0000-0002-7248-4767Kênia Kiefer Parreiras de Menezeshttps://orcid.org/0000-0002-9906-9555ABSTRACT This article aims to investigate the effects of dual-task training in the gait and balance of post-stroke individuals via a systematic review with meta-analysis of clinical trials with adequate methodological quality. Searches in the electronic databases PubMed, Lilacs, SciELO, PEDro, up to September 2024, by two independent researchers. We included randomized clinical trials, with dual-task training in post-stroke individuals, with an average PEDro scale score of six or higher. The outcome measures of interest were any related to gait and/or balance, which could be assessed using tests or questionnaires. Study methodological quality was assessed using the PEDro scale. Eight studies were included. Overall, dual-task training showed to be effective in improving gait speed by 0.11 m/s (95%CI 0.02–0.21; I2=11%; p=0.02), cadence by 7.30 steps/minute (95%CI 2.46–12.14; I2=0%; p=0.003), and balance (SMD 0.45; 95%CI 0.08–0.81; I2=36%; p=0.02). No significant results were found for stride length (SD 1.72; 95%CI −9.15–12.59; I2=22%; p=0.76) and mobility (95%CI −5.64–1.88; I2=0%; p=0.33). This systematic review showed, via meta-analysis, that dual-task training can significantly improve gait speed, cadence, and balance in post-stroke individuals. However, we recommend new clinical trials, with higher methodological quality, especially studying the effects on mobility and balance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100901&lng=en&tlng=enStrokeDual TaskGaitBalanceSystematic ReviewMeta-analysis |
| spellingShingle | Ally Summer Santiago Procópio Deivid Barbosa Portilho Patrick Roberto Avelino Kênia Kiefer Parreiras de Menezes Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis Fisioterapia e Pesquisa Stroke Dual Task Gait Balance Systematic Review Meta-analysis |
| title | Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis |
| title_full | Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis |
| title_fullStr | Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis |
| title_full_unstemmed | Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis |
| title_short | Effects of dual-task training on gait and balance in post-stroke individuals: a systematic review with meta-analysis |
| title_sort | effects of dual task training on gait and balance in post stroke individuals a systematic review with meta analysis |
| topic | Stroke Dual Task Gait Balance Systematic Review Meta-analysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100901&lng=en&tlng=en |
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