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Dual task training in persons with Multiple Sclerosis: a feasability randomized controlled trial.

Jacob J Sosnoff1, Douglas A Wajda2, Brian M Sandroff3

  • 11 Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, USA.

Clinical Rehabilitation
|September 22, 2017
PubMed
Summary
This summary is machine-generated.

Dual task training appears feasible for individuals with Multiple Sclerosis (MS), showing trends toward improved gait speed and visuospatial memory. Further research is needed to optimize recruitment for this promising intervention.

Keywords:
Multiple Sclerosisbalancecognitive motor interferencegait

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Clinical Trials

Background:

  • Multiple Sclerosis (MS) often impairs walking and cognitive functions, affecting daily activities.
  • Dual-tasking, performing two tasks simultaneously, is particularly challenging for individuals with MS.
  • Current rehabilitation strategies may not fully address the dual-task deficits in MS.

Purpose of the Study:

  • To assess the feasibility of a 12-week dual task training program for individuals with Multiple Sclerosis (MS).
  • To evaluate the impact of dual task training on walking, balance, and cognitive functions in MS patients.

Main Methods:

  • A randomized, single-blinded controlled trial was conducted with 20 ambulatory individuals with MS reporting multitasking difficulties.
  • Participants were assigned to either a single task (balance/walking) or a dual task (integrated cognitive-balance/walking) training group.
  • Assessments included walking, dual-task walking, balance, and cognitive tests before and after the 12-week intervention.

Main Results:

  • The study demonstrated feasibility with a 70% retention and 100% adherence rate.
  • A trend for improved dual-task gait speed was observed in the dual task training group (P=0.14).
  • The dual task group also showed a trend towards better visuospatial memory performance compared to the control group (P=0.10).

Conclusions:

  • Dual task training is a feasible intervention for individuals with Multiple Sclerosis.
  • While trends for improvement were noted, further research is warranted to optimize recruitment and confirm efficacy.
  • Enhancements in recruitment strategies are recommended for future studies on dual task training in MS.