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The Effectiveness of Dual-Task Training on Upper Extremity Functions in Patients with Chronic Stroke: A Randomized
Su Sandi Hla Tun1, Sawitri Wanpen2,3, Nomjit Nualnetr3
1Human Movement Sciences, School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Neurorehabilitation
|May 12, 2025
Summary
Dual-task training (DTT) effectively improved upper extremity (UE) functions in chronic stroke patients. This therapy enhanced motor skills and trunk control compared to conventional physical therapy.
Area of Science:
- Neurorehabilitation
- Physical Therapy
- Stroke Recovery
Background:
- Chronic stroke survivors often struggle with combined upper extremity (UE) tasks and balance.
- Dual-task training (DTT) shows potential for enhancing UE function, trunk control, and quality of life.
Purpose of the Study:
- To compare the efficacy of DTT against dose-equivalent conventional physical therapy (DECPT).
- To assess the impact on UE functions at baseline, week 2, and week 4.
Main Methods:
- 28 chronic stroke patients were randomized into DTT or DECG groups.
- Both groups underwent 1-hour sessions, 5 times/week for 4 weeks.
- Outcome measures included SWMFT-C, FMA-UE, TIS, and SIS.
Main Results:
- Significant improvements were observed in the SWMFT-C functional ability scale and TIS between groups.
- Both groups showed significant post-training improvements compared to pre-training assessments.
- No significant differences were found in other measured variables between the DTT and DECG groups.
Conclusions:
- DTT is an effective therapeutic intervention for improving UE functions in chronic stroke patients.
- DTT offers an updated approach to rehabilitation for this population.

