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The Impact of Dual-Task Training Versus Single-Task Training on Cognitive and Physical Function in Neurologically
Nurdiana Zainol Abidin1,2, Nor Shuhada Mansor1,2, Hazwani Ahmad Yusof1,2
1Department of Community Health, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Malaysia.
Perceptual and Motor Skills
|February 12, 2026
Summary
Dual-task training (DTT) shows promise for improving cognitive and physical functions in neurorehabilitation. However, current evidence does not support its overall superiority to single-task training (STT), with benefits appearing condition-dependent.
Area of Science:
- Neurorehabilitation
- Cognitive Neuroscience
- Motor Control
Background:
- Dual-task training (DTT) integrates cognitive and motor/balance activities, gaining traction in neurorehabilitation.
- Its comparative efficacy against single-task training (STT) in neurologically impaired populations requires clarification.
Purpose of the Study:
- To systematically review and synthesize cognitive and physical outcomes of DTT versus STT.
- To conduct a meta-analysis on gait speed, a key physical outcome, from eligible randomized controlled trials (RCTs).
Main Methods:
- Comprehensive literature search across major databases (Web of Science, PubMed, Scopus, Cochrane Library) up to July 2024.
- Included seven RCTs (n=207) with quality assessment using Cochrane Risk of Bias 2.0.
- Performed narrative synthesis for all outcomes and meta-analysis for gait speed.
Main Results:
- Narrative synthesis indicated DTT improved executive function, attention, memory, gait, balance, and quality of life.
- Meta-analysis of five RCTs showed a small, non-significant pooled effect on gait speed (Hedges' g = 0.12, p = .74) with high heterogeneity (I² = 69.05%).
- Diagnosis-specific benefits observed: Parkinson's disease (gait, quality of life), Mild Cognitive Impairment (executive function, IADLs).
Conclusions:
- DTT offers condition-dependent benefits for gait and executive function but is not definitively superior to STT.
- Multidomain effects likely stem from improved attentional control, motor automaticity, and cognitive-motor integration.
- Future large-scale, diagnosis-specific trials with standardized outcomes are needed to confirm DTT efficacy.
Keywords:
cognitive functiondual-task trainingexecutive functionneurological impairmentsphysical functionrehabilitationMore Related Videos
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