Dual task training as a therapeutic strategy in neurologic physical therapy: a literature review
DOI:
https://doi.org/10.5935/0104-7795.20150039Keywords:
Executive Function, Exercise Therapy, Attention, Neurology, RehabilitationAbstract
Objective: Discuss the possibilities of dual task in the ambit of neurological rehabilitation. Methods: A survey was conducted in PUBMED, MEDLINE, LILACS, and PEDro, using the keywords "dual task" associated with each of the following terms separately: treatment, physical therapy, rehabilitation, exercise, training, divided attention, executive functions, and attentional demands. We selected only clinical trials that used dual task training in adults with neurological disease. Results: From the 2,024 articles found, 1,017 were excluded because they are duplicate. Among the remaining 1,007 articles, 998 were excluded after reviewing the abstracts. Nine articles were selected that included patients with stroke, brain injuries, Alzheimer's, and Parkinson's disease. Most articles used gait as the primary task, and in six studies the second task was cognitive. The training programs ranged between a total of 9 and 48 hours of training. Conclusion: Dual task training appears to improve gait, cognition, automation skills, and transference of learning, suggesting that this may be a valuable strategy for neurological rehabilitation. Nevertheless, it is still necessary to explain which tasks are more efficient and how long the learning retention lasts.
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References
Teixeira NB, Alouche SR. O desempenho da dupla tarefa na doença de Parkinson. Rev Bras Fisioter. 2007;11(2):127-32. DOI: http://dx.doi.org/10.1590/S1413-35552007000200007
O'Shea S, Morris ME, Iansek R. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Phys Ther. 2002;82(9):888-97.
Wu T, Hallett M. Neural correlates of dual task performance in patients with Parkinson's disease. J Neurol Neurosurg Psychiatry. 2008;79(7):760-6. DOI: http://dx.doi.org/10.1136/jnnp.2007.126599
Wang Y, Zhang W, Lesch MF, Horrey WJ, Chen C, Wu S. Changing drivers' attitudes towards mobile phone use through participative simulation testing and feedback. Inj Prev. 2009;15(6):384-9. DOI: http://dx.doi.org/10.1136/ip.2008.021196
Jacobs JV, Kasser SL. Effects of dual tasking on the postural performance of people with and without multiple sclerosis: a pilot study. J Neurol. 2012;259(6):1166-76. DOI: http://dx.doi.org/10.1007/s00415-011-6321-5
Plummer-D'Amato P, Altmann LJ, Saracino D, Fox E, Behrman AL, Marsiske M. Interactions between cognitive tasks and gait after stroke: a dual task study. Gait Posture. 2008;27(4):683-8. DOI: http://dx.doi.org/10.1016/j.gaitpost.2007.09.001
Thompson JC, Poliakoff E, Sollom AC, Howard E, Craufurd D, Snowden JS. Automaticity and attention in Huntington's disease: when two hands are not better than one. Neuropsychologia. 2010;48(1):171-8. DOI: http://dx.doi.org/10.1016/j.neuropsychologia.2009.09.002
Catena RD, van Donkelaar P, Chou LS. Cognitive task effects on gait stability following concussion. Exp Brain Res. 2007;176(1):23-31. DOI: http://dx.doi.org/10.1007/s00221-006-0596-2
Lonie JA, Tierney KM, Herrmann LL, Donaghey C, O'Carroll RE, Lee A, et al. Dual task performance in early Alzheimer's disease, amnestic mild cognitive impairment and depression. Psychol Med. 2009;39(1):23-31. DOI: http://dx.doi.org/10.1017/S0033291708003346
Yogev-Seligmann G, Giladi N, Brozgol M, Hausdorff JM. A training program to improve gait while dual tasking in patients with Parkinson's disease: a pilot study. Arch Phys Med Rehabil. 2012;93(1):176-81. DOI: http://dx.doi.org/10.1016/j.apmr.2011.06.005
Nascimbeni A, Gaffuri A, Penno A, Tavoni M. Dual task interference during gait in patients with unilateral vestibular disorders. J Neuroeng Rehabil. 2010;7:47. DOI: http://dx.doi.org/10.1186/1743-0003-7-47
Canning CG. The effect of directing attention during walking under dual-task conditions in Parkinson's disease. Parkinsonism Relat Disord. 2005;11(2):95-9. DOI: http://dx.doi.org/10.1016/j.parkreldis.2004.09.006
Pohl PS, Kemper S, Siengsukon CF, Boyd L, Vidoni ED, Herman RE. Dual-task demands of hand movements for adults with stroke: a pilot study. Top Stroke Rehabil. 2011;18(3):238-47. DOI: http://dx.doi.org/10.1310/tsr1803-238
Bensoussan L, Viton JM, Schieppati M, Collado H, Milhe de Bovis V, Mesure S, et al. Changes in postural control in hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil. 2007;88(8):1009-15. DOI: http://dx.doi.org/10.1016/j.apmr.2007.05.009
Brodsky MB, McNeil MR, Martin-Harris B, Palmer CV, Grayhack JP, Abbott KV. Effects of divided attention on swallowing in healthy participants. Dysphagia. 2012;27(3):307-17. DOI: http://dx.doi.org/10.1007/s00455-011-9367-8
Kalron A, Dvir Z, Achiron A. Walking while talkingdifficulties incurred during the initial stages of multiple sclerosis disease process. Gait Posture. 2010;32(3):332-5. DOI: http://dx.doi.org/10.1016/j.gaitpost.2010.06.002
Melzer I, Tzedek I, Or M, Shvarth G, Nizri O, Ben-Shitrit K, et al. Speed of voluntary stepping in chronic stroke survivors under single- and dual-task conditions: a case-control study. Arch Phys Med Rehabil. 2009;90(6):927-33. DOI: http://dx.doi.org/10.1016/j.apmr.2008.12.012
Plummer-D'Amato P, Altmann LJ, Behrman AL, Marsiske M. Interference between cognition, double-limb support, and swing during gait in community-dwelling individuals poststroke. Neurorehabil Neural Repair. 2010;24(6):542-9. DOI: http://dx.doi.org/10.1177/1545968309357926
Evans JJ, Greenfield E, Wilson BA, Bateman A. Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Int Neuropsychol Soc. 2009;15(1):112-20.
Zheng J, Wang X, Xu Y, Yang Y, Shen L, Liang Z. Cognitive Dual-Task training improves balance function in patients with stroke. HealthMed. 2012;6(3):840-5.
Couillet J, Soury S, Lebornec G, Asloun S, Joseph PA, Mazaux JM, et al. Rehabilitation of divided attention after severe traumatic brain injury: a randomised trial. Neuropsychol Rehabil. 2010;20(3):321-39. DOI: http://dx.doi.org/10.1080/09602010903467746
Fok P, Farrell M, McMeeken J. The effect of dividing attention between walking and auxiliary tasks in people with Parkinson's disease. Clin Rehabil. 2011;25(5):396-407. DOI: http://dx.doi.org/10.1177/0269215510387648
Pedroso RV, Coelho FG, Santos-Galduróz RF, Costa JL, Gobbi S, Stella F. Balance, executive functions and falls in elderly with Alzheimer's disease (AD): a longitudinal study. Arch Gerontol Geriatr. 2012;54(2):348-51. DOI: http://dx.doi.org/10.1016/j.archger.2011.05.029
Schwenk M, Zieschang T, Oster P, Hauer K. Dualtask performances can be improved in patients with dementia: a randomized controlled trial. Neurology. 2010;74(24):1961-8. DOI: http://dx.doi.org/10.1212/WNL.0b013e3181e39696
Lee YW, Lee JH, Shin SS, Lee SW. The effect of dual motor task training while sitting on trunk control ability and balance of patients with chronic stroke. J Phys Ther Sci. 2012;24(4):345-9. DOI: http://dx.doi.org/10.1589/jpts.24.345
Shim S, Yu J, Jung J, Kang H, Cho K. Effects of motor dual task training on spatio-temporal gait parameters of poststroke patients. J Phys Ther Sci. 2012;24(9):845-8. DOI: http://dx.doi.org/10.1589/jpts.24.845
Yang YR, Wang RY, Chen YC, Kao MJ. Dual-task exercise improves walking ability in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(10):1236-40. DOI: http://dx.doi.org/10.1016/j.apmr.2007.06.762
Taylor ME, Delbaere K, Mikolaizak AS, Lord SR, Close JC. Gait parameter risk factors for falls under simple and dual task conditions in cognitively impaired older people. Gait Posture. 2013;37(1):126-30. DOI: http://dx.doi.org/10.1016/j.gaitpost.2012.06.024
Muir SW, Speechley M, Wells J, Borrie M, Gopaul K, Montero-Odasso M. Gait assessment in mild cognitive impairment and Alzheimer's disease: the effect of dual-task challenges across the cognitive spectrum. Gait Posture. 2012;35(1):96-100. DOI: http://dx.doi.org/10.1016/j.gaitpost.2011.08.014
Bensoussan L, Viton JM, Schieppati M, Collado H, Milhe de Bovis V, Mesure S, et al. Changes in postural control in hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil. 2007;88(8):1009-15. DOI: http://dx.doi.org/10.1016/j.apmr.2007.05.009
Pettersson AF, Olsson E, Wahlund LO. Effect of divided attention on gait in subjects with and without cognitive impairment. J Geriatr Psychiatry Neurol. 2007;20(1):58-62. DOI: http://dx.doi.org/10.1177/0891988706293528
Coelho FG, Andrade LP, Pedroso RV, Santos-Galduroz RF, Gobbi S, Costa JL, et al. Multimodal exercise intervention improves frontal cognitive functions and gait in Alzheimer's disease: a controlled trial. Geriatr Gerontol Int. 2013;13(1):198-203. DOI: http://dx.doi.org/10.1111/j.1447-0594.2012.00887.x
Leśniak M, Bak T, Czepiel W, Seniów J, Członkowska A. Frequency and prognostic value of cognitive disorders in stroke patients. Dement Geriatr Cogn Disord. 2008;26(4):356-63. DOI: http://dx.doi.org/10.1159/000162262
Lord SE, Rochester L, Weatherall M, McPherson KM, McNaughton HK. The effect of environment and task on gait parameters after stroke: A randomized comparison of measurement conditions. Arch Phys Med Rehabil. 2006;87(7):967-73. DOI: http://dx.doi.org/10.1016/j.apmr.2006.03.003
Dennis A, Dawes H, Elsworth C, Collett J, Howells K, Wade DT, et al. Fast walking under cognitive-motor interference conditions in chronic stroke. Brain Res. 2009;1287:104-10. DOI: http://dx.doi.org/10.1016/j.brainres.2009.06.023
Ada L, Dean CM, Hall JM, Bampton J, Crompton S. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil. 2003;84(10):1486-91. DOI: http://dx.doi.org/10.1016/S0003-9993(03)00349-6
Allali G, Dubois B, Assal F, Lallart E, Souza LC, Bertoux M, et al. Frontotemporal dementia: pathology of gait? Mov Disord. 2010 Apr 30;25(6):731-7. DOI: http://dx.doi.org/10.1002/mds.22927
Kizony R, Levin MF, Hughey L, Perez C, Fung J. Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment. Phys Ther. 2010;90(2):252-60. DOI: http://dx.doi.org/10.2522/ptj.20090061
Rochester L, Hetherington V, Jones D, Nieuwboer A, Willems AM, Kwakkel G, et al. Attending to the task: interference effects of functional tasks on walking in Parkinson's disease and the roles of cognition, depression, fatigue, and balance. Arch Phys Med Rehabil. 2004;85(10):1578-85. DOI: http://dx.doi.org/10.1016/j.apmr.2004.01.025
Sheridan PL, Solomont J, Kowall N, Hausdorff JM. Influence of executive function on locomotor function: divided attention increases gait variability in Alzheimer's disease. J Am Geriatr Soc. 2003;51(11):1633-7. DOI: http://dx.doi.org/10.1046/j.1532-5415.2003.51516.x
You JH, Shetty A, Jones T, Shields K, Belay Y, Brown D. Effects of dual-task cognitive-gait intervention on memory and gait dynamics in older adults with a history of falls: a preliminary investigation. NeuroRehabilitation. 2009;24(2):193-8.
Brauer SG, Morris ME. Can people with Parkinson's disease improve dual tasking when walking? Gait Posture. 2010;31(2):229-33.
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