Effects of Dual-Task Training, Physiotherapy, and Combined Therapy on Balance Performance in Stroke Patients

Nazeh Mohamed Elderiny, Sabah; Mohamed Weheida, Soheir; Abd El-Moneam Ahmed, Shereen

doi:10.21608/ejnsr.2022.247058

Effects of Dual-Task Training, Physiotherapy, and Combined Therapy on Balance Performance in Stroke Patients

Document Type : Original Article

Authors

¹ Lecturer of Adult Health Nursing, Faculty of Nursing, Helwan University, Egypt

² Professor of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt

³ Assistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez-Canal University, Egypt

10.21608/ejnsr.2022.247058

Abstract

Stroke is the worldwide third cause of death and the foremost cause of adult disability, affecting all body functions including balance performance. The study aimed to compare the effects of dual-task training, physiotherapy, and combined therapy on balance performance in stroke patients. Methodology: A quasi-experimental research design was utilized to conduct this study at the neurological departments of Ain-Shams University Hospitals and Suez Canal University Hospitals, from February to October 2021. A purposive sample of 210 adult stroke patients was divided equally into three groups (physiotherapy, dual-task training, and combined therapy) was included in the study. Four tools were used to collect the data: A structured interview questionnaire to assess patients' demographics and clinical health history; a Postural Assessment Scale to assess balance in different positions; a Timed Up and Go test to assess mobility, balance, and locomotors performance; and a Falls Risk Assessment Tool to assess fall risk factors. Results: A statistically significant improvement in postural assessment scores, risk of fall scores, and timed up and go scores was observed in (44.3%, 81.4%, and 64.3%) patients of the combined therapy group, respectively, at the post-intervention phase. Conclusion: Stroke patients should be encouraged to undergo combined therapy of physiotherapy and dual-task training exercises by nurses as a routine practice to improve balance performance and reduce the risk of falls. Recommendation: Tailored combined therapy training programs for each patient are mandatory to optimize care outcomes.

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