Does dual task merged in a mixed physical exercise protocol impact the mobility under dual task conditions in mild impaired stroke survivors? A feasibility, safety, randomized, and controlled pilot trial

Abstract

Purpose

To investigate the feasibility, safety, and effects of dual task (DT) in a mixed physical exercise protocol on mobility under DT in stroke survivors.

Materials and methods

Twenty-six chronic mild-impaired stroke survivors (age 51.57 ± 12.55; men= 13, women= 13) were randomly assigned into Experimental Group participating in a 15-week mixed (aerobic and resistance exercises performing a cognitive DT condition simultaneously) physical exercise protocol (30 sessions, 2x/week, duration of 60–90 min), and Control Group engaged in the same protocol without DT. Feasibility and outcome measures were assessed before and after the intervention and in a 5-week follow-up.

Results

DT physical exercise protocol was viable and safe. This protocol also improved mobility and gait when performed under DT, which was not found in the control group. DT does not influence aerobic resistance, strength, and balance responsiveness. It does not present any improvement in cognition, self-efficacy for falls, and quality of life.

Conclusion

The results indicate that mixed physical exercise under DT is feasible and safe for mild-impaired stroke survivors. Stroke survivors demonstrate more significant improvement in the mobility performance under DT when submitted to a DT mixed physical exercise protocol than the standard physical exercise intervention.

Trial registration

Brazilian clinical trials registry (RBR-4mvzz6); WHO trial record (U1111-1198-7173)

IMPLICATIONS FOR REHABILITATION

• DT training can be prescribed by using clear and precise parameters for stroke survivors.

• Physical Exercise without DT requirements did not improve mobility performing and cognitive tasks simultaneously in stroke survivors.

• Clinicians are encouraged to incorporate DT requirements into the exercise routines to enhance mobility under DT to mild-moderate stroke survivors.

Keywords:

• Dual task
• mixed physical exercise
• stroke
• mobility
• cognition

Disclosure statement

No potential conflict of interest was reported by the author(s).