Search Articles

Home / Articles

EFFECTS OF DUAL-TASK-SPECIFIC GAIT TRAINING VERSUS CONVENTIONAL PHYSICAL THERAPY ON GAIT SPEED, STEP SYMMETRY, DYNAMIC BALANCE, AND FUNCTIONAL MOBILITY IN PATIENTS WITH CHRONIC HEMIPLEGIC STROKE: A RANDOMIZED CONTROLLED TRIAL

. Dr.Suman.PT , Prof. Dr. M. Riaz Baig Chughtai , Dr. M. Danial Baig Chughtai , Dr. Karan Parkash, PT , Dr.Sumaira Kanwal,PT & Dr.Ghulam Fatima,PT


Abstract

Background: Walking after stroke is often limited by reduced gait speed, temporal and spatial asymmetry, impaired dynamic balance, and difficulty managing simultaneous cognitive or environmental demands. Conventional physical therapy commonly emphasizes repeated single-task walking and functional mobility. Dual-task-specific gait training integrates walking with a concurrent cognitive or motor task and may better reproduce the attentional demands of community ambulation.

Objective: To compare the effects of dual-task-specific gait training with conventional physical therapy on gait speed, step symmetry, dynamic balance, and functional mobility in adults with chronic hemiplegic stroke.

Methods: This randomized controlled trial is designed for adults with chronic hemiplegic stroke who are able to walk with or without a walking aid. Participants will be randomly allocated to a dual-task-specific gait-training group or a conventional physical-therapy group. Both groups will receive structured rehabilitation for an equivalent treatment period and contact time. The experimental intervention will progressively combine walking with cognitive and/or motor secondary tasks, while the control intervention will use conventional single-task gait and functional mobility exercises. Primary outcomes will include gait speed and step symmetry; secondary outcomes will include dynamic balance and functional mobility. Assessments will be performed at baseline and immediately after the intervention, with optional follow-up if available.

Results: The present document does not report invented participant outcomes. The Results section contains analysis-ready tables and figure specifications that should be populated from the verified trial dataset.

Conclusion: The study is designed to determine whether task-specific dual-task gait practice provides additional benefits over conventional physical therapy for walking and mobility in chronic hemiplegic stroke. The final conclusion should be based solely on the prespecified statistical analysis of the actual randomized trial data.

Keywords: stroke; hemiplegia; dual-task gait training; gait speed; step symmetry; dynamic balance; functional mobility; physical therapy; randomized controlled trial

Download :