Effects of Dual Task Exercises Training Program on Stroke Patients

Mohammed Mohammed, Asmaa; Ahmed Hassanein, Amira; Gaber Mohammed, Hanan; Kamal Hamed, Mohammad; Sobhy Omran, Eman

doi:10.21608/jnsbu.2021.186431

Effects of Dual Task Exercises Training Program on Stroke Patients

Authors

¹ Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

² Medical Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

³ Physical Medicine, Rehabilitation and Rheunstology, Faculty of medicine, Mansoura University

⁴ Medical Surgical Nursing, Faculty of Nursing, Benha University

10.21608/jnsbu.2021.186431

Abstract

Background: Stroke is a neurologic disorder considered the first cause of disability among
adults worldwide. The most important goal of treatment in stroke patients is to return the patients to
society. Dual tasks have clinical significance in a number of areas in enhancement of the balance and
mobility of patients. The aim of the current study was to evaluate the effects of dual task exercises
training program on balance, mobility and risk of falling in stroke patients and its impact on
Activities of Daily Living (ADL). Research design: A quasi-experimental research design was
utilized to conduct this study. Setting: This study was conducted at Neurological Department of
Benha University Hospital. Sample: A purposive sample of 104 adult stroke patients who divided
into intervention and control groups equally. Tools of data collection: Five tools were used for data
collection. I: Structured neurological assessment sheet, II: Postural assessment scale for stroke, III:
Timed up and go test, VI: Barthel index scale of ADL and V: Activities-specific balance confidence
scale. Results: Hypertension is the most common risk factor among both groups, post intervention,
BI (ADL dependency) of intervention group is significantly associated with their PASS score (level
of balance) Conclusion: Dual task exercises training program was effective in improving clinical
outcomes in patients with stroke. Recommendations: Nurses should be encouraged to implement the
dual task exercises training as a routine practice for stroke patients to improve balance, mobility, risk
of falling and ADL.

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Main Subjects