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The effect of dual-task training on cognitive ability, physical function, and dual-task performance in people with dementia or mild cognitive impairment: A systematic review and meta-analysis.
- Source :
- Clinical Rehabilitation; Apr2024, Vol. 38 Issue 4, p443-456, 14p
- Publication Year :
- 2024
-
Abstract
- Objective: To summarize the effect of dual-task training on cognitive, physical function, and dual-task performance in people with mild cognitive impairment or dementia. Data sources: Embase, PEDro, PsycINFO, PubMed, CINAHL, The Cochrane Library, and a forward search conducted via Web of Science have been searched from inception to July 2023. Review methods: Good-quality randomized controlled trials compared dual-task training with no/placebo intervention or single-task training among people with a primary diagnosis of mild cognitive impairment or dementia were included. The PEDro scale was used to evaluate the methodological quality of individual studies. The Grading of Recommendations, Assessment, Development and Evaluations system was adopted to appraise the quality of evidence for each outcome. Results: Eighteen trials (1325 participants) were included, and 17 provided data for meta-analysis. Comparing with no intervention, dual-task training led to significant improvements on attention (mean difference (MD) = −20.66, 95%CI [−39.42, −1.90]), functional mobility (MD = −2.73; 95%CI [−3.98, −1.49]). Compared with single-task training, dual-task training had greater effects on overall cognitive function (standardized mean difference (SMD) = 0.29, 95%CI [0.09, 0.49]), balance (SMD = 0.78, 95%CI [0.40, 1.15]) and functional mobility (MD = −1.17; 95%CI [−1.77, −0.58]). Its effect on dual-task performance remains inconclusive due to the inconsistent results reported. Conclusion: Low- to moderate-quality evidence supports that dual-task training has beneficial effects on cognitive function and physical function in individuals with dementia or mild cognitive impairment. The optimal training protocol of dual-task training on cognitive and physical functions, and dual-task performance remains uncertain. Well-designed, randomized studies with large enough sample sizes are warranted. [ABSTRACT FROM AUTHOR]
- Subjects :
- COGNITION disorders
EVALUATION of medical care
MEDICAL databases
PSYCHOLOGY information storage & retrieval systems
ONLINE information services
CINAHL database
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
FUNCTIONAL status
SYSTEMATIC reviews
PHYSICAL therapy
POSTURAL balance
TASK performance
DEMENTIA
BODY movement
DESCRIPTIVE statistics
ATTENTION
PHYSICAL mobility
COGNITIVE testing
MEDLINE
EXERCISE therapy
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 38
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 175700996
- Full Text :
- https://doi.org/10.1177/02692155231216621