Effect of variable priority cognitive-motor dual task training on upper limb function in patients with hemiplegia after stroke
Objective To investigate the effect of variable priority cognitive-motor dual task training on upper limb function in patients with hemiplegia after stroke compared with fixed priority cognitive-motor dual task training and conventional rehabilitation training.Methods A total of 90 patients with hemiplegia after stroke who were treated in Hebei General Hospital from August 2022 to September 2023 were selected as the study objects.The patients were divided into control group,fixed group and variable group according to the principle of randomization,with 30 cases in each group.The control group was treated with conventional rehabilitation method,the fixed group was treated with fixed priority cognitive-motor dual task training,and the variable group was treated with variable priority cognitive-motor dual task training.The intervention effects of the three groups were compared.Results Before intervention,there were no significant differences in the scores of upper limb Fugl-Meyer motor function rating scale and Motor Status Scale(MSS)among the three groups(P>0.05);after 2 and 3 weeks of intervention,the scores of upper limb Fugl-Meyer motor function rating scale and MSS in the three groups were higher than those before intervention(P<0.05);after 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS score of the three groups were higher than those after 2 weeks of intervention(P<0.05);after 2 and 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS scores of the variable group and the fixed group were higher than those of the control group(P<0.05);after 2 and 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS score of the variable group were higher than those of the fixed group(P<0.05).Conclusion Variable priority cognitive-motor dual task training is more helpful to improve the upper limb function of patients with hemiplegia after stroke than fixed priority cognitive-motor dual task training and conventional rehabilitation training.
variable prioritycognitive-motor dual task trainingstrokehemiplegiaupper limb function