Proprioceptive and Dual-Task Training: The Key of Stroke Rehabilitation, A Systematic Review

Abstract

This systematic review aims to reveal the effectiveness of proprioceptive exercise combined with dual-task training in stroke patients. The research was conducted using PubMed, Cochrane Library, Web of Science, and Scopus databases to evaluate studies of rehabilitation interventions with proprioceptive and dual-task exercises in patients with stroke. The keywords for the search were: “stroke” AND “proprioception” OR “proprioceptive” AND “rehabilitation” OR “training” OR “exercises” AND “dual-task” OR “task-performance” with the following inclusion criteria: comparative studies of rehabilitation interventions with proprioceptive and dual-task exercises in stroke patients. Of the 104,014 studies identified, 23 were included according to the inclusion criteria. Proprioceptive and dual-task exercises stimulate and promote postural balance, gait, and quality of life and reduce the risk of falls in stroke patients compared with traditional rehabilitation programs. In conclusion, this systematic review suggests that proprioceptive exercise combined with dual-task training is needed to improve balance and recover gait. Moreover, it provides a comprehensive overview of the literature on the various proprioceptive treatments with contextual dual-task exercises for imbalance after stroke, providing a guide for choosing a complete rehabilitation protocol that combines these two techniques.

Influencing Factors of Constipation in Elderly Patients With Intracerebral Hemorrhage: Implication for Clinical Care

“…A previous study has confirmed the positive effects of rehabilitation, osteopathy and acupuncture on constipation and pain in patients with cancer (Chiaramonte, Bonfiglio, et al, 2023). Moreover, motor rehabilitation is beneficial to improve intestinal movement (Chiaramonte et al, 2022). Encouraging healthy lifestyles, dietary strategies such as fiber supplements, and increasing water intake may improve constipation in elderly hospitalized patients with intracerebral hemorrhage (Chiaramonte, Bonfiglio, et al, 2023; Deb et al, 2020; Emmanuel et al, 2017).…”

Uncorking the limitation—improving dual tasking using transcranial electrical stimulation and task training in the elderly: a systematic review

“… Faraza et al (2021) observed that improved cognitive ability after a 4-week neuropsychological training could be attributed to higher functional connectivity within the DLPFC. Such evidence provides a basis for the argument that task training, including both ST and DT training, can be used for promoting DT performance ( De Freitas et al, 2020 ; Chiaramonte et al, 2022 ). However, only few reviews discussed its effects in old participants ( Gallou-Guyot et al, 2020 ; Khan et al, 2022 ).…”

Effects of dual-task resistance exercise on cognition, mood, depression, functional fitness, and activities of daily living in older adults with cognitive impairment: a single-blinded, randomized controlled trial

“…Dual-task exercise program that combines cognitive training and physical activity programs for older adults with mild cognitive impairment has been reported [ 19 ]. Recent studies have also reported that dual-task training improved balance and gait function in patients with stroke [ 20 ] and spatio-temporal parameters of gait in older women with dementia [ 21 ]. A previous study has reported that exercises that include dual-task could be the key of therapeutic success to slow down the progression of dementia, but risk of falls during dual task performance compared to single task performance was presented in patients with dementia [ 22 ].…”