{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T01:03:55Z","timestamp":1790471035900,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,11,25]],"date-time":"2018-11-25T00:00:00Z","timestamp":1543104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006662","name":"National Institute on Handicapped Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>The aim was to evaluate the tolerability of, adherence to and efficacy of a community walking training programme with simultaneous cognitive demand (dual\u2010task) compared to a control walking training programme without cognitive distraction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult stroke survivors at least 6\u00a0months after stroke with a visibly obvious gait abnormality or reduced 2\u2010min walk distance were included in a two\u2010arm parallel randomized controlled trial of complex intervention with blinded assessments. Participants received a 10\u00a0week, bi\u2010weekly, 30\u00a0min treadmill programme at an aerobic training intensity (55%\u201385% heart rate maximum), either with or without simultaneous cognitive demands. Outcome was measured at 0, 11 and 22\u00a0weeks. The primary assessment involved 2\u2010min walk tests with and without cognitive distraction to investigate the dual\u2010task effect on walking and cognition; secondary results were the Short Form Health Survey 36, EuroQol\u20105D\u20105L, the Physical Activity Scale for the Elderly (<jats:styled-content style=\"fixed-case\">PASE<\/jats:styled-content>) and step activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty stroke patients were included; 43 received allocated training and 45 completed all assessments. The experimental group (<jats:italic>n<\/jats:italic>\u00a0=\u00a026) increased their mean (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) 2\u2010min walking distance from 90.7 (8.2) to 103.5 (8.2)\u00a0m, compared with 86.7 (8.5) to 92.8 (8.6) m in the control group, and their <jats:styled-content style=\"fixed-case\">PASE<\/jats:styled-content> score from 74.3 (9.1) to 89.9 (9.4), compared with 94.7 (9.4) to 77.3 (9.9) in the control group. Statistically, only the change in the <jats:styled-content style=\"fixed-case\">PASE<\/jats:styled-content> differed between the groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.029), with the dual\u2010task group improving more. There were no differences in other measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Walking with specific additional cognitive distraction (dual\u2010task training) might increase activity more over 12\u00a0weeks, but the data are not conclusive.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13833","type":"journal-article","created":{"date-parts":[[2018,10,11]],"date-time":"2018-10-11T22:20:32Z","timestamp":1539296432000},"page":"435-441","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["A randomized controlled trial of a walking training with simultaneous cognitive demand (dual\u2010task) in chronic stroke"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5686-8499","authenticated-orcid":false,"given":"D.","family":"Meester","sequence":"first","affiliation":[{"name":"Movement Science Group School of Life Sciences Oxford Brookes University Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Al\u2010Yahya","sequence":"additional","affiliation":[{"name":"Movement Science Group School of Life Sciences Oxford Brookes University Oxford UK"},{"name":"Department of Physiotherapy Faculty of Rehabilitation Sciences University of Jordan Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Dennis","sequence":"additional","affiliation":[{"name":"Nuffield Department of Clinical Neurosciences Oxford Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB Centre) University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Collett","sequence":"additional","affiliation":[{"name":"Movement Science Group School of Life Sciences Oxford Brookes University Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1188-8442","authenticated-orcid":false,"given":"D. 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