【摘 要】
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BACKGROUND AND OBJECTIVECognitive motor interference (CMI) occurs when cognitive and motor tasks are performed simultaneously. This technique has been used to enhance treatment in sports rehabilitatio
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BACKGROUND AND OBJECTIVECognitive motor interference (CMI) occurs when cognitive and motor tasks are performed simultaneously. This technique has been used to enhance treatment in sports rehabilitation medicine. This literature review and meta-analysis investigated the efficacy of CMI for improving gait and balance in patients with stroke.
METHODSA literature search of multiple databases was made for randomized, controlled trials published from 1972 to 2014, including adult stroke patients treated with CMI and a control group. Outcome measures included assessments of gait and balance, with secondary outcomes including activities of daily living and functional independence measures.
RESULTSData were included from 15 RTCs for 395 participants. The results indicated that CMI was better than the control for improving gait speed (P<0.003), stride length (P<0.004) and cadence (P=0.001). In studies of balance, CMI was better than the control in improving center of pressure sway area (P=0.01) and performance on the Berg Balance Scale (P=0.02).
CONCLUSIONThis literature review found that, among patients with stroke, treatment with cognitive motor interference results in improvements on multiple measures of gait and balance.
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