Cognitive motor interference for gait and balance in stroke: A systematic review and meta-analysis

Xueqiang Wang, Yanlin Pi, B Chen, Peijie Chen, Yu Liu, Ru Wang, X Li, Gordon WADDINGTON

    Research output: Contribution to journalArticle

    24 Citations (Scopus)

    Abstract

    Background and purpose: An increasing interest in the potential benefits of cognitive motor interference (CMI) for stroke has recently been observed, but the efficacy of CMI for gait and balance is controversial. A systematic review and meta-analysis of randomized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke. Methods: Articles in Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc were searched from 1970 to July 2014. Only randomized controlled trials examining the effects of CMI for patients with stroke were included, and no language restrictions were applied. Main outcome measures included gait and balance function. Results: A total of 15 studies composed of 395 participants met the inclusion criteria, and 13 studies of 363 participants were used as data sources for the meta-analysis. Pooling revealed that CMI was superior to the control group for gait speed [mean difference (MD) 0.19 m/s, 95% confidence interval (CI) (0.06, 0.31), P = 0.003], stride length [MD 12.53 cm, 95% CI (4.07, 20.99), P = 0.004], cadence [MD 10.44 steps/min, 95% CI (4.17, 16.71), P = 0.001], centre of pressure sway area [MD -1.05, 95% CI (-1.85, -0.26), P = 0.01] and Berg balance scale [MD 2.87, 95% CI (0.54, 5.21), P = 0.02] in the short term. Conclusion: Cognitive motor interference is effective for improving gait and balance function for stroke in the short term. However, only little evidence supports assumptions regarding CMI's long-term benefits.
    Original languageEnglish
    Pages (from-to)555-e37
    Number of pages10
    JournalEuropean Journal of Neurology
    Volume22
    Issue number3
    DOIs
    Publication statusPublished - 1 Mar 2015

    Fingerprint

    Gait
    Meta-Analysis
    Stroke
    Confidence Intervals
    Randomized Controlled Trials
    Library Science
    Information Storage and Retrieval
    China
    Language
    Medicine
    Outcome Assessment (Health Care)
    Pressure
    Control Groups

    Cite this

    Wang, Xueqiang ; Pi, Yanlin ; Chen, B ; Chen, Peijie ; Liu, Yu ; Wang, Ru ; Li, X ; WADDINGTON, Gordon. / Cognitive motor interference for gait and balance in stroke: A systematic review and meta-analysis. In: European Journal of Neurology. 2015 ; Vol. 22, No. 3. pp. 555-e37.
    @article{3e3af52f2765453dbe6485e32d30b97f,
    title = "Cognitive motor interference for gait and balance in stroke: A systematic review and meta-analysis",
    abstract = "Background and purpose: An increasing interest in the potential benefits of cognitive motor interference (CMI) for stroke has recently been observed, but the efficacy of CMI for gait and balance is controversial. A systematic review and meta-analysis of randomized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke. Methods: Articles in Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc were searched from 1970 to July 2014. Only randomized controlled trials examining the effects of CMI for patients with stroke were included, and no language restrictions were applied. Main outcome measures included gait and balance function. Results: A total of 15 studies composed of 395 participants met the inclusion criteria, and 13 studies of 363 participants were used as data sources for the meta-analysis. Pooling revealed that CMI was superior to the control group for gait speed [mean difference (MD) 0.19 m/s, 95{\%} confidence interval (CI) (0.06, 0.31), P = 0.003], stride length [MD 12.53 cm, 95{\%} CI (4.07, 20.99), P = 0.004], cadence [MD 10.44 steps/min, 95{\%} CI (4.17, 16.71), P = 0.001], centre of pressure sway area [MD -1.05, 95{\%} CI (-1.85, -0.26), P = 0.01] and Berg balance scale [MD 2.87, 95{\%} CI (0.54, 5.21), P = 0.02] in the short term. Conclusion: Cognitive motor interference is effective for improving gait and balance function for stroke in the short term. However, only little evidence supports assumptions regarding CMI's long-term benefits.",
    keywords = "Balance, Cognitive motor interference, Dual task, Gait, Stroke, Systematic review, Humans, Gait/physiology, Postural Balance/physiology, Combined Modality Therapy/methods, Stroke/therapy, Cognitive Behavioral Therapy/methods, Exercise Therapy/methods",
    author = "Xueqiang Wang and Yanlin Pi and B Chen and Peijie Chen and Yu Liu and Ru Wang and X Li and Gordon WADDINGTON",
    note = "{\circledC} 2015 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.",
    year = "2015",
    month = "3",
    day = "1",
    doi = "10.1111/ene.12616",
    language = "English",
    volume = "22",
    pages = "555--e37",
    journal = "European Journal of Neurology",
    issn = "1351-5101",
    publisher = "Wiley-Blackwell",
    number = "3",

    }

    Cognitive motor interference for gait and balance in stroke: A systematic review and meta-analysis. / Wang, Xueqiang; Pi, Yanlin; Chen, B; Chen, Peijie; Liu, Yu; Wang, Ru; Li, X; WADDINGTON, Gordon.

    In: European Journal of Neurology, Vol. 22, No. 3, 01.03.2015, p. 555-e37.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Cognitive motor interference for gait and balance in stroke: A systematic review and meta-analysis

    AU - Wang, Xueqiang

    AU - Pi, Yanlin

    AU - Chen, B

    AU - Chen, Peijie

    AU - Liu, Yu

    AU - Wang, Ru

    AU - Li, X

    AU - WADDINGTON, Gordon

    N1 - © 2015 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.

    PY - 2015/3/1

    Y1 - 2015/3/1

    N2 - Background and purpose: An increasing interest in the potential benefits of cognitive motor interference (CMI) for stroke has recently been observed, but the efficacy of CMI for gait and balance is controversial. A systematic review and meta-analysis of randomized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke. Methods: Articles in Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc were searched from 1970 to July 2014. Only randomized controlled trials examining the effects of CMI for patients with stroke were included, and no language restrictions were applied. Main outcome measures included gait and balance function. Results: A total of 15 studies composed of 395 participants met the inclusion criteria, and 13 studies of 363 participants were used as data sources for the meta-analysis. Pooling revealed that CMI was superior to the control group for gait speed [mean difference (MD) 0.19 m/s, 95% confidence interval (CI) (0.06, 0.31), P = 0.003], stride length [MD 12.53 cm, 95% CI (4.07, 20.99), P = 0.004], cadence [MD 10.44 steps/min, 95% CI (4.17, 16.71), P = 0.001], centre of pressure sway area [MD -1.05, 95% CI (-1.85, -0.26), P = 0.01] and Berg balance scale [MD 2.87, 95% CI (0.54, 5.21), P = 0.02] in the short term. Conclusion: Cognitive motor interference is effective for improving gait and balance function for stroke in the short term. However, only little evidence supports assumptions regarding CMI's long-term benefits.

    AB - Background and purpose: An increasing interest in the potential benefits of cognitive motor interference (CMI) for stroke has recently been observed, but the efficacy of CMI for gait and balance is controversial. A systematic review and meta-analysis of randomized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke. Methods: Articles in Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc were searched from 1970 to July 2014. Only randomized controlled trials examining the effects of CMI for patients with stroke were included, and no language restrictions were applied. Main outcome measures included gait and balance function. Results: A total of 15 studies composed of 395 participants met the inclusion criteria, and 13 studies of 363 participants were used as data sources for the meta-analysis. Pooling revealed that CMI was superior to the control group for gait speed [mean difference (MD) 0.19 m/s, 95% confidence interval (CI) (0.06, 0.31), P = 0.003], stride length [MD 12.53 cm, 95% CI (4.07, 20.99), P = 0.004], cadence [MD 10.44 steps/min, 95% CI (4.17, 16.71), P = 0.001], centre of pressure sway area [MD -1.05, 95% CI (-1.85, -0.26), P = 0.01] and Berg balance scale [MD 2.87, 95% CI (0.54, 5.21), P = 0.02] in the short term. Conclusion: Cognitive motor interference is effective for improving gait and balance function for stroke in the short term. However, only little evidence supports assumptions regarding CMI's long-term benefits.

    KW - Balance

    KW - Cognitive motor interference

    KW - Dual task

    KW - Gait

    KW - Stroke

    KW - Systematic review

    KW - Humans

    KW - Gait/physiology

    KW - Postural Balance/physiology

    KW - Combined Modality Therapy/methods

    KW - Stroke/therapy

    KW - Cognitive Behavioral Therapy/methods

    KW - Exercise Therapy/methods

    UR - http://www.scopus.com/inward/record.url?scp=84922605974&partnerID=8YFLogxK

    UR - http://www.mendeley.com/research/cognitive-motor-interference-gait-balance-stroke-systematic-review-metaanalysis

    U2 - 10.1111/ene.12616

    DO - 10.1111/ene.12616

    M3 - Article

    VL - 22

    SP - 555-e37

    JO - European Journal of Neurology

    JF - European Journal of Neurology

    SN - 1351-5101

    IS - 3

    ER -