| OBJECTIVE: To observe the effects of dual-task training combined with role-playing on balance and cognitive functions of patients recovering from stroke. METHODS: Thirty-four patients with balance and cognitive deficits in the recovery period of stroke were included, and they were divided into the control group (n=17) and the experimental group (n=17) by using the method of randomized numerical table. Both groups received the usual medical treatment, in addition, the control group was given routine balance training and gait training, and the experimental group was given dual-task training and role-playing simulating the real life and work environment based on the control group. The frequency of treatment was 40 min per intervention, once a day, 6 times a week for 3 weeks. Before and after the treatment, the patients were tested for static and dynamic balance using the “up-and-go” timed test (TUGT), lower limb movement and balance using the simplified Fugl-Meyer Assessment Scale (FMAS), fall risk using the Berg Balance Scale (BBS), and fall risk using the Brunnstrom's Scale. risk, assessing lower limb motor function using the Brunnstrom scale, and applying the Simplified Mental State Examination (MMSE) to test the cognitive ability of stroke patients. RESULTS: After treatment, the TUGT, FMAS and BBS scores of both groups improved compared with those before treatment (P<0.05), and the improvement was more significant in the experimental group (P<0.05); the Brunnstrom scale scores of the experimental group increased compared with those before treatment (P<0.05), but the difference in the control group was insignificant (P>0.05), and the difference was not significant between the two groups (P>0.05); the MMSE scores of both groups did not change compared with those before treatment (P<0.05). MMSE scores were not statistically different from before (P>0.05), but there was a difference in the experimental group compared with the control group (P<0.05).CONCLUSION: Dual-task training combined with role-playing can improve the balance function of stroke patients, and to a certain extent can improve cognitive impairment. |