Feng Qiang-Ming, Chen Ji-Wei
Faculty of Physical Education, Shanghai International Studies University, Shanghai, China.
School of Physical Education, Shanghai University of Sport, Shanghai, China.
Disabil Rehabil. 2025 Jul;47(14):3538-3547. doi: 10.1080/09638288.2024.2435523. Epub 2024 Dec 6.
We investigated the effect of exercise combined with cognitive dual-task training on the improvement of cognitive function in stroke patients by conducting a systematic review and meta-analysis of current relevant studies.
Four electronic databases, PubMed, Web of Science, Cochrane Library, and Embase, were searched for randomized controlled trials (RCTs) on the effects of exercise combined with cognitive dual-task training on cognitive function in patients with stroke that were publicly available from the starting year of the databases to 10 July 2024.
A total of 14 RCTs were included. Statistical results showed that exercise combined with cognitive dual-task training had a small effect size improvement in cognitive function for stroke patients ( = 0.41, 95% CI: [0.26, 0.57], = 0.00). Moreover, persistent effects on cognitive functioning were observed after the end of the intervention ( = 0.24, 95% CI: [0.05, 0.43], = 0.01). Subgroup analyses revealed that working memory, cognitive flexibility, total execution function, and total cognitive function had significant improvements in the cognitive function dimension group. Subgroup analyses of different exercise modalities, intervention periods, and different forms of control revealed significant differences within each subgroup.
Exercise combined with cognitive dual-task training significantly improves cognitive function in stroke patients with favorable sustained effects.
通过对当前相关研究进行系统评价和荟萃分析，探讨运动联合认知双任务训练对脑卒中患者认知功能改善的影响。
检索四个电子数据库，即PubMed、Web of Science、Cochrane图书馆和Embase，查找从数据库起始年份至2024年7月10日公开的关于运动联合认知双任务训练对脑卒中患者认知功能影响的随机对照试验（RCT）。
共纳入14项RCT。统计结果显示，运动联合认知双任务训练对脑卒中患者认知功能的改善效应量较小（=0.41，95%CI：[0.26，0.57]，=0.00）。此外，干预结束后观察到对认知功能的持续影响（=0.24，95%CI：[0.05，0.43]，=0.01）。亚组分析显示，在认知功能维度组中，工作记忆、认知灵活性、总执行功能和总认知功能有显著改善。不同运动方式、干预期和不同对照形式的亚组分析显示各亚组内存在显著差异。
运动联合认知双任务训练可显著改善脑卒中患者的认知功能，并具有良好的持续效果。
