TY  - JOUR
AU  - Arisanti, Farida
AU  - Ropii, Bejo
AU  - Sribudiani, Yunia
AU  - Amalia, Lisda
AU  - Engkasan, Julia Patrick
AU  - Biben, Vitriana
PY  - 2026
DA  - 2026/08/06
TI  - Dual-Task Training and Walking Performance After Stroke: Neurological and Functional Perspectives
JO  - OBM Neurobiology
SP  - 342
VL  - 10
IS  - 03
AB  - Post-stroke ambulation demands significant cognitive regulation, particularly in complex environments that require concurrent motor and cognitive processing. Challenges in the coordination between cognitive functions and motor skills lead to reduced adaptability in walking, an increased fall risk, and limitations in moving around the community among stroke survivors. To integrate recent evidence on dual-task gait training post-stroke, with particular focus on the neurological mechanisms underlying cognitive-motor interference and their relationship to functional walking outcomes. A structured literature search was conducted using PubMed and Scopus to identify studies published between January 2015 and December 2025. Medical Subject Headings (MeSH) and related keywords on dual-task walking training, cognitive-motor interference (CMI), and stroke rehabilitation were used to retrieve relevant evidence. The review focused on the neurological mechanisms underlying gait coordination and the effects of dual-task interventions on walking performance in stroke survivors. The Scale guided the methodological rigor of the narrative review for the Assessment of Narrative Review Articles (SANRA). The examined studies indicated that participation in dual-task gait training was positively correlated with enhancements in walking speed, stride parameters, stability, and overall walking performance, even under cognitive load. Neuroimaging and neurophysiological investigations consistently reported increased recruitment of prefrontal and premotor-supplementary motor networks during dual-task walking, reflecting compensatory cortical recruitment and diminished gait automaticity post-stroke. Training-related modifications in cortical activation patterns imply enhanced neural efficiency and adaptive reorganization of cognitive-motor control networks. The use of dual-task gait training is considered a neurologically validated strategy to diminish the cognitive-motor obstacles that occur after stroke. By focusing on executive control and cortical network activation during ambulation, dual-task paradigms may facilitate functional gait recovery across the stroke phases/Further investigation integrating neurophysiological measures with clinical outcomes is warranted.
SN  - 2573-4407
UR  - https://doi.org/10.21926/obm.neurobiol.2603342
DO  - 10.21926/obm.neurobiol.2603342
ID  - Arisanti2026
ER  -