Impact of Dual Task Training on Fine Motor Activities on Chronic Stroke Patients

Amber Jamaal; Komall. S; A.K Vijay Krishna Kumar

doi:10.36948/ijfmr.2026.v08i01.65570

Impact of Dual Task Training on Fine Motor Activities on Chronic Stroke Patients

Author(s)	Amber Jamaal, Komall. S, Prof. A.K Vijay Krishna Kumar
Country	India
Abstract	BACKGROUND: Stroke is a cerebrovascular disease in which the brain’s blood vessel supplying it is damaged or blocked, leading to complex dysfunction and neurological impairment leading to brain’s damage. The level of Stroke is dependent on the area or lesion of the brain injury. Stroke is usually caused by a vascular injury including cerebral infarction, intracerebral hemorrhage , and subarachnoid hemorrhage.Most common dysfunctions after stroke include motor disorders, cognitive disorders, balance problems, fine motor skills are affected. Fine motor disability is an inability or impairment of an individual to perform tasks that require a degree of manual dexterity. To complete even simple fine motor movements, it requires communication between the premotor and motor cortex, cerebellum, basal ganglia, corticospinal tracts, and peripheral nerves. Dual task training involves performing two or more tasks simultaneously with different characteristics that occur in daily life. Dual-task training improves fine motor skills in stroke patients by enhancing the brain’s capacity to coordinate motor and cognitive functions, strengthening the brain network connections, and promoting neuroplasticity to support recovery and functional independence in daily activities. By engaging in simultaneous cognitive and motor tasks, patients improve their attention and executive functions, which are crucial for managing the complexities of movement and improving upper limb function. AIM OF STUDY: The study was aimed to determine the impact of dual task training on fine motor skills in stroke patients. METHODOLOGY: Tsubjects were selected based on the inclusion and exclusion criteria and were asked to perform the Action Research Arm Test to assess their fine motor ability and scoring was done based on the completion of the task. The inclusion criteria was patients with more than 3 months or more of stroke, age group of 45-65 years, those in Brunnstrom Recovery stage 3 or more, those who take less than 60 seconds to complete the task. The exclusion criteria was people who have hearing or vision problems, those who take more than 60 seconds to complete one task. Then the selected subjects performed dual task training that is one fine motor activity along with attention task in one session and one fine motor activity and executive task in another session alternatively for 4 days for 4 weeks. After 4 weeks, again the subjects performed the Action Research Arm Test to know out the progression. RESULTS: The study was aimed to investigate the Impact of dual task training on fine motor skills in subjects with chronic stroke. The statistical analysis was done using SPSS 23.0. The categorical variables were represented in frequency and percentage. Numerical variables were presented using mean and standard deviation. Pre post comparison was done using Paired sample t test. A p value <0.05 was considered statistically significant. The pre-test mean score was 33.50 ± 8.77, while the post-test mean score increased to 36.25 ± 8.74. The mean difference of 2.74 indicates a measurable improvement in upper limb function following the intervention. A paired t-test yielded a t-value of 4.410 with a p-value less than 0.001, suggesting that the improvement was statistically significant. CONCLUSION: This study was based on Impact of Dual task training on fine motor skills in chronic stroke patients. The patients were selected based on proper inclusion and exclusion criteria. A total of 20 patients with an inclusion of 14 males and 6 females were in the study. The patients were assessed with Action Research Arm Test and the treatment was given for 4 days for 4 weeks with a alternate session of 1 fine motor activity + attention task and 1 fine motor activity + executive task. After 4 weeks of treatment, the patients were reassessed using the Action Research Arm Test to evaluate their improvement. The statistical data reveals that there is a significant improvement of fine motor skills in chronic stroke patients.
Keywords	Chronic stroke,Dual task training, fine motor skills, Action Research Arm Test.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 1, January-February 2026
Published On	2026-01-22
DOI	https://doi.org/10.36948/ijfmr.2026.v08i01.65570

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Impact of Dual Task Training on Fine Motor Activities on Chronic Stroke Patients

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