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September 3, 2026European Journal of Physical and Rehabilitation MedicineOpen Access

Effectiveness of dual-task training on balance and gait in people with multiple sclerosis: a systematic review and meta-analysis

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Authors

MCMaría A. CASTILLO-PINTOREOEsteban Obrero‐GaitánMPMarina Piñar-Lara

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Overview

Systematic review and meta-analysis reveals dual-task training improves balance and gait speed in multiple sclerosis, indicating its promise as a functional rehabilitation strategy.

Key Points

  • To evaluate the effectiveness of dual-task training combining simultaneous motor and cognitive tasks on postural balance and gait speed in people with multiple sclerosis.
  • Conducted a systematic review and meta-analysis following PRISMA 2020 guidelines across PubMed/MEDLINE, Scopus, Web of Science, CINAHL Complete, and ScienceDirect.
  • Included 17 randomized controlled trials comprising 649 participants with multiple sclerosis.
  • Assessed methodological quality using the PEDro scale and Cochrane Risk of Bias tool, pooling effects via standardized mean differences (SMD) under a random-effects model.
  • Dual-task training significantly improved functional balance (SMD=0.96; 95% CI 0.32 to 1.60) and dynamic balance measured by the Timed Up and Go test (SMD=-0.28; 95% CI -0.50 to -0.06).
  • Static balance with eyes open (SMD=-0.33; 95% CI -0.62 to -0.04) and gait speed (SMD=0.26; 95% CI 0.09 to 0.44) both showed statistically significant improvements with low-to-moderate evidence quality.

Cite This Study

CASTILLO-PINTOR et al. (2026) studied this question.

synapsesocial.com/papers/6a993503636c6408cfa7cd70https://doi.org/10.23736/s1973-9087.26.09510-9
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