Association between Balance Confidence and Cognitive-Motor Interference in Stroke Patients – Pilot Study


  • Padmanabhan Suresh Babu Roshan
  • Rajesh Rai
  • S Sethulekshmi



Cognitive Motor Interference, Balance confidence, Stroke.


Background: Functional community ambulation demands the ability to accomplish both mobility and
cognitive tasks at the same time (dual-tasking). When gait and cognitive deficits are done concurrently,
this is referred to as cognitive-motor interference. Some hypothesis says that Individuals with low
balance confidence would have higher cognitive-motor interference, indicating a behavioral change
during dual-task settings. The purpose of this study is to see if cognitive-motor interference is linked to
stroke patients’ confidence in their balance.
Methodology: The participants in this pilot trial were sub-acute and chronic community-dwelling stroke
survivors. The MFES questionnaire assessed balance confidence. Participants completed four 10-meter
walking trails to evaluate Cognitive-Motor Interference. Two of the walking trails were performed
without any additional tasks, while the other two were completed with a concurrent cognitive challenge.
Conclusion: A total of 30 people participated in this study, with a mean age of 64±7.7 years. Pearson
correlation discovered a statistically significant (p=<0.05) negative correlation (r=-0.202) between
balance confidence and CMI. This study found that balance confidence is not associated with cognitive
motor interference in stroke patients

Author Biographies

Padmanabhan Suresh Babu Roshan

Assistant Professor, Laxmi Memorial College of Physiotherapy, Mangalore,

Rajesh Rai

Associate Professor,
Department of General Medicine, A.J Institute of Medical Sciences & Research Centre,

S Sethulekshmi

Post Graduate
Student, Laxmi Memorial College of Physiotherapy, Mangalore