【摘要】 目的：综述双重任务训练应用于脑卒中病人平衡能力时的基本内容、干预时长和结局指标，为脑卒中病人进行双重任务训练提供参考。方法：计算机检索PubMed、EMbase、Web of Science、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中发表的有关双重任务训练应用于脑卒中病人平衡能力时的中、英文文献，检索时限为建库至2023年5月13日，对纳入文献进行汇总和分析。结果：共纳入18篇文献，双重任务训练主要包括运动-运动双重任务训练、运动-认知双重任务训练、既包含运动-运动又包含认知的双重任务训练，主要运动训练内容较多为不同的平衡训练、行走训练等，次要运动训练内容较多为上肢的持物运动等，认知训练内容较多为数字减法、Stroop任务等。干预多为每周5次，总干预时间为3～8周，但较多为4周。主要以Berg平衡量表、10 m步行测试、双重任务消耗等为结局指标。双重任务训练有效地改善了脑卒中病人的平衡能力、行走能力及日常生活能力，提高其生活质量。结论：双重任务训练对脑卒中病人平衡能力有积极影响，未来可进行大样本、高质量的研究来验证不同干预时长的应用效果，以获得最优成本效益，同时寻找最佳训练内容的组合方式，形成双重任务训练干预内容规范。更多还原

【Abstract】 Objective:To review the basic contents,intervention duration and outcome indexes of dual-task training on balance ability of stroke patients,and to provide reference for dual-task training of stroke patients. Methods: The Chinese and English literature on the application of dual-task training to balance ability in stroke patients was retrieved from PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,WanFang Database,VIP and CBM. The retrieval time was from the inceptiom to May 13,2023,and the included literature was summarized and analyzed. Results:A total of 18 articles were included. Dual-task training mainly included exercise-motor dual-task training and exercise-cognitive dual-task training. The main exercise training content was different balance training and walking training,the secondary exercise training content was upper limb holding movement,etc.,and the cognitive training content was digital subtraction and Stroop task. Most of the interventions were 5 times a week,and the total intervention time ranged from 3 to 8 weeks,but most were 4 weeks. Berg Balance Scale,10 Meter Walking Test and dual-task consumption were used as outcome indexes. Dual-task training could effectively improve the balance ability,walking ability and daily living ability of stroke patients,and improve their quality of life. Conclusion:Dual-task training has a positive effect on the balance ability of stroke patients. In the future,large samples and highquality studies can be conducted to verify the application effects of different intervention duration,so as to obtain the optimal cost benefit.At the same time,the best combination of training contents can be found to form the standard of dual-task training intervention.更多还原