Mindfulness With Dual-Task Training in Post-Stroke Mild Cognitive Impairment

Mindfulness Combined With Dual-Task Training for Post-Stroke Mild Cognitive Impairment: A Randomized Controlled Trial

This study aims to investigate whether a combined intervention of mindfulness and dual-task training can improve cognitive function and physical performance in individuals with mild cognitive impairment after stroke.

Inclusion Criteria:

• Diagnosis of stroke confirmed by computed tomography (CT) or magnetic resonance imaging (MRI).
• Time since stroke onset ≥3 months and medically stable.
• Presence of mild cognitive impairment after stroke, defined by a Montreal - - Montreal Cognitive Assessment (MoCA) score < 26.
• Mini-Mental State Examination (MMSE) score ≥ 24.
• Ability to walk independently with or without an assistive device for at least 10 meters.
• Stable medication regimen for at least 4 weeks prior to enrollment.
• Ability to understand study instructions and provide written informed consent.

Exclusion Criteria:

• Severe aphasia, visual impairment, hearing impairment, or communication disorders that interfere with assessment or training participation.
• Severe depression or other major psychiatric disorders.
• Other neurological diseases affecting cognition or movement (e.g., Parkinson's disease, multiple sclerosis, traumatic brain injury).
• Severe musculoskeletal, cardiovascular, or systemic diseases that contraindicate exercise participation.
• Participation in other structured cognitive or rehabilitation intervention programs within the past 3 months.
• Unstable medical condition or recurrent stroke during the study period.
• Inability to safely complete the training protocol as determined by the study investigators.