The effect of dual task-oriented circuit training on neuroplasticity and walking adaptability in subacute stroke patients: A pilot and feasibility study

Stroke remains a leading cause of long-term disability worldwide, with a substantial proportion of survivors experiencing persistent limitations in functional mobility. Although many individuals regain the ability to walk in structured clinical environments, only a minority achieve independent community ambulation due to cognitive-motor interference (CMI). The subacute phase is characterized by heightened neuroplastic potential and responsiveness to rehabilitation. Dual Task-Oriented Circuit Training (DTOCT) integrates task-oriented circuit training with concurrent cognitive challenges and may provide a functionally relevant approach to addressing cognitive-motor interference. However, its feasibility, safety, and preliminary effects in subacute stroke remain unclear.