Positive effects of auditory cue in locomotor pattern of people with Parkinson’s disease (off and on medication)

Rinaldi, Natália Madalena; Pereira, Marcelo Pinto; Formaggio, Priscila Matias; Morais, Luana Carolina de; Gobbi, Lilian Teresa Bucken

doi:10.1590/1807-55092014000400561

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…Also, spatial regulation during obstacle crossing was not significantly modulated by dopaminergic replacement therapy, although the trail limb vertical foot clearance was shorter during off medication when compared with healthy control 15 . We have shown that auditory cues have a positive effect in walking pattern of patients with PD 4 , but the effects of auditory cues in PD during obstacle crossing is not known. Furthermore, the effects of associating L-dopa treatment with AC have not been investigated for obstacle crossing to date, and some questions emerge: would AC also help patients with PD cross obstacles more safely?…”

Section: Introductionmentioning

confidence: 90%

“…The positive effects of auditory cues (AC) and medication on gait have been independently tested in patients with Parkinson's disease (PD) by several investigators [1][2][3][4] . Studies with AC observed improvements on some free gait parameters, such as cadence and stride length 5 , as well as on more complex tasks, such as turning around and double tasks requiring high levels of attention [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

“…30 individuals, 15 patients with PD (69.27 ± 5.75 years old, 8 men and 7 women) tested on and off medication and 15 healthy older control participants (70.3 ± 6.03 years old, 8 men and 7 women) participated in this study. These individuals also participated in the study of RINALDI, et al 4 . Patients were diagnosed by a neurologist as having stage 1-3 PD on the Hoehn & Yahr (HY) Scale 16 and were undergoing regular treatment with levodopa.…”

Section: Introductionmentioning

confidence: 99%

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Auditory cues assist patients with Parkinson’s disease (on and off L-dopa) during obstacle crossing

Rinaldi

Pereira

Formaggio

et al. 2019

Rev Bras Educ Fís Esporte

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People with Parkinson’s disease (PD) have an impaired locomotor pattern. As a result, the capacity of walking independently and the interaction with the environment can be impairment. Uneven environments can challenge even more the motor control of these patients to perform the locomotor tasks successfully. Besides of the levodopa therapy, the auditory cues have also been utilized to improve the gait parameters. However, the effects of auditory cues in gait during obstacle avoidance and the association with the levodopa effects are not known. The aim of this study was to investigate the effects of AC during obstacle crossing in people with PD (on and off L-dopa) and in healthy control participants.A total of 30 individuals participated in the study, including 15 PD patients who were tested both on and off L-dopa and 15 healthy adult controls. The task consisted of stepping over an obstacle located in the middle of the path under two conditions, i.e., cued and non-cued. We used kinematic, kinetic and electromyographic analyses to evaluate individuals' locomotor patterns. Groups differed signifi cantly from each other for all analyses and PD patients differed signifi cantly from all other groups when off L-dopa. ACs improved the motor control mechanisms used for obstacle crossing in people with PD. These results support the notion that external AC therapy may be used as a complement to drug therapy tohelp improve locomotion in PD patients, even on complex tasks such as obstacle crossing.

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Section: Introductionmentioning

confidence: 90%