A Home-Based Walking Program Using Rhythmic Auditory Stimulation Improves Gait Performance in Patients With Multiple Sclerosis: A Pilot Study

Conklyn, Dwyer; Stough, Darlene; Novak, Eric; Paczak, Sarah; Chémali, Kamal R.; Béthoux, François

doi:10.1177/1545968310372139

Cited by 87 publications

(78 citation statements)

References 29 publications

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“…Conklyn et al 35 reported significant results concerning the application of RAS in multiple sclerosis. Patients listening to songs from an MP3 player, while walking, reduced their walking time by 10% compared to their basal time.…”

Section: Resultsmentioning

confidence: 99%

Neuroscientific basis and effectiveness of music and music therapy in neuromotor rehabilitation

Raglio¹,

Fazio²,

Imbriani³

et al. 2013

OA Alternative Medicine

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Section: Resultsmentioning

confidence: 99%

Neuroscientific basis and effectiveness of music and music therapy in neuromotor rehabilitation

Raglio¹,

Fazio²,

Imbriani³

et al. 2013

OA Alternative Medicine

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“…[32][33][34][35][36][37][38][39][40][41][42][43] Approaches have included Nordoff Robbins, neurologic MT (neuro-MT), psychodynamic MT, and cognitive behavioral therapy. 8,33,37,39,40,44,45 The goals of MT may include improving emotional status (adjustment to illness, mood states, expression of emotions), and enhancing neurologic performance (gait, Therapeutic use of the Arts for Patients with MS speech, cognitive function), thereby facilitating activities of daily living and improving quality of life. 32,33,35,[39][40][41][42] Neuro-MT was shown to be effective in the sensorimotor and cognitive rehabilitation of individuals with neurological disorders; 46 in many cases the music therapist works in conjunction with the rehabilitation team, particularly the physical therapist or occupational therapist.…”

Section: Music Therapymentioning

confidence: 99%

“…44 The HBWP involved walking for a total of 20 minutes daily for 2 weeks, with RAS music at a tempo 10% above the participant's spontaneous walking cadence. There was a significant between-group difference for double support time favoring active treatment, and medium to large between-group effect sizes were noted for other gait parameters.…”

Section: Conklyn Et Al Compared a 2-week Home-based Walking Program mentioning

confidence: 99%

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confidence: 99%

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Therapeutic use of the Arts for Patients with Multiple Sclerosis

Gallagher

Béthoux²

2017

US Endocrinology

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People with multiple sclerosis (MS) face a wide variety of physical, emotional, and social challenges. A multidisciplinary comprehensive care approach is recommended for the management of MS and its consequences, and non-traditional treatments are increasingly considered by patients and health care providers, particularly for the promotion of wellness in the context of this chronic disease. Previous research has demonstrated the benefits of the therapeutic arts (art therapy, dance and movement therapy, and music therapy) in addressing some of the physiological, psychological, cognitive, social, and spiritual needs of patients facing a variety of chronic illnesses. Our review of the literature suggests that therapeutic art can be beneficial to individuals with MS, particularly in promoting self-efficacy, emotional well-being, and motor control. However, the body of evidence is limited, and further research is needed regarding the outcomes and mechanism of action of therapeutic arts in MS to better understand their role in the management of the consequences of the disease. KeywordsMusic therapy, art therapy, dance therapy, multiple sclerosis Disclosure: Lisa Gallagher and Francois Bethoux have nothing to disclose in relation to this article. No funding was received in the publication of this article. Compliance with Ethics:This article involves a review of the literature and did not involve any studies with human or animal subjects performed by any of the authors.Authorship: All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship of this manuscript, take responsibility for the integrity of the work as a whole, and have given final approval to the version to be published.Open Access: This article is published under the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, adaptation, and reproduction provided the original author(s) and source are given appropriate credit. Multiple sclerosis (MS) is a chronic neurological disorder which causes demyelination and axonal damage in the central nervous system (CNS), leading to various neurological impairments and worsening disability over time in a majority of affected individuals. MS is presumed to be an autoimmune disease, although its cause remains unknown.1 The direct and indirect consequences of MS often negatively impact activities, participation, and quality of life; and may lead to a loss of functional independence. In addition, comorbidities such as depression are frequently associated with MS.2 The comprehensive management of MS includes disease-modifying therapies, symptom management, rehabilitation, and lifestyle changes to optimize wellness.3 Patient empowerment and promotion of self-efficacy are important strategies in the management of MS. Individuals with MS have been encouraged to utilize coping strategies that are problem-focused and provide a sense of control. 4 It has been found that interacting with others and engaging in leisure activities can impr...

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“…Pedometer-based strategies involving a 'stepping rate' recommendation have the potential to assist in formulating an appropriate message (Johnson et al, 2006). Emerging research using music to dictate walking pace in patient populations is encouraging (Conklyn et al, 2010;De Bruin et al, 2010). Walking pace messages may need to be tailored for specific subsets of the population.…”

Section: Potential Public Health Messagementioning

confidence: 99%

Estimates of the number of people in England who attain or exceed vigorous intensity exercise by walking at 3 mph

Kelly

Murphy

Oja

et al. 2011

Journal of Sports Sciences

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Walking is a safe, accessible and low cost activity, amenable to change and known to have great potential to increase physical activity levels in sedentary individuals. The objective of this study is to estimate the proportion of the 2009 adult population of England who would attain or exceed vigorous intensity activity (470% maximum heart rate [HR max ]) by walking at 3 mph. We conducted predictive impact modelling using participants' (n ¼ 1741, aged 25-64 years) cardiovascular fitness data from treadmill walking tests. We combined this data with English population estimates adjusted for age and sex to estimate the numbers of individuals that would exceed 70% HR max (an intensity considered sufficient for fitness gains) when walking at 3 mph (4.8 km Á h 71 ). We estimate 1.5 million men (95% confidence interval [CI] 0.9-2.2 million) (from 13.4 million corresponding to 11.6% (95% CI 7.0-16.2%)) and 3.9 million women (95% CI 3.0-4.8 million) (from 13.6 million corresponding to 28.6% (95% CI 22.0-35.1%)) in England aged 25-64 years would benefit from regularly walking at 3 mph. In total, a projected 5.4 million individuals (95% CI 3.9-6.9 million) aged 25-64 (from 26.97 million corresponding to 20.1% (95% CI 14.6-25.7%)) could benefit from walking at 3 mph. Our estimates suggest a considerable number of individuals in the English population could receive fitness and health benefits by walking regularly at 3 mph. Physical activity messages that promote walking at this speed may therefore have the potential to significantly impact national fitness levels and health in England.

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A Home-Based Walking Program Using Rhythmic Auditory Stimulation Improves Gait Performance in Patients With Multiple Sclerosis: A Pilot Study

Abstract: These results in a convenience sample of MS patients demonstrate the feasibility and safety of RAS when used at home and suggest a potential benefit on gait parameters.

Cited by 87 publications

References 29 publications

Neuroscientific basis and effectiveness of music and music therapy in neuromotor rehabilitation

Neuroscientific basis and effectiveness of music and music therapy in neuromotor rehabilitation

Therapeutic use of the Arts for Patients with Multiple Sclerosis

Estimates of the number of people in England who attain or exceed vigorous intensity exercise by walking at 3 mph

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