Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson’s disease

Dotov, Dobromir; Bayard, Sophie; Cock, Valérie Cochen De; Gény, Christian; Driss, Valérie; Garrigue, G.; Bardy, Benoît G.; Bella, Simone Dalla

doi:10.1016/j.gaitpost.2016.09.020

Cited by 54 publications

(80 citation statements)

References 27 publications

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“…7 ), under a single task condition, revealed a medium effect size with substantial heterogeneity (Hedge’s g: 0.73, 95% CI: 0.2 to 1.2, I 2 : 80.2%, p<0.01). Here, Dotov, Bayard, de Cock, Geny, Driss, Garrigue, Bardy and Dalla Bella [ 100 ] evaluated the effectiveness of feedbacks which were isosynchronous, and with/without biological variability. Possibly, the heterogeneity in the sub-group analysis could be attributed to the differential cueing utilized.…”

Section: Resultsmentioning

confidence: 99%

Effect of Rhythmic Auditory Cueing on Aging Gait: A Systematic Review and Meta-Analysis

Ghai

Effenberg

2018

Aging and disease

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Rhythmic auditory cueing has been widely used in gait rehabilitation over the past decade. The entrainment effect has been suggested to introduce neurophysiological changes, alleviate auditory-motor coupling and reduce cognitive-motor interferences. However, a consensus as to its influence over aging gait is still warranted. A systematic review and meta-analysis was carried out to analyze the effects of rhythmic auditory cueing on spatiotemporal gait parameters among healthy young and elderly participants. This systematic identification of published literature was performed according to PRISMA guidelines, from inception until May 2017, on online databases: Web of science, PEDro, EBSCO, MEDLINE, Cochrane, EMBASE, and PROQUEST. Studies were critically appraised using PEDro scale. Of 2789 records, 34 studies, involving 854 (499 young/355 elderly) participants met our inclusion criteria. The meta-analysis revealed enhancements in spatiotemporal parameters of gait i.e. gait velocity (Hedge’s g: 0.85), stride length (0.61), and cadence (1.1), amongst both age groups. This review, for the first time, evaluates the effects of auditory entrainment on aging gait and discusses its implications under higher and lower information processing constraints. Clinical implications are discussed with respect to applications of auditory entrainment in rehabilitation settings.

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Section: Resultsmentioning

confidence: 99%

Effect of Rhythmic Auditory Cueing on Aging Gait: A Systematic Review and Meta-Analysis

Ghai

Effenberg

2018

Aging and disease

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“…Participants’ ability to move to the beat of rhythmic stimuli was tested by computing the synchronization between heel strikes and the beat times. A synchronization score, from 0 to 1, also referred to as “synchronization consistency,” indicated how well participants aligned their footfalls to the beats . A score of 0 referred to lack of alignment between the footfalls and the beats while 1 indicated perfectly consistent alignment (maximal phase locking of the steps to the beat).…”

Section: Beneficial Effects Of Rhythmic Auditory Cuesmentioning

confidence: 99%

“…Music had a salient beat structure, was pleasant, and conducive to movement. 54,55 Rhythmic stimuli were individualized, as the beat rate was 10% faster relative to each participant's preferred cadence. Notably, no explicit instructions were provided to synchronize footfalls to stimulus beats.…”

Section: Patients' Response To Rhythmic Cues Is Linked To Spared Rhytmentioning

confidence: 99%

“…A synchronization score, from 0 to 1, also referred to as "synchronization consistency," 32,57 indicated how well participants aligned their footfalls to the beats. 29,55,58 A score of 0 referred to lack of alignment between the footfalls and the beats while 1 indicated perfectly consistent alignment (maximal phase locking of the steps to the beat). Beat perception was tested with the Beat Alignment Test (BAT), 59 taken from the Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA).…”

Section: Patients' Response To Rhythmic Cues Is Linked To Spared Rhytmentioning

confidence: 99%

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Individualization of music‐based rhythmic auditory cueing in Parkinson's disease

Bella

Dotov

Bardy

et al. 2018

Annals of the New York Academy of Sciences

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Gait dysfunctions in Parkinson's disease can be partly relieved by rhythmic auditory cueing. This consists in asking patients to walk with a rhythmic auditory stimulus such as a metronome or music. The effect on gait is visible immediately in terms of increased speed and stride length. Moreover, training programs based on rhythmic cueing can have long-term benefits. The effect of rhythmic cueing, however, varies from one patient to the other. Patients' response to the stimulation may depend on rhythmic abilities, often deteriorating with the disease. Relatively spared abilities to track the beat favor a positive response to rhythmic cueing. On the other hand, most patients with poor rhythmic abilities either do not respond to the cues or experience gait worsening when walking with cues. An individualized approach to rhythmic auditory cueing with music is proposed to cope with this variability in patients' response. This approach calls for using assistive mobile technologies capable of delivering cues that adapt in real time to patients' gait kinematics, thus affording step synchronization to the beat. Individualized rhythmic cueing can provide a safe and cost-effective alternative to standard cueing that patients may want to use in their everyday lives.

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“…Thus, the effect of auditory rhythm on gait would seem to be directly correlated to stimuli properties. It would be superior when using non‐isosynchronous rhythm . When louder, auditory stimuli could improve force .…”

Section: Discussionmentioning

confidence: 99%

Effects of Sensitive Electrical Stimulation‐Based Somatosensory Cueing in Parkinson's Disease Gait and Freezing of Gait Assessment

et al. 2017

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This study aims to investigate the effect of a somatosensory cueing on gait disorders in subjects with Parkinson's disease (PD). After having performed stepping in place and timed up and go assessing tasks, 13 participants with PD were equipped with an electrical stimulator and an inertial measurement unit (IMU) located under the lateral malleolus on the sagittal plane. Electrodes were positioned under the arch of the foot and electrical stimulation (ES) parameters (five 500 µs/phase charge-balanced biphasic pulses delivered at 200 Hz, repeated four times at 10 Hz) adjusted to deliver a sensitive signal. Online IMU signal was processed in order to trigger ES at heel off detection. Starting from a quiet standing posture, subjects were asked to walk at their preferred speed on a path including 5 m straight line, u-turn, and walk around tasks. Three situations were considered: no stimulation baseline precondition (C0), ES condition (C1), and no stimulation baseline post-condition (C0bis), for eliminating a learning effect possibility. In ES condition (C1) the time to execute the different tasks was globally decreased in all the subjects (n = 13). Participants' results were then grouped regarding whether they experienced freezing of gait (FOG) or not during C0 no stimulation baseline precondition. In "freezer" subjects (n = 9), the time to complete the entire path was reduced by 19%. FOG episodes occurrence was decreased by 12% compared to baseline conditions. This preliminary work showed a positive global effect on gait and FOG in PD by a somatosensory cueing based on sensitive electrical stimulation.

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Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson’s disease

Cited by 54 publications

References 27 publications

Effect of Rhythmic Auditory Cueing on Aging Gait: A Systematic Review and Meta-Analysis

Effect of Rhythmic Auditory Cueing on Aging Gait: A Systematic Review and Meta-Analysis

Individualization of music‐based rhythmic auditory cueing in Parkinson's disease

Effects of Sensitive Electrical Stimulation‐Based Somatosensory Cueing in Parkinson's Disease Gait and Freezing of Gait Assessment

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