Musically Cued Gait-Training Improves Both Perceptual and Motor Timing in Parkinsonâ€™s Disease

Benoit, Charles-Étienne; Bella, Simone Dalla; Farrugia, Nicolas; Obrig, Hellmuth; Mainka, Stefan; Kotz, Sonja A.

doi:10.3389/fnhum.2014.00494

Cited by 158 publications

(178 citation statements)

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“…These batteries allow researchers to obtain an exhaustive profile of an individual's timing abilities. Examples of such batteries are the beat alignment test (BAT) 34 , the Battery for the Assessment of Auditory Sensorimotor Timing Abilities (BAASTA) 35 , and the Harvard Beat Assessment Test (H-BAT) 36 . These batteries consist of tapping tasks with a variety of rhythmic auditory stimuli ranging from music to isochronous sequences as well as perceptual tasks (e.g., duration discrimination, detection of the alignment of a metronome to the beat of music, and anisochrony detection).…”

Section: Introductionmentioning

confidence: 99%

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Uncovering Beat Deafness: Detecting Rhythm Disorders with Synchronized Finger Tapping and Perceptual Timing Tasks

Bella

Sowiński

2015

JoVE

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A set of behavioral tasks for assessing perceptual and sensorimotor timing abilities in the general population (i.e., non-musicians) is presented here with the goal of uncovering rhythm disorders, such as beat deafness. Beat deafness is characterized by poor performance in perceiving durations in auditory rhythmic patterns or poor synchronization of movement with auditory rhythms (e.g., with musical beats). These tasks include the synchronization of finger tapping to the beat of simple and complex auditory stimuli and the detection of rhythmic irregularities (anisochrony detection task) embedded in the same stimuli. These tests, which are easy to administer, include an assessment of both perceptual and sensorimotor timing abilities under different conditions (e.g., beat rates and types of auditory material) and are based on the same auditory stimuli, ranging from a simple metronome to a complex musical excerpt. The analysis of synchronized tapping data is performed with circular statistics, which provide reliable measures of synchronization accuracy (e.g., the difference between the timing of the taps and the timing of the pacing stimuli) and consistency. Circular statistics on tapping data are particularly well-suited for detecting individual differences in the general population. Synchronized tapping and anisochrony detection are sensitive measures for identifying profiles of rhythm disorders and have been used with success to uncover cases of poor synchronization with spared perceptual timing. This systematic assessment of perceptual and sensorimotor timing can be extended to populations of patients with brain damage, neurodegenerative diseases (e.g., Parkinson's disease), and developmental disorders (e.g., Attention Deficit Hyperactivity Disorder). Video LinkThe video component of this article can be found at

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Section: Introductionmentioning

confidence: 99%

“…These tasks are part of a larger battery of tests, the BAASTA 35 . Sensorimotor timing abilities are tested by asking participants to tap their finger to the beat of simple and complex auditory stimuli (e.g., isochronous sequences, music, and rhythmic noise derived from musical stimuli) 27,28 .…”

Section: Introductionmentioning

confidence: 99%

Uncovering Beat Deafness: Detecting Rhythm Disorders with Synchronized Finger Tapping and Perceptual Timing Tasks

Bella

Sowiński

2015

JoVE

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“…Bruin et al (2010), em seu ensaio clínico aleatorizado, evidenciam que a intervenção musical pode ser considerada cognitiva benéfica e que resulta em melhor performance da marcha durante condições de tarefa única ou ainda de dupla tarefa. A justificativa apresentada está relacionada ao aspecto ritmo, o qual possibilitaria interação auditivo-motora (BENOIT et al, 2014;THAUT, 2005).…”

Section: Discussionunclassified

Efeito do Samba e da Valsa na Mobilidade Funcional de Pacientes com Doença de Parkinson

Fragnani¹,

Bezerra²

2016

Iniciac cient Cesumar

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RESUMO:Estudos evidenciam a música como uma intervenção terapêutica importante para indivíduos com doença de Parkinson. O fornecimento dos estímulos espaciais e temporais desta intervenção pode sinalizar as fases do ciclo da marcha proporcionando ao portador da doença um andar mais fluente. Além deste benefício, a terapia por meio da música possibilita ao indivíduo aumento de sua autoestima, maior conforto, relaxamento, bem-estar e proporciona maiores interações quando o tratamento é realizado em grupo. Neste estudo objetivou-se analisar o efeito que os gêneros musicais, valsa e samba, promovem na mobilidade funcional em indivíduos com doença de Parkinson. Os voluntários desta pesquisa realizaram o Timed Up and Go Test (TUG) nas situações: sem música, música clássica (valsa) e música popular brasileira (samba). Os dados obtidos foram ponderados por análise estatística descritiva e inferencial com teste Fridman e post-hoc de Wilcoxon pareado (nível de significância de 5%). Os achados evidenciam que o samba promoveu efeito adverso na marcha reduzindo a velocidade (p=0,04), número de passos (p=0,04) e cadência (p=0,04), aumentando o tempo (p=0,04) e comprimento de passos (p=0,05) quando comparado á condição sem música. Entendemos que os fatores intrínsecos da música como ritmo, harmonia, melodia e amplitude podem estar associados com o efeito adverso observado na mobilidade funcional de pacientes com doença de Parkinson. PALAVRAS-CHAVE:Marcha; Música; Doença de Parkinson; Reabilitação; Ritmo. EFFECTS OF WALTZ AND SAMBA IN THE FUNCTIONAL MOBILITY OF PATIENTS WITH PARKINSON´S DISEASEABSTRACT: Several studies have shown that music is a good therapy for people with Parkinson´s disease. The intervention´s spatial and temporal stimuli may signalize gait cycle phases and provide the person with a more coordinated gait. Further, music therapy provides an increase in self-esteem, greater comfort, relax and wellbeing, with greater interactions when treatment is undertaken by groups of people. The effects of the musical genres, waltz and samba, on the functional mobility in people with Parkinson´s disease are investigated. Volunteers practiced Timed Up and Go Test (TUG) under the following conditions: without music, with classical music (waltz) and Brazilian popular music (samba). Data were weighed by descriptive and inferential statistical analyses by Fridman test and paired post-hoc Wilcoxon test at 5% significance level. In fact, samba provided a contrary effect in gait with a reduction of speed (p=0.04), number of steps (p=0.04) and cadence (p=0.04), with an increase in time (p=0.04) and step length (p=0.05) when compared to situations without music. Music´s intrinsic factor such as rhythm, harmony, melody and amplitude may be associated with an adverse effect observed in the functional mobility of people with Parkinson´s disease. KEYWORDS: INTRODUÇÃOO desempenho da música é uma atividade natural do ser humano presente em todas as sociedades e culturas seja atual ou antiga. Ela consiste em um processo terapêutico de cará...

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“…In some cases, these improvements may last beyond the immediate application of the cues (Benoit et al 2014).…”

Section: Existing Applications Of Entrainment To Gait Rehabilitationmentioning

confidence: 99%

Rhythmic Haptic Cueing for Entrainment: Assisting Post-stroke Gait Rehabilitation

Georgiou

Holland

Linden

2016

Designing Around People

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Abstract:Restoring mobility and rehabilitation of gait are high priorities for rehabilitation from neurological conditions. Cueing using metronomic rhythmic sensory stimulation via entrainment has been shown to improve gait, but almost all previous versions of this approach have used auditory or visual cues. In contrast, we have developed and pilot-tested a prototype wearable system for rhythmic cueing based on haptics. Our initial pilot study indicated the same kinds of improvement to gait with haptics as for other cueing modalities, but haptics offer some advantages over audio and visual cues. In particular, haptics are generally more practical for use out of doors, in noisy environments, or when wishing to keep open the ability to converse freely. However, haptics also allow the precisely targeted spatial placement of cues on alternate limbs, offering the ability to manipulate attention and proprioception for therapeutic benefit. We outline the theory behind our approach and report on the iterative design of the system as part of a user-centred design evaluation process involving a wide range of stakeholders.

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Musically Cued Gait-Training Improves Both Perceptual and Motor Timing in Parkinsonâ€™s Disease

Cited by 158 publications

References 68 publications

Uncovering Beat Deafness: Detecting Rhythm Disorders with Synchronized Finger Tapping and Perceptual Timing Tasks

Uncovering Beat Deafness: Detecting Rhythm Disorders with Synchronized Finger Tapping and Perceptual Timing Tasks

Efeito do Samba e da Valsa na Mobilidade Funcional de Pacientes com Doença de Parkinson

Rhythmic Haptic Cueing for Entrainment: Assisting Post-stroke Gait Rehabilitation

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