The Effect of External Rhythmic Cues (Auditory and Visual) on Walking During a Functional Task in Homes of People With Parkinson’s Disease

Rochester, Lynn; Hetherington, V.; Jones, Diana; Nieuwboer, Alice; Willems, An; Kwakkel, Gert; Wegen, Erwin E. H. van

doi:10.1016/j.apmr.2004.10.040

Cited by 227 publications

(180 citation statements)

References 31 publications

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“…We hypothesised that external cues would improve gait performance during single and dual tasks and this was partly supported by our findings. External rhythmical cues improved gait during the performance of a secondary motor task and reduced or had minimal effects on walking during a single task, in agreement with our previous findings in a small study (Rochester et al 2005). Dual task performance in comparison to a single task therefore appeared to benefit more from the presence of cues.…”

Section: Discussionsupporting

confidence: 81%

“…In support of this, studies have shown significant associations of executive function with dual task performance in PD (Rochester et al 2004;Yogev et al 2005). Some evidence from our group has shown that external rhythmical cues can reduce gait interference associated with dual task performance and this may be due to improved allocation of attentional resources (Rochester et al 2005). Detailed investigation of different cue modalities however has not been undertaken and the optimisation of cueing methods requires further work to increase understanding of the attentional demands and mechanisms of cueing.…”

Section: Introductionsupporting

confidence: 58%

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The attentional cost of external rhythmical cues and their impact on gait in Parkinson’s disease: effect of cue modality and task complexity

et al. 2007

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Summary Changes in gait performance in 153 subjects with PD using three rhythmical cues (auditory, visual and somatosensory) were measured during a simple walking task and a dual walking task in the home. Subjects were 'on' medication and were cued at preferred step frequency. Accelerometers recorded gait and walking speed, step amplitude and step frequency were determined from raw data. Data were analysed with SAS using linear regression models. Gait performance during a single task reduced with cues in contrast to a dual task where PD subjects appeared to benefit from rhythmical cues (increased speed and step length). Effects were dependent on cue modality with significant improvements for auditory cues compared to others. A significant short-term carry-over effect of cues reduced 3 weeks later. Cues may reduce attentional demands by facilitating attentional allocation, accounting for differences of cue seen during single and dual task. Furthermore cue modality may influence attentional demand which is an important consideration for rehabilitation.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionsupporting

confidence: 58%

The attentional cost of external rhythmical cues and their impact on gait in Parkinson’s disease: effect of cue modality and task complexity

et al. 2007

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“…For example, Morris et al (1994b) found that when provided with floor markers, individuals with PD were able achieve normal stride length values. These findings suggest that the step pattern is still intact in individuals with PD and that the problem of stride length regulation is related to difficulty activating the correct stepping response (Morris et al, 1994b (Morris et al, 1994 a b;Maggioni, Veicsteinas, Rampichini, Ce, Nemni, Riboldazzi, & Merati, 2011;Rochester et al, 2005;Knuttson, 1972;Murray, Sepic, Gena, Gardner, & Downs, 1978). Some of the inconsistency in these gait velocity values may be related to the severity of PD across these previous studies.…”

Section: Gait Hypokinesia In Parkinson's Disease: Velocity and Stridementioning

confidence: 99%

Effect of concurrent walking and interlocutor distance on conversational speech intensity and rate in Parkinson's disease

et al. 2016

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This study examined the effects of concurrent walking tasks and interlocutor distance on conversational speech production in fifteen individuals with idiopathic Parkinson's disease (PD) and fourteen age-equivalent controls. Recent studies of speech in PD have demonstrated that changes in the behavioural conditions and the environmental context can have a powerful effect on the severity of speech symptoms in PD. This investigation focused on changes in speech intensity and speech rate in response to changes in walking speed and interlocutor distance. Results suggest that the introduction of a concurrent walking task significantly increased the conversational speech intensity of both controls and individuals with PD. When compared to sitting and talking or standing and talking, current walking and talking appeared to have an energizing effect on conversational speech intensity. In addition, walking faster was associated with a significant increase in conversational speech intensity relative to normal and slow walking speeds. These results provide important new information about the effect of concurrent walking on speech motor performance and speech symptom severity in PD. The potential energizing effect of concurrent walking conditions on conversational speech intensity may be an important consideration in the assessment and treatment of individuals with low speech intensity in PD.

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“…A manutenção da velocidade constante imposta pela ritmicidade da esteira com ou sem o auxílio de EA induz o sujeito a aumentar o CP, o que sugere que esta funciona como uma pista externa, proporcionando uma estimulação sensorial adequada e que gera em indivíduos com DP um padrão de passo normal, pois, apesar dos déficits pálido corticais encontrados nestes pacientes, o córtex pré motor encontra-se intacto e quando ativado controla externamente os movimentos (Rochester et al, 2005). Além disso, durante a marcha em esteira, enquanto o membro inferior é levado para trás, ocorre o alongamento dos flexores de quadril, provocando uma transmissão de impulsos aos Geradores Centrais de Padrão, os quais são responsáveis por um padrão de marcha mais regular através do aumento do CP (Bello & Fernandez-Del-Olmo, 2012), fato este que corrobora com os achados do presente estudo e do estudo realizado por Bello et al (2008), os quais encontraram melhora da cadência, aumento do CP, bem como o aumento da VM em indivíduos com DP, após serem submetidos a uma única sessão de treino de marcha em esteira com duração de 20 minutos.…”

Section: Análise Estatísticaunclassified

Efeito agudo da marcha em esteira com estímulo auditivo sobre parâmetros cinemáticos da marcha e mobilidade em Parkinsonianos

et al. 2016

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ARTIGO ORIGINAL | ORIGINAL ARTICLE RESUMOO objetivo do presente estudo foi verificar o efeito agudo da marcha em esteira com estímulo auditivo sobre parâmetros cinemáticos da marcha e mobilidade em Parkinsonianos. Participaram 14 indivíduos com Parkinsonismo idiopático, os quais foram divididos em 2 grupos: grupo intervenção e grupo controle. Foi realizada avaliação, composta por dois testes que avaliam a mobilidade funcional, nomeados Short Physical Performance Battery (SPPB) e Timed up and go (TUG); avaliação da velocidade de marcha através do teste de 10 metros e análise do comprimento de passo em um circuito de 16 metros, em seguida os participantes foram submetidos a uma sessão de marcha em esteira, sendo o grupo intervenção com auxílio de estímulos sonoros e o grupo controle sem estímulos. Ao final da intervenção os indivíduos foram reavaliados. Os resultados mostraram que ambos os grupos apresentaram melhora da mobilidade no teste TUG (p=0.003), da velocidade de marcha no teste de 10 metros (p=0.004) e do comprimento de passo (p=0.029), porém não houve diferença estatística entre os grupos. O SPPB não apresentou diferença significativa após o protocolo de marcha (p=0.118). Conclui-se que uma sessão de marcha em esteira foi efetiva na melhoria dos parâmetros cinemáticos da marcha e mobilidade em estudo, porém a associação do estímulo auditivo não influenciou as variáveis analisadas.Palavras-chave: doença de Parkinson, marcha, esteira ergométrica, estímulo auditivo ABSTRACT The aim of this study was to investigate the acute effect of treadmill training with auditory stimulation on gait kinematic parameters and mobility in Parkinsonians. Participants were 14 individuals with idiopathic Parkinsonism, which were divided into 2 groups: intervention and control group. All patients were assessed through two tests that assess functional mobility, named Short Physical Performance Battery (SPPB) and Timed up and go (TUG); gait speed evaluation by the 10 meters test; and analysis of the step length on a 16-meter circuit, then participants were subjected to a treadmill gait session, intervention group with sound stimuli support and control group without stimuli. At the end of the intervention subjects were reassessed. The results showed that both groups improved mobility in the TUG test (p=0.003), gait speed in the 10 meters test (p=0.004) and step length (p=0.029), but there was no statistical difference between groups. The SPPB did not change significantly after the gait protocol (p=0.118). It is concluded that one treadmill gait session was effective in improving the gait kinematic parameters and mobility study, but the combination of auditory stimuli did not significantly changed the analyzed variables.

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The Effect of External Rhythmic Cues (Auditory and Visual) on Walking During a Functional Task in Homes of People With Parkinson’s Disease

Cited by 227 publications

References 31 publications

The attentional cost of external rhythmical cues and their impact on gait in Parkinson’s disease: effect of cue modality and task complexity

The attentional cost of external rhythmical cues and their impact on gait in Parkinson’s disease: effect of cue modality and task complexity

Effect of concurrent walking and interlocutor distance on conversational speech intensity and rate in Parkinson's disease

Efeito agudo da marcha em esteira com estímulo auditivo sobre parâmetros cinemáticos da marcha e mobilidade em Parkinsonianos

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