The effect of rhythmic somatosensory cueing on gait in patients with Parkinson's disease

Wegen, Erwin E. H. van; Goede, C. de; Lim, Inge; Rietberg, Marc B.; Nieuwboer, Alice; Willems, Anne‐Marie; Jones, Diana; Rochester, Lynn; Hetherington, V.; Berendse, Henk W.; Zijlmans, J.C.M.; Wolters, Erik Ch.; Kwakkel, Gert

doi:10.1016/j.jns.2006.05.034

Cited by 99 publications

(75 citation statements)

References 18 publications

(27 reference statements)

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“…He suggested that the placement of visual cues perpendicular to the direction of gait spaced one step length apart were most effective in improving gait in patients with PD. Many single-session studies have confirmed the benefit of visual cues (high-contrast transverse floor lines) [21][22][23][24]. However these open-loop feedback systems may not have long-term effects [25] unless a dedicated physical training program is established, as demonstrated in a patient trained to walk on floor cues reaching 120 percent of the uncued stride length over a 1-month period [26].…”

Section: Discussionmentioning

confidence: 99%

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

Espay¹,

Baram²,

Dwivedi³

et al. 2010

JRRD

134

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Abstract-Shuffling and freezing while walking can impair function in patients with Parkinson disease (PD). Open-loop devices that provide fixed-velocity visual or auditory cues can improve gait but may be unreliable or exacerbate freezing of gait in some patients. We examined the efficacy of a closedloop, accelerometer-driven, wearable, visual-auditory cueing device in 13 patients with PD with off-state gait impairment at baseline and after 2 weeks of twice daily (30 minute duration) at-home use. We measured gait velocity, stride length, and cadence using a validated electronic gait-analysis system. Subjects underwent standard motor assessment and completed a self-administered Freezing of Gait Questionnaire (FOGQ) (range 0-24; lower is better). After training, device use enhanced walking velocity (61.6 ± 20.1 cm/s to 72.6 ± 26.5 cm/s, p = 0.006) and stride length (74.3 ± 16.4 cm to 84.0 ± 18.5 cm, p = 0.004). Upon device removal, walking velocity (64.5 ± 21.4 cm/s to 75.4 ± 21.5 cm/s, p < 0.001) and stride length (79.0 ± 20.3 cm to 88.8 ± 17.7 cm, p = 0.003) exhibited a greater magnitude of change, suggesting immediate residual benefits. Also upon device removal, nearly 70 percent of subjects improved by at least 20 percent in either walking velocity, stride length, or both. An overall improvement in gait was measured by the FOGQ (14.2 ±1.9 to 12.4 ± 2.5, p = 0.02). Although issues related to compliance and response variability render a definitive interpretation of study outcome difficult, devices using closed-loop sensory feedback appear to be effective and desirable nonpharmacologic interventions to improve walking in selected individuals with PD.

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Section: Discussionmentioning

confidence: 99%

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

Espay¹,

Baram²,

Dwivedi³

et al. 2010

JRRD

134

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“…13 It is well established that cueing, including auditory, visual and somatosensory cueing, improves the gait in patients with PD. 14 Other studies have shown that vibration devices and textured insoles were effective in improving postural instability in patients with PD. 10 Altogether, we consider that the foot position changed by a lateral wedge may alter compensatory muscle activation and proprioceptive properties.…”

Section: Discussionmentioning

confidence: 98%

The effect of lateral wedge on postural sway in Parkinson's disease

Yoon

Park

et al. 2018

Ann Clin Neurophysiol

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Background:Although postural instability is one of the major symptoms of Parkinson's disease (PD), dopaminergic treatment is ineffective for treating postural instability. Recent reports have shown that somatosensory deficit is associated with postural instability, and that somatosensory input improved postural instability. The purpose of this study is to evaluate the effects of lateral wedges for quiet standing postural control in people with PD. Methods: Twenty-two patients who were diagnosed with PD were enrolled in this study. The participants stood on a force plate under two conditions (wedge and no wedge) with or without having their eyes open or closed. The center of pressure (COP) range and velocity were analyzed using a two-way repeated-measures analysis of variance. Results: The range and velocity of COP in the anterioposterior and mediolateral (ML) directions were significantly improved after the patients stood on the lateral wedge with their eyes closed (p < 0.05). The range in ML direction and velocity in both directions of COP were significantly decreased when their eyes were open (p < 0.05). Conclusions: Regardless of vision, standing on lateral wedges improved postural sway in people with PD. Key words:Parkinson's disease; Rehabilitation; Posture INTRODUCTIONPostural instability is a common and major characteristic of Parkinson' disease (PD). People with postural instability are at risk of losing their abilities to live independently, and to walk; further, these symptoms can affect their quality of life as the disease progresses.1 Previous studies have shown that people with PD display increased postural sway and impairment in mediolateral postural stability compared with elderly people who do not have PD. MATERIALS AND METHODS Study participantsTwenty-two patients who were clinically diagnosed with PD were recruited for this study. The sample size was set based on a previous study. 7Inclusion criteria were as follows: (1) patients clinically diagnosed with PD 8 ; (2) patients who suffer from gait disturbance, including tremor-dominant and PIGD (postural instability and gait disturbance) type; (3) patients between the ages of 50 and 80. The exclusionary criteria were as follows:(1) patients with severe disability above 4 on the Hoehn and Yahr staging scale; and (2) patients with orthopedic problems and other neurological diseases that affect balance control. Clinical assessmentBasic demographic factors, including disease duration, were obtained from interviews with participants. The modified Hoehn and Yahr scale and part III of the Unified Parkinson's Disease Rating Scale (UPDRS) were used for estimating disease severity and motor function. All participants underwent a procedure of taking dopaminergic medicine that was clinically in the "on" state which was taking medicine. We calculated the levodopa equivalence dosage for dopaminergic treatment. All study procedures were approved by the Human Research Ethics Committee of the Inje University Haeundae Paik Hospital, and the participants signed a ...

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“…90 Intensive treadmill training has also demonstrated improvements in several aspects of motor deficit including UPDRS scores, gait speed, cadence, and perceived physical performance. 28,50,91,92 In summary, all the different types of exercise programs have been shown to demonstrate improvement in movement impairments including balance, some areas of ambulation, as well as improvement for various aspects of quality of life. Each of the exercise programs incorporate varying amounts of focus on strengthening, balance, and flexibility.…”

Section: Types Of Physical Activity and Exercise Most Recently And Bementioning

confidence: 99%

Strategies to encourage physical activity in patients with Parkinson's disease: improving quality of life

Barksdale¹,

Oguh²

2016

JPRLS

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The effect of rhythmic somatosensory cueing on gait in patients with Parkinson's disease

Cited by 99 publications

References 18 publications

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

The effect of lateral wedge on postural sway in Parkinson's disease

Strategies to encourage physical activity in patients with Parkinson's disease: improving quality of life

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The effect of rhythmic somatosensory cueing on gait in patients with Parkinson's disease

Cited by 99 publications

References 18 publications

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

The effect of lateral wedge on postural sway in Parkinson's disease

Strategies to encourage physical activity in patients with Parkinson&#39;s disease: improving quality of life

Contact Info

Product

Resources

About

Strategies to encourage physical activity in patients with Parkinson's disease: improving quality of life