The possible price of auditory cueing: Influence on obstacle avoidance in Parkinson's disease

Nanhoe-Mahabier, Wandana; Delval, Arnaud; Snijders, Anke H.; Weerdesteyn, Vivian; Overeem, Sebastiaan; Bloem, Bastiaan R.

doi:10.1002/mds.24935

Cited by 32 publications

(19 citation statements)

References 36 publications

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“…The studies described above aroused much enthusiasm among researchers and stimulated further investigations on the RAS method in PD, with the aim of extending results and better exploring the mechanisms underpinning the method. Some of these studies investigated the immediate effects of RAS on motor performance by assessing motor parameters after a single session of RAS [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48]. Other studies explored the mid-/long-term effects of RAS training, varying different parameters, such as number of training weeks, number of sessions per week, session duration, kind of stimuli, kind of exercise, administered tempos, severity of participants' disease [42,[49][50][51][52][53][54][55][56][57][58][59].…”

Section: Effects Of Rhythmic Auditory Stimulation On Motor Performancementioning

confidence: 99%

Rhythmic Auditory Stimulation (RAS) and Motor Rehabilitation in Parkinson’s Disease: New Frontiers in Assessment and Intervention Protocols

Murgia¹,

Corona²,

Pili³

et al. 2015

TOPSYJ

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Previous studies have demonstrated that physical therapy accompanied by Rhythmic Auditory Stimulation (RAS) can improve the motor skills of patients with Parkinson’s disease and, in particular, their gait disturbances. In the present work we describe the neurological bases and perceptual-motor deficits generally associated with Parkinson’s disease, with a specific focus on gait disturbances. Within this framework, we review the role of auditory cueing in the modulation of patients’ gait, addressing this issue from the cognitive, neurological and biomechanical perspectives. In particular, we focus on the new frontiers of both assessment and intervention. With regards to the assessment, we describe the advantages of the three-dimensional quantitative multifactorial gait analysis. As concerns the intervention, we illustrate the potential impact of the administration of ecological footstep sounds as rhythmic cues.

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Section: Effects Of Rhythmic Auditory Stimulation On Motor Performancementioning

confidence: 99%

Rhythmic Auditory Stimulation (RAS) and Motor Rehabilitation in Parkinson’s Disease: New Frontiers in Assessment and Intervention Protocols

Murgia¹,

Corona²,

Pili³

et al. 2015

TOPSYJ

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“…Individuals with FOG also have difficulty with turning [31], initiation of gait [6], and obstacle avoidance [32], all of which factor into items assessed within the BESTest. Walking with a dual task, which is also assessed in the BESTest, is also known to be difficult for PD+FOG compared to PD-FOG [33].…”

Section: Discussionmentioning

confidence: 99%

Balance differences in people with Parkinson disease with and without freezing of gait

Duncan

Leddy²,

Dibble

et al. 2015

Gait & Posture

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Background Freezing of gait (FOG) is a relatively common and remarkably disabling impairment associated with Parkinson disease (PD). Laboratory-based measures indicate that individuals with FOG (PD+FOG) have greater balance deficits than those without FOG (PD-FOG). Whether such differences also can be detected using clinical balance tests has not been investigated. We sought to determine if balance and specific aspects of balance, measured using Balance Evaluation Systems Test (BESTest), differs between PD+FOG and PD-FOG. Furthermore, we aimed to determine if time-efficient clinical balance measures (i.e. Mini-BESTest, Berg Balance Scale (BBS)) could detect balance differences between PD+FOG and PD-FOG. Methods Balance of 78 individuals with PD, grouped as either PD+FOG (n = 32) or PD-FOG (n =46), was measured using the BESTest, Mini-BESTest, and BBS. Between-groups comparisons were conducted for these measures and for the six sections of the BESTest using analysis of covariance. A PD composite score was used as a covariate. Results Controlling for motor sign severity, PD duration, and age, PD+FOG had worse balance than PD-FOG when measured using the BESTest (p=0.008, F=7.35) and Mini-BESTest (p=0.002, F=10.37), but not the BBS (p=0.27, F=1.26). BESTest section differences were noted between PD+FOG and PD-FOG for reactive postural responses (p<0.001, F=14.42) and stability in gait (p=0.003, F=9.18). Conclusions The BESTest and Mini-BESTest, which specifically assessed reactive postural responses and stability in gait, were more likely than the BBS to detect differences in balance between PD+FOG and PD-FOG. Because it is more time efficient to administer, the Mini-BESTest may be the preferred tool for assessing balance deficits associated with FOG.

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“…Auditory cueing can thus motivate patients to walk with the most appropriate cadence, leading to improvements in gait quality. Multiple studies have found a positive impact of the rhythmic sounds on step length [16,21,26], walking speed [3,12,16,32], gait variability [3,11] and FoG episodes [1,31,35].…”

Section: Introductionmentioning

confidence: 99%

A Wearable, Customizable, and Automated Auditory Cueing System to Stimulate Gait in Parkinson’s

Guimar�ães

Nunes

2018

Proceedings of the Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare – De

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Gait impairments often hinder the mobility of people living with Parkinson's. Even though effective therapeutic options exist, with time, progression of the condition is likely to restrict their effect. Auditory cueing has been used as an alternative to improve the gait of people living with Parkinson's, however, existing solutions offer limited customization options, which restricts their efficacy in everyday life. This paper presents a wearable, customizable, and automated system that stimulates gait using rhythmic cues. Besides offering personalization of the type of stimuli, the system enables customization of temporal parameters of walking, such as cadence and swing/stance duration. The developed system uses off-the-shelf equipment and can be tailored to the needs of the patient. CCS CONCEPTS • Applied computing → Health informatics; • Humancentered computing → Mobile devices;

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The possible price of auditory cueing: Influence on obstacle avoidance in Parkinson's disease

Abstract: PD patients are able to successfully execute an obstacle avoidance task, when auditory cueing is administered simultaneously. The different obstacle avoidance behavior in freezers may contribute to their higher fall risk.

Cited by 32 publications

References 36 publications

Rhythmic Auditory Stimulation (RAS) and Motor Rehabilitation in Parkinson’s Disease: New Frontiers in Assessment and Intervention Protocols

Rhythmic Auditory Stimulation (RAS) and Motor Rehabilitation in Parkinson’s Disease: New Frontiers in Assessment and Intervention Protocols

Balance differences in people with Parkinson disease with and without freezing of gait

A Wearable, Customizable, and Automated Auditory Cueing System to Stimulate Gait in Parkinson’s

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