The Short-Term Effects of Different Cueing Modalities on Turn Speed in People with Parkinson’s Disease

Abstract

Rhythmical cueing yielded faster performance of a functional turn in both freezers and nonfreezers. This may be explained by enhancing attentional mechanisms during turning. Although no harmful effects were recorded, the safety of cueing for turning as a therapeutic strategy needs further study.

Are the Effects of Community-Based Dance on Parkinson Disease Severity, Balance, and Functional Mobility Reduced with Time? A 2-Year Prospective Pilot Study

“…Common forms of exercise used for people with PD, which include treadmill, resistance, balance, and cueing training have been reported to improve gait and balance and reduce overall disease severity for people with PD. [14][15][16][17] Despite these benefits, an individual's ability to consistently exercise may be hindered by the notion that this mode of exercise is not sufficiently appealing or socially engaging. This creates the need for physical therapists and other healthcare professionals to devise ways to keep exercise interesting and interactive to promote long-term adherence to exercise.…”

Laser light visual cueing for freezing of gait in Parkinson disease:A pilot study with male participants

“…Similar difficulties in studying FOG in the on-medication state have been encountered by other investigators, mainly because of the unpredictability of FOG despite provocative environmental conditions [24]. Nieuwboer et al studied various cueing strategies on turn speed in 60 reported freezers, but only 8 subjects actually froze during the complex turning task [25]. Although testing patients in the off-medication state would have increased the rate of FOG in our study, this was precluded by the severity of gait impairment while off medications and would have been less clinically relevant.…”

A holistic approach to assess the feasability of telehealth for Parkinson's disease management

“…and haptic -in turn speed strongly associated with instability, falls, and freezing in a popultation of freezers and non-freezers PD patients (N=133 idiopathic PD while in "On") [284]. The results of this study -also part of the RESCUE trial -showed that all types of cueing increased the speed of the turn in all subjects.…”

“…There was no difference between turn performance of freezers and nonfreezers in cued and noncued conditions. Auditory cues made turning significantly faster than visual cues (P < .01) but not compared with somatosensory cues, except in nonfreezers [284]. In a later study, showed that in contrast to controls, PD patients used a wider turning-arc and took smaller, narrower steps.…”

“…All these works as well as their benefits have been summarized on [284] To explore the shortterm effects of different modalities of rhythmic cueing -auditory, visual and haptic -in turn speed in a population of freezers and nonfreezers PD patients…”