The use of rhythmic auditory cues to influence gait in patients with Parkinson's disease, the differential effect for freezers and non-freezers, an explorative study

Willems, An; Nieuwboer, Alice; Chavret, Fabienne; Desloovere, Kaat; Dom, René; Rochester, Lynn; Jones, Diana; Kwakkel, Gert; Wegen, Erwin E. H. van

doi:10.1080/09638280500386569

Cited by 168 publications

(213 citation statements)

References 26 publications

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“…As step frequency was constrained to preferred rate it may be that subjects had difficulty matching the frequency of the cue. Performance during walking with the auditory cue agrees with previous work showing only small effects of the cue on step length and walking speed during a single task (Howe et al 2003;Willems et al 2006).…”

Section: Discussionsupporting

confidence: 80%

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: 80%

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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“…124,125 The effects of RAS may also carry over to none-RAS walking suggesting long-term retention effects. For example, after administration of RAS to PD patients for 3 weeks, an increase in gait speed and stride length has been observed, even when walking without stimulation.…”

Section: Effects Of Rhythmic Auditory Stimulationmentioning

confidence: 99%

Gait dynamics in Parkinson’s disease: Common and distinct behavior among stride length, gait variability, and fractal-like scaling

Hausdorff

2009

Chaos: An Interdisciplinary Journal of Nonlinear Science

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Parkinson’s disease (PD) is a common, debilitating neurodegenerative disease. Gait disturbances are a frequent cause of disability and impairment for patients with PD. This article provides a brief introduction to PD and describes the gait changes typically seen in patients with this disease. A major focus of this report is an update on the study of the fractal properties of gait in PD, the relationship between this feature of gait and stride length and gait variability, and the effects of different experimental conditions on these three gait properties. Implications of these findings are also briefly described. This update highlights the idea that while stride length, gait variability, and fractal scaling of gait are all impaired in PD, distinct mechanisms likely contribute to and are responsible for the regulation of these disparate gait properties.

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“…e instruction given to the subjects was to synchronize each footstep in time to the metronome. e frequency of auditory cues was administered at 10% above the baseline stride 11 . Before the data collection, some practice trials were provided Procedures for the subjects.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, therapy with auditory cues is also used as a sensory reinforcement for improving gait kinematic parameters of people with PD [11][12] . Recently, Rochester et al found that auditory cues have a positive role in gait kinematic parameters, which are resistant to dopaminergic treatment people with PD 13 .…”

Section: Introductionmentioning

confidence: 99%

Positive effects of auditory cue in locomotor pattern of people with Parkinson’s disease (off and on medication)

Rinaldi

Pereira

Formaggio

et al. 2014

Rev. bras. educ. fís. esporte

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Gait disorders are identifi ed in people with Parkinson's disease. The aim of this study was to investigate the effect of auditory cues and medication on kinematic, kinetic and EMG parameters, during different gait phases of people with PD and healthy elderly. Thirty subjects distributed in two groups (Group 1, PD patients off and on medication; Group 2, healthy elderly) participated in this study and were instructed to walk in two experimental conditions: non-cued and cued. Therefore, kinematic, kinetic and electromyography analyses were utilized to investigate the locomotor pattern. Changes in locomotor pattern (greater muscular activity) with auditory cue were observed for PD patients. Regarding the medication, locomotor parameter improvement was observed after levodopa intake in association with the auditory cue. These results confi rm the hypothesis about the external cues therapy that could be used as a complement to drug therapy to achieve improvement in the locomotor pattern of PD patients.

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The use of rhythmic auditory cues to influence gait in patients with Parkinson's disease, the differential effect for freezers and non-freezers, an explorative study

Cited by 168 publications

References 26 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

Gait dynamics in Parkinson’s disease: Common and distinct behavior among stride length, gait variability, and fractal-like scaling

Positive effects of auditory cue in locomotor pattern of people with Parkinson’s disease (off and on medication)

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