Effect of rhythmic auditory cue on gait in patients with Parkinson’s Disease

Matsumoto, Luize; Magalhães, Glaucia; Antunes, Gisele Ladik; Torriani‐Pasin, Camila

doi:10.4181/rnc.2014.22.03.965.6p

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…Different types of stimuli have been proposed, and their specific action on gait parameters is related to the stimulated sensory system. From the clinical practice experience, it seems that use auditory stimuli can improve velocity, whereas visuals are able to influence mainly on the step length, corroborating previous studies 17,18 …”

Section: Introductionsupporting

confidence: 82%

Effects of auditory or visual stimuli on gait in Parkinsonic patients: a systematic review

Trindade

Viana

2021

Porto Biomedical Journal

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Background: External stimuli can improve gait performance in Parkinsons Disease (PD): auditory stimuli can increase velocity and visual stimuli may act at step length.Objective: To systematize the scientific evidence about the effects of auditory or visual stimuli on gait in patients with PD.Methods: From January 2016 to December 2018, a systematic literature research was conducted in the PubMed/Medline and Web of Science databases. Study designs considered were randomized controlled trials (RCTs) and observational studies, which evaluated the effects of auditory or visual stimuli on gait in PD. The methodological quality was assessed by the Critical Appraisal Skills Program.Results: Five articles were included with 232 participants and a methodological rank of mean of 10.3 on the cohort studies (n = 3), 8 on the case control studies (n = 1), and 6 on the RCTs (n = 1). Although 3 evaluated the effects of auditory stimuli on gait in PD, 2 analyzed those of visual stimuli. Based on these, it was verified a significant improvement of diverse gait parameters. Conclusion:The application of auditory or visual stimuli have beneficial effects on gait parameters. Further investigation is required.

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Section: Introductionsupporting

confidence: 82%

Effects of auditory or visual stimuli on gait in Parkinsonic patients: a systematic review

Trindade

Viana

2021

Porto Biomedical Journal

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“…In addition, it has been hypothesized that the beneficial effects of rhythmic cues may be partly due to modulation of brain activity in the pedunculopontine nucleus (PPN) ( 33 , 34 ). Another possible mechanism for rhythmic cueing in parkinsonism involves rhythmic entrainment: motor synchronization with the auditory system, which remains relatively intact in PD ( 13 ). Schaefer ( 35 ) has summarized four possible mechanisms of the use of rhythmic cues in motor rehabilitation including (1) accelerated motor learning, (2) qualitatively different motor learning, (3) obtaining temporal skills, and (4) motivation.…”

Section: Discussionmentioning

confidence: 99%

“…Cadence, gait velocity, and stride length are the commonly used parameters to monitor changes in a patient's gait ( 3 , 8 ). All of these gait parameters have been successfully increased in PD patients by implementing RAS at 5–10% above baseline cadence ( 9 – 13 ). While music, which integrates both melody and rhythm, may be used, a simple monotone metronome beat has been effectively used as a rhythmic cue in patients with PD ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Rhythmic auditory cueing in atypical parkinsonism: A pilot study

et al. 2022

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Rhythmic auditory cueing (RAC) can improve gait parameters in neurological disorders such as Parkinson's disease and stroke. However, there is a lack of research on the effects of RAC in patients with atypical parkinsonian disorders (APD). Using a smartphone metronome application, we aimed to investigate the immediate effects of RAC in patients with clinically diagnosed APD, namely Progressive Supranuclear Palsy (PSP-Richardson Syndrome and other variants, PSP-nonRS), Corticobasal Syndrome (CBS), Multiple System Atrophy (MSA), and Dementia with Lewy Bodies (DLB). A total of 46 APD participants (25 PSP, 9 CBS, 8 MSA and 4 DLB; age: mean = 70.17, standard deviation = 7.15) walked at their preferred pace for 2 min without any rhythmic auditory cueing (RAC). Participants then walked the same path for another 2 min with RAC set at a tempo 10% faster than the baseline cadence of each participant. After a 10–15-min break, participants walked the same path for another 2 min without RAC to observe for carryover effects. Gait parameters [cadence (steps/minute), gait velocity (meters/minute), and stride length (centimeters)] were collected at baseline, during RAC, and post-RAC. There was a significant improvement in cadence in all participants from baseline to during RAC and post-RAC (corrected p-values = 0.009 for both). Gait velocity also improved from baseline to during RAC and post-RAC in all participants, although this improvement was not significant after correcting for multiple comparisons. The changes in cadence and gait velocity were most pronounced in PSP. In addition, our exploratory analysis showed that the cadence in the suspected TAU group (PSP+CBS) showed a significant improvement from baseline to during RAC and post-RAC (corr. p-value = 0.004 for both). This pilot study using short-term RAC in APD patients demonstrated improvements in cadence and velocity. There is an urgent need for effective gait rehabilitation modalities for patients with APD, and rhythmic cueing can be a practical and useful intervention to improve their gait pattern.

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“…Desta forma, recentes estudos por Matsumoto et al (2014), Luessi et al (2012) e Rochester et al (2010) utilizam do ritmo como estimulação auditiva que capitaliza os efeitos fisiológicos no sistema motor para facilitar o controle de movimentos rítmicos como a marcha (THAUT, 2005). Além disso, Del Olmo et al (2006) têm demonstrado que a intervenção por meio da música causa mudanças na captação de glicose em várias áreas do cérebro envolvidas no processamento sensitivo-motor podendo auxiliar em novas informações sobre a base neural da estimulação auditiva na doença de Parkinson.…”

Section: Discussionunclassified

Efeito do Samba e da Valsa na Mobilidade Funcional de Pacientes com Doença de Parkinson

Fragnani¹,

Bezerra²

2016

Iniciac cient Cesumar

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RESUMO:Estudos evidenciam a música como uma intervenção terapêutica importante para indivíduos com doença de Parkinson. O fornecimento dos estímulos espaciais e temporais desta intervenção pode sinalizar as fases do ciclo da marcha proporcionando ao portador da doença um andar mais fluente. Além deste benefício, a terapia por meio da música possibilita ao indivíduo aumento de sua autoestima, maior conforto, relaxamento, bem-estar e proporciona maiores interações quando o tratamento é realizado em grupo. Neste estudo objetivou-se analisar o efeito que os gêneros musicais, valsa e samba, promovem na mobilidade funcional em indivíduos com doença de Parkinson. Os voluntários desta pesquisa realizaram o Timed Up and Go Test (TUG) nas situações: sem música, música clássica (valsa) e música popular brasileira (samba). Os dados obtidos foram ponderados por análise estatística descritiva e inferencial com teste Fridman e post-hoc de Wilcoxon pareado (nível de significância de 5%). Os achados evidenciam que o samba promoveu efeito adverso na marcha reduzindo a velocidade (p=0,04), número de passos (p=0,04) e cadência (p=0,04), aumentando o tempo (p=0,04) e comprimento de passos (p=0,05) quando comparado á condição sem música. Entendemos que os fatores intrínsecos da música como ritmo, harmonia, melodia e amplitude podem estar associados com o efeito adverso observado na mobilidade funcional de pacientes com doença de Parkinson. PALAVRAS-CHAVE:Marcha; Música; Doença de Parkinson; Reabilitação; Ritmo. EFFECTS OF WALTZ AND SAMBA IN THE FUNCTIONAL MOBILITY OF PATIENTS WITH PARKINSON´S DISEASEABSTRACT: Several studies have shown that music is a good therapy for people with Parkinson´s disease. The intervention´s spatial and temporal stimuli may signalize gait cycle phases and provide the person with a more coordinated gait. Further, music therapy provides an increase in self-esteem, greater comfort, relax and wellbeing, with greater interactions when treatment is undertaken by groups of people. The effects of the musical genres, waltz and samba, on the functional mobility in people with Parkinson´s disease are investigated. Volunteers practiced Timed Up and Go Test (TUG) under the following conditions: without music, with classical music (waltz) and Brazilian popular music (samba). Data were weighed by descriptive and inferential statistical analyses by Fridman test and paired post-hoc Wilcoxon test at 5% significance level. In fact, samba provided a contrary effect in gait with a reduction of speed (p=0.04), number of steps (p=0.04) and cadence (p=0.04), with an increase in time (p=0.04) and step length (p=0.05) when compared to situations without music. Music´s intrinsic factor such as rhythm, harmony, melody and amplitude may be associated with an adverse effect observed in the functional mobility of people with Parkinson´s disease. KEYWORDS: INTRODUÇÃOO desempenho da música é uma atividade natural do ser humano presente em todas as sociedades e culturas seja atual ou antiga. Ela consiste em um processo terapêutico de cará...

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Effect of rhythmic auditory cue on gait in patients with Parkinson’s Disease

Cited by 5 publications

References 17 publications

Effects of auditory or visual stimuli on gait in Parkinsonic patients: a systematic review

Effects of auditory or visual stimuli on gait in Parkinsonic patients: a systematic review

Rhythmic auditory cueing in atypical parkinsonism: A pilot study

Efeito do Samba e da Valsa na Mobilidade Funcional de Pacientes com Doença de Parkinson

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