Effect of Rhythmic Auditory Stimulation on Gait in Parkinsonian Patients with and without Freezing of Gait

Arias, Pablo; Cudeiro, Javier

doi:10.1371/journal.pone.0009675

Cited by 129 publications

(143 citation statements)

References 44 publications

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“…Rhythm is a powerful stimulus for activity and several studies have shown that therapies including rhythm are beneficial for patients with PD [6,[19][20][21][22]. In addition, it has been suggested that music may affect the reward system of the brain [23].…”

Section: Music As Therapy Has Been Used For Many Years As An Alternatmentioning

confidence: 99%

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

Pohl

Dizdar

Hallert

2013

Disability and Rehabilitation

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Purpose: The purpose of this study was to examine the feasibility of and effects from the Ronnie Gardiner Rhythm and Music (RGRM™) Method on motor function, cognition and quality of life in persons with Parkinson's disease.Method: Eighteen participants with Parkinson's disease were randomized into intervention group or control group. Over 6 weeks, the intervention group attended 12 one-hour classes with RGRM™. The control group had no activity. Motor function, cognition, and quality of life were evaluated before and after the intervention.

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Section: Music As Therapy Has Been Used For Many Years As An Alternatmentioning

confidence: 99%

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

Pohl

Dizdar

Hallert

2013

Disability and Rehabilitation

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“…This system is able to reduce the number of freezing of gait from 76% to 80% and to reduce duration of 70%. Nevertheless, this efficiency should be improved through a rehabilitation program [17]. However, several constraints impose limits to its daily usage such as: external auditory stimuli (ambient noise, discussion with other person, etc.…”

Section: B Biofeedback Cueingmentioning

confidence: 99%

Synchronized walking cadence for TUG in perturbed environments: Using Earcon or Tacton cues?

Imbeault-Nepton¹,

Otis

2014

2014 IEEE International Symposium on Haptic, Audio and Visual Environments and Games (HAVE) Proceedings

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Abstract-Audio and haptic cueing have proven their usability to assist gait for patients with Parkinson's disease. These cueings are used when a gait issue is classified in real-time by an artificial intelligent algorithm using wearable IMU signals located at the lower limb. Such gait issue could be freezing of gait (FOG) and Bradykinesia symptoms. This system detects freezing periods and plays a rhythmic pattern such as Tacton or Earcon in haptic or audio respectively. When prior training is done with an appropriate serious game, cueing could help to recover gait cadence and then help to avoid fall. Both types of cueing were used in different research works without prior analysis on the best stimulation to use in a perturbed environment. Since rhythmic auditory sound could be an issue in a real outdoor environment, this paper suggests evaluating rhythmic stimulation cueing with the Time Up and Go clinical assessment test used for mobility evaluation.

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“…All the 7 PD+FOG displayed freezing during the whole walking task but in all of them FOG appeared when turning or starting walking, which are by far the most frequent types of FOG (Arias and Cudeiro, 2010;Giladi et al, 1992); recordings from turning were not included into the analysis.…”

Section: Data Processingmentioning

confidence: 99%

Antagonist muscle co-activation during straight walking and its relation to kinematics: Insight from young, elderly and Parkinson's disease

et al. 2012

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Increased antagonist muscle co-activation of the lower limb during walking seems to be an adaptive process to the physiological changes of aging, in order to gain joint stability. In the healthy subjects this view seems to be reinforced by the fact that the co-activation index (CAI) increases when the gait is faster. The few reports on antagonist coactivation in Parkinson's disease (PD) patients indicate that they have larger co-activation than the healthy elderly, supporting the idea of the stabilization role of CAI during gait, as postural instability is a cardinal feature of PD. However it has also been reported that there is a reduction of the CAI when increasing velocity in PD or normal elderly. This questions the role of coactivation in stabilization during increased velocity. In this study we have analyzed the gait of healthy subjects (young and elderly), and PD patients (with and without freezing of gait, FOG) in order to better understand the relation between co-activation and gait kinematics, and to gain insight into the pathological changes associated with FOG in PD. We used Multiple Linear Regression models to study the relationship in shank muscles between CAI, velocity and cadence. Our results indicate that, for all groups of interest, the relationship between co-activation and the kinematics of gait is poor, due to the high degree of variability, questioning the explanatory value of the index.

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Effect of Rhythmic Auditory Stimulation on Gait in Parkinsonian Patients with and without Freezing of Gait

Cited by 129 publications

References 44 publications

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

Synchronized walking cadence for TUG in perturbed environments: Using Earcon or Tacton cues?

Antagonist muscle co-activation during straight walking and its relation to kinematics: Insight from young, elderly and Parkinson's disease

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