Effectiveness of Rhythmic Auditory Stimulation on Gait in Parkinson Disease

Burrai, Francesco; Apuzzo, Luigi; Zanotti, Renzo

doi:10.1097/hnp.0000000000000462

Cited by 3 publications

(1 citation statement)

References 46 publications

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“…Importantly, as participants increased their gait speed in response to music tempo modulation, they generally did so by increasing step length more than cadence. This finding had important implications, given that interventions which increase cadence without a concurrent increase in stride length may decrease stability when walking [31,32,58].…”

Section: Proof-of-conceptmentioning

confidence: 92%

Feasibility and Proof-of-Concept of Delivering an Autonomous Music-Based Digital Walking Intervention to Persons with Parkinson’s Disease in a Naturalistic Setting

Zajac,

Porciuncula,

Cavanaugh

et al. 2023

Journal of Parkinson’s Disease

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Background: Reduced motor automaticity in Parkinson’s disease (PD) negatively impacts the quality, intensity, and amount of daily walking. Rhythmic auditory stimulation (RAS), a clinical intervention shown to improve walking outcomes, has been limited by barriers associated with the need for ongoing clinician input. Objective: To assess the feasibility, proof-of-concept, and preliminary clinical outcomes associated with delivering an autonomous music-based digital walking intervention based on RAS principles to persons with PD in a naturalistic setting. Methods: Twenty-three persons with PD used the digital intervention independently for four weeks to complete five weekly 30-minute sessions of unsupervised, overground walking with music-based cues. The intervention progressed autonomously according to real-time gait sensing. Feasibility of independent use was assessed by examining participant adherence, safety, and experience. Intervention proof-of-concept was assessed by examining spatiotemporal metrics of gait quality, daily minutes of moderate intensity walking, and daily steps. Preliminary clinical outcomes were assessed following intervention completion. Results: Participants completed 86.4% of sessions and 131.1% of the prescribed session duration. No adverse events were reported. Gait speed, stride length, and cadence increased within sessions, and gait variability decreased (p < 0.05). Compared to baseline, increased daily moderate intensity walking (mean Δ= +21.44 minutes) and steps (mean Δ= +3,484 steps) occurred on designated intervention days (p < 0.05). Quality of life, disease severity, walking endurance, and functional mobility were improved after four weeks (p < 0.05). Conclusions: Study findings supported the feasibility and potential clinical utility of delivering an autonomous digital walking intervention to persons with PD in a naturalistic setting.

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Section: Proof-of-conceptmentioning

confidence: 92%

Feasibility and Proof-of-Concept of Delivering an Autonomous Music-Based Digital Walking Intervention to Persons with Parkinson’s Disease in a Naturalistic Setting

Zajac,

Porciuncula,

Cavanaugh

et al. 2023

Journal of Parkinson’s Disease

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Effects of rhythmic auditory stimulation on gait speed in older adult inpatients in a convalescent rehabilitation ward: a pilot randomized controlled trial

Igusa,

Uchida,

Tsuchiya

et al. 2024

Eur Geriatr Med

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Isolating the effect of beat salience on RAS outcomes

Von Handorf,

Jagadeesan,

Grahn

2024

Preprint

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Rhythmic auditory stimulation (RAS) is an intervention for gait-disordered populations that involves synchronizing footsteps to regular auditory cues. Previous research has shown that high- groove music (music that induces the desire to move or dance to it) improves gait relative to low- groove music, but how this effect occurs is unclear. Greater beat salience in high-groove music may improve gait because salient beats are easier to synchronize with. Here, we manipulated beat salience by embedding metronome tones to emphasize beat onsets in both high- and low-groove music. We expected that, if beat salience drives gait improvements to high-groove music, then embedding metronome in low-groove music would elicit similar gait improvements (e.g. increased stride velocity). Here, we quantified gait synchronization in terms of period-matching (overall step rate to the cue pace) and phase-matching (individual step onsets to beat onsets). We tested a sample of healthy younger and older adults, with auditory cues matched to 10% faster than baseline. Low- groove music with embedded metronome, compared to without, elicited better period-matching; there were no differences between metronome conditions in high-groove music. These findings suggest gait improvements to high-groove music could be due to its high beat salience. On the other hand, embedded metronome did not improve phase-matching accuracy, but high-groove music did. This suggests that beat salience may not improve gait via easing step-to-beat synchronization, but rather through an overall increase in movement vigor.

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Effectiveness of Rhythmic Auditory Stimulation on Gait in Parkinson Disease

Cited by 3 publications

References 46 publications

Feasibility and Proof-of-Concept of Delivering an Autonomous Music-Based Digital Walking Intervention to Persons with Parkinson’s Disease in a Naturalistic Setting

Feasibility and Proof-of-Concept of Delivering an Autonomous Music-Based Digital Walking Intervention to Persons with Parkinson’s Disease in a Naturalistic Setting

Effects of rhythmic auditory stimulation on gait speed in older adult inpatients in a convalescent rehabilitation ward: a pilot randomized controlled trial

Isolating the effect of beat salience on RAS outcomes

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