Effects of cadence-compatible melodic rhythmic auditory stimulation implementation on gait in patients with Parkinson’s disease

Çarıkcı, Sena; Ünlüer, Nezehat Özgül; Torun, Şükrü

doi:10.1080/08990220.2020.1864314

Cited by 8 publications

(7 citation statements)

References 41 publications

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“…Bireyin beyninde müziğin oluşturacağı aktivasyonun derecesi, geçmişte müzikle kurduğu duygusal ve fiziksel bağlarla, dolayısıyla müzik tercihleriyle çok yakından ilgilidir. Yeni yayınlanan bir çalışmamız, beyindeki ritmik kenetlenme mekanizmalarını uyarmak için yaygın olarak yararlanılan klasik ritmik işitsel stimülasyon yönteminin kadans uyumlu ve hasta tercihlerine uygun Türk Müziği motiflerini içeren bir modifikasyonla Parkinson hastalığında önemli bir sorun olan yürüme bozukluklarının rehabilitasyonunda kullanımına ilişkin iyi bir örnek oluşturmaktadır (19).…”

Section: Etkileşimleri Ve Müzik Terapisinde Müziğin Gerçek Rolüunclassified

“…Tüm kanıtlar işitsel ve motor sistemler arasındaki bağlantının, özellikle ritim işlemlerinde daha belirgin olduğu fikrini desteklemektedir. Müziğin ritim bileşeninin bu güçlü özelliği yukarıda da belirtildiği gibi, Parkinson hastalığı ve diğer hareket bozukluklarının rehabilitasyonuna yönelik uygulamalarda yaygın olarak kullanılmaktadır (19,22).…”

Section: Müziğin (Ritmin) Hareketi Kolaylaştırma öZelliğiunclassified

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The role of music in evidence based music therapy practices

Torun¹

2022

Journal of Anatol Medicine

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Music has always existed among health practices in all societies around the world throughout human history. In this context, many of our historical values such as Bergama Asklepion and Edirne Daruşşifa testify that in the past, health music practices were more common and settled in Anatolia compared to other geographies. Musicbased health practices, which remained behind the modern developments in the medical world and were almost forgotten, were rediscovered in the western world since the 1950s, and over time, it gained its current scientific structure under the name of Music Therapy. Network neuroscience studies, which have examined music-brain relationships in many ways in recent years, provides important information revealing that music is not a direct healing 'miracle drug', but a powerful and useful 'tool' to improve human health. However, despite all these developments, confusion continues regarding the use of music for health purposes both in our country and in the world. In this article, the prominent features of music in the context of music-brain interaction and the real role of music in evidence-based music

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Section: Etkileşimleri Ve Müzik Terapisinde Müziğin Gerçek Rolüunclassified

Section: Müziğin (Ritmin) Hareketi Kolaylaştırma öZelliğiunclassified

The role of music in evidence based music therapy practices

Torun¹

2022

Journal of Anatol Medicine

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“…Recent studies of patients undergoing DBS surgery have revealed how synchronized oscillatory activity across the cortico-basal ganglia circuit can contribute to gait kinematics and motoric impairments in PD [8][9][10][11] . For example, it has been shown that excessive STN activity at beta frequencies (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), which is traditionally thought to be related to both bradykinesia and rigidity, can also precede paroxysmal episodes of freezing of gait (FOG). Consistent with this observation is the finding that both motor cortical and STN beta activity display gait phase-locked modulations during walking 9 .…”

Section: Introductionmentioning

confidence: 99%

“…One way of improving gait coordination in PD is to present rhythmic visual or auditory cues during stepping [12][13][14][15] . Auditory cueing may enhance both walking speed and stride length, in addition to ameliorating FOG episodes [14][15][16][17][18][19][20][21][22][23] . Although we have previously shown that cueing to the timing of a heel strike can modulate STN beta activity, it remains unclear whether cues can modulate STN activity at shorter timescales 9 .…”

Section: Introductionmentioning

confidence: 99%

Auditory cues modulate the short timescale dynamics of STN activity during stepping in Parkinson’s disease

Yeh,

Xu,

Shi

et al. 2023

Preprint

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BackgroundGait impairment has a major impact on motor performance and quality of life in patients with Parkinson’s disease (PD). The neurophysiological mechanisms of gait impairment remain poorly understood, meaning that treatment options are currently limited. It is believed that basal ganglia oscillatory activity at β frequencies (15-30 Hz) may be a contributor to gait impairment in PD, but the precise dynamics of this oscillatory activity during gait remain unclear. Auditory cues are known to lead to improvements in gait kinematics in PD. If the neurophysiological mechanisms of this cueing effect were better understood they could be leveraged to treat gait impairments using brain-computer interface (BCI) technologies.ObjectiveWe aimed to characterize the dynamics of subthalamic nucleus (STN) oscillatory activity during stepping movements in PD and to establish the neurophysiological mechanisms by which auditory cues modulate gait.MethodsWe used local field potentials (LFPs) to study STN oscillatory activity in eight PD patients while stepping in place with auditory cueing. Hidden Markov Models (HMMs) were used to discover dynamic brain states that occurred pre-sound, on-sound, and post-sound cues.ResultsThe occurrence of β bursts was suppressed during and after auditory cues. This manifested as a decrease in their fractional occupancy and state lifetimes. Interestingly, α transients showed the opposite effect, with fractional occupancy and state lifetimes increasing during and after auditory cues.ConclusionsWe found transient oscillatory states in the STN LFP during stepping and showed that α and β oscillations are differentially modulated by auditory cues during stepping in PD.

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“…RAS interventions are adapted to improve motor symptoms associated with PD. In patients with PD, if the beats per minute (bpm) of RAS is set at a value of 10% higher than the subject's cadence, there are improvements in time-distance parameters,27 in overall motor performance, in increased self-confidence in maintaining balance, in the transition from the sitting to standing position (and vice versa), and in walking 28. The rhythmic impulses of RAS produce an increase in the range of joint motion of the hip, ankle, and gait speed 29.…”

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confidence: 99%

Effectiveness of Rhythmic Auditory Stimulation on Gait in Parkinson Disease

Burrai

Apuzzo

Zanotti

2021

Holistic Nursing Practice

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Parkinson disease is a neurodegenerative disease present in approximately 2% of the population older than 65 years. Rhythmic auditory stimulation in the early 1990s aimed to improve individual mobility in terms of gait speed, stride length, and cadence. Our systematic review and meta-analysis aimed to summarize and evaluate the evidence of the effects of rhythmic auditory stimulation on gait speed, stride length, and cadence in patients with Parkinson disease. A systematic review and meta-analysis of randomized controlled trials was conducted to determine the efficacy of rhythmic auditory stimulation in patients with Parkinson disease. Five studies were included in the review (209 patients). Rhythmic auditory stimulation resulted, on average, a gait speed improvement of 0.53 standard deviation (SD) units (95% CI, 0.23 to 0.83; P = .0005), a stride length improvement of 0.51 SD units (95% CI, 0.18 to 0.84; P = .003) greater than that in the control group. All trials contained a risk of bias due to a lack of blinding. The quality of evidence was low. No adverse events were identified. Rhythmic auditory stimulation may have a beneficial effect on gait speed and stride length in patients with Parkinson disease. Future studies should consider a power analysis to recruit an adequate number of subjects and minimize the risk of sample bias. Further research should provide the additional results required for an acceptable estimate of the effects of rhythmic auditory stimulation on gait in patients with Parkinson disease.

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Effects of cadence-compatible melodic rhythmic auditory stimulation implementation on gait in patients with Parkinson’s disease

Cited by 8 publications

References 41 publications

The role of music in evidence based music therapy practices

The role of music in evidence based music therapy practices

Auditory cues modulate the short timescale dynamics of STN activity during stepping in Parkinson’s disease

Effectiveness of Rhythmic Auditory Stimulation on Gait in Parkinson Disease

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