Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study

Thaut, Michael H.; Rice, Ruth R.; Janzen, Thenille Braun; Hurt-Thaut, Corene; McIntosh, Gerald C.

doi:10.1177/0269215518788615

Cited by 92 publications

(99 citation statements)

References 29 publications

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“…The decrease of stride length is contrary to studies using rhythmic auditory stimulation on persons with Parkinson’s disease. 44 Yet, the previous studies did not compare different walking percentages as presented in this study, and therefore direct comparisons cannot be made.…”

Section: Discussionmentioning

confidence: 84%

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

Moumdjian

Moens²,

Maes³

et al. 2019

Neurorehabil Neural Repair

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Background. Mobility dysfunctions are prevalent in persons with multiple sclerosis (PwMS), thus novel rehabilitation mechanisms are needed toward functional training. The effect of auditory cueing is well-known in Parkinson's disease, yet the application of different types of auditory stimuli at different tempi has not been investigated yet. Objectives. Investigating if PwMS, compared with healthy controls (HC), can synchronize their gait to music and metronomes at different tempi during walking and the effects of the stimuli on perceived fatigue and gait. Additionally, exploring if cognitive impairment would be a factor on the results. Methods. The experimental session consisted of 2 blocks, music and metronomes. Per block, participants walked 3 minutes per tempi, with instructions to synchronize their steps to the beat. The tempi were 0%, +2%, +4% +6%, +8%, +10% of preferred walking cadence (PWC). Results. A total of 28 PwMS and 29 HC participated. On average, participants were able to synchronize at all tempi to music and metronome. Higher synchronization was obtained for metronomes compared with music. The highest synchronization for music was found between +2% and +8% of PWC yet pwMS perceived less physical and cognitive fatigue walking to music compared with metronomes. Cognitive impaired PwMS (n = 9) were not able to synchronize at tempi higher than +6%. Conclusion. Auditory-motor coupling and synchronization was feasible in HC and PwMS with motor and cognitive impairments. PwMS walked at higher tempi than their preferred walking cadence, and lower fatigue perception with music. Coupling walking to music could be a promising functional walking training strategy.

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Section: Discussionmentioning

confidence: 84%

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

Moumdjian

Moens²,

Maes³

et al. 2019

Neurorehabil Neural Repair

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“…A recent review (Ginis et al, 2017) also concluded that cue-augmented training can reduce the severity of freezing in PD patients, but limitations in long-term consolidation and transfer of the effects to untrained tasks need to be considered in this population. RAS has been also recently applied to reduce falls or risk of falls in healthy elderly (Hurt-Thaut, 2014) and PD patients (Thaut et al, 2018). These studies collectively found that RAS training significantly reduced the number of falls in healthy individuals and PD patients by modifying key kinematics in gait control, thus suggesting that RAS may be beneficial to address the risk of falls.…”

Section: Resultsmentioning

confidence: 99%

A Review on the Relationship Between Sound and Movement in Sports and Rehabilitation

et al. 2019

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The role of auditory information on perceptual-motor processes has gained increased interest in sports and psychology research in recent years. Numerous neurobiological and behavioral studies have demonstrated the close interaction between auditory and motor areas of the brain, and the importance of auditory information for movement execution, control, and learning. In applied research, artificially produced acoustic information and real-time auditory information have been implemented in sports and rehabilitation to improve motor performance in athletes, healthy individuals, and patients affected by neurological or movement disorders. However, this research is scattered both across time and scientific disciplines. The aim of this paper is to provide an overview about the interaction between movement and sound and review the current literature regarding the effect of natural movement sounds, movement sonification, and rhythmic auditory information in sports and motor rehabilitation. The focus here is threefold: firstly, we provide an overview of empirical studies using natural movement sounds and movement sonification in sports. Secondly, we review recent clinical and applied studies using rhythmic auditory information and sonification in rehabilitation, addressing in particular studies on Parkinson’s disease and stroke. Thirdly, we summarize current evidence regarding the cognitive mechanisms and neural correlates underlying the processing of auditory information during movement execution and its mental representation. The current state of knowledge here reviewed provides evidence of the feasibility and effectiveness of the application of auditory information to improve movement execution, control, and (re)learning in sports and motor rehabilitation. Findings also corroborate the critical role of auditory information in auditory-motor coupling during motor (re)learning and performance, suggesting that this area of clinical and applied research has a large potential that is yet to be fully explored.

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“…of gait function with supporting evidence from randomized control trials and studies in Parkinson's disease (Cubo et al, 2004;Murgia et al, 2018;Thaut et al, 2019), stroke (Thaut et al, 2007;Cha et al, 2014;Mainka et al, 2018;Elsner et al, 2020), cerebral palsy (Kim et al, 2012;Wang et al, 2013), and multiple sclerosis (Seebacher et al, 2017). RAS is supported by numerous lines of fundamental neuroscience evidence, including a recent finding that RAS attenuates dopamine response in younger adults (Koshimori et al, 2019).…”

Section: Non-sensorimotor Techniques Are Transferable From In-person mentioning

confidence: 90%

Neurologic Music Therapy via Telehealth: A Survey of Clinician Experiences, Trends, and Recommendations During the COVID-19 Pandemic

et al. 2021

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This cross-sectional survey investigated the transition of Neurologic Music Therapy (NMT) services from in-person (pre-COVID-19) to telehealth (since COVID-19) to (1) determine whether the use of an NMT paradigm contributes to the successful transition of therapy services to telehealth, (2) identify which NMT domains and techniques are transferable from in-person to telehealth, (3) identify whether there are differences in the transition of NMT services across different employment settings, and (4) evaluate the potential benefits and challenges of telehealth NMT. An online survey comprised of 49 closed and open-ended questions was distributed by the Academy of Neurologic Music Therapy to 2,778 NMT affiliates worldwide. The survey sought information on demographics, telehealth perceptions, technology, assessment, clinical practice, safety, and caregiver involvement. Quantitative and qualitative analyses were applied. Eighty-one participants answered the survey and the 69 who completed the survey in its entirety were included in the analysis. Results indicated that the frequency of NMT technique usage had no impact on the overall number of clinical hours retained over telehealth. Correlation analysis revealed an association between more frequent NMT usage and perceived likelihood of using telehealth in the future (i.e., once COVID-19 is no longer a major threat), as well as with fewer group sessions lost over telehealth. All NMT domains transferred to telehealth, although within the sensorimotor domain, fewer therapists implemented rhythmic auditory stimulation for telehealth sessions compared to in-person. Overall, NMTs had fewer hours for telehealth compared to in-person regardless of employment setting. Technological challenges were notable drawbacks, while major benefits included the ability to continue providing NMT when in-person sessions were not possible, increased accessibility for remote clients, and positive outcomes related to increased caregiver involvement. Based on the results, our recommendations for implementing telehealth in Neurologic Music Therapy include integrating telehealth into routine care, mitigating safety concerns, identifying those who could benefit most from remote delivery, involving caregivers, and developing/sharing resources for telehealth NMT.

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Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study

Abstract: RAS training significantly reduced the number of falls in Parkinson's disease and modified key gait parameters, such as velocity and stride length.

Cited by 92 publications

References 29 publications

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

A Review on the Relationship Between Sound and Movement in Sports and Rehabilitation

Neurologic Music Therapy via Telehealth: A Survey of Clinician Experiences, Trends, and Recommendations During the COVID-19 Pandemic

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