Rhythmic auditory stimulation using a portable smart device: short-term effects on gait in chronic hemiplegic stroke patients

Ko, Byung-Woo; Lee, Hwi-Young; Song, Won-Kyung

doi:10.1589/jpts.28.1538

Cited by 23 publications

(23 citation statements)

References 26 publications

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“…Immediate effects of RAS training with tempo changes were also found on gait kinematics (Cha et al, 2014) and in relation to the lesion site (Kobinata et al, 2016). Finally, there is growing support for the use of RAS in gait training during the chronic phase of stroke to improve walking speed and functional mobility (e.g., Shin et al, 2015; Ko et al, 2016; Wright et al, 2016, 2017).…”

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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Section: Resultsmentioning

confidence: 99%

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

et al. 2019

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“…Due to technological and spatial limitations, fast walking for long distance in daily life is difficult to be observed by scientific equipment. In the literature, most of the gait experiments were done by walking on treadmills [ 5 , 7 , 8 , 10 ]. Actually, gait signals acquired on treadmills are quite different from the signals on the ground.…”

Section: Discussionmentioning

confidence: 99%

“…Their study indicated that music and metronome cues may not be used interchangeably, and the cue type and frequency (cadence) should be considered when evaluating effects of rhythmic auditory cues on gait. In [ 10 ], the gait pattern in various rhythmic auditory stimulation tempos was investigated in stroke patients. The results showed that as the tempo increased, the spatiotemporal gait parameters of the stroke patients changed significantly.…”

Section: Introductionmentioning

confidence: 99%

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Study on Tripping Risks in Fast Walking through Cadence-Controlled Gait Analysis

Wang

Lien

Liu

et al. 2018

Journal of Healthcare Engineering

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Fast walking is a common exercise for most people to promote health. However, a higher cadence due to fast walking on ordinary or uneven ground raises the risk of tripping. To investigate the tripping issue, research to observe the gait in fast walking is needed. To explore the relationship between fast gait and the risk of tripping, a gait recording system with a specific synchronization mechanism was developed in this work. The system can acquire gait signals from wearable sensors and action cameras at different cadences. Meanwhile, algorithms for gait cycle segmentation and characteristic extraction were proposed for analyzing a fast gait. In the gait analysis, the correlations of low, moderate, and high cadence in cueing and no cueing gaits were computed, and two results were obtained. First, the higher the cadence is, the larger the motion strength in the terminal foot swing will be and the smaller the motion strength at the starting foot swing. Second, the decreased distance of foot clearance becomes more conspicuous as the cadence increased, especially if one is walking more than 120 beats. The results indicate that fast walking with bigger strides and lower cadence is the best way to maintain safety in moving over ordinary ground.

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“…Rhythmic-auditory stimulation (RAS) is defined as a therapeutic application of pulsed rhythmic or musical stimulation in order to improve gait or gait related aspects of movement ( 5 ). It has been demonstrated that SP are able to synchronize their gait pattern to auditory stimulation using music with an embedded metronome ( 6 – 8 ). This led to immediate improvements in stride time and stride length symmetry as well as weight bearing time on the paretic side, while EMG showed a more balanced muscular activation pattern between the paretic and non-paretic sides ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

The Use of Rhythmic Auditory Stimulation to Optimize Treadmill Training for Stroke Patients: A Randomized Controlled Trial

et al. 2018

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The use of functional music in gait training termed rhythmic auditory stimulation (RAS) and treadmill training (TT) have both been shown to be effective in stroke patients (SP). The combination of RAS and treadmill training (RAS-TT) has not been clinically evaluated to date. The aim of the study was to evaluate the efficacy of RAS-TT on functional gait in SP. The protocol followed the design of an explorative study with a rater-blinded three arm prospective randomized controlled parallel group design. Forty-five independently walking SP with a hemiparesis of the lower limb or an unsafe and asymmetrical walking pattern were recruited. RAS-TT was carried out over 4 weeks with TT and neurodevelopmental treatment based on Bobath approach (NDT) serving as control interventions. For RAS-TT functional music was adjusted individually while walking on the treadmill. Pre and post-assessments consisted of the fast gait speed test (FGS), a gait analysis with the locometre (LOC), 3 min walking time test (3MWT), and an instrumental evaluation of balance (IEB). Raters were blinded to group assignments. An analysis of covariance (ANCOVA) was performed with affiliated measures from pre-assessment and time between stroke and start of study as covariates. Thirty-five participants (mean age 63.6 ± 8.6 years, mean time between stroke and start of study 42.1 ± 23.7 days) completed the study (11 RAS-TT, 13 TT, 11 NDT). Significant group differences occurred in the FGS for adjusted post-measures in gait velocity [F(2, 34) = 3.864, p = 0.032; partial η2 = 0.205] and cadence [F(2, 34) = 7.656, p = 0.002; partial η2 = 0.338]. Group contrasts showed significantly higher values for RAS-TT. Stride length results did not vary between the groups. LOC, 3MWT, and IEB did not indicate group differences. One patient was withdrawn from TT because of pain in one arm. The study provides first evidence for a higher efficacy of RAS-TT in comparison to the standard approaches TT and NDT in restoring functional gait in SP. The results support the implementation of functional music in neurological gait rehabilitation and its use in combination with treadmill training.Clinical Trial Registration: https://www.drks.de/drks_web/, identifier DRKS00014603

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Rhythmic auditory stimulation using a portable smart device: short-term effects on gait in chronic hemiplegic stroke patients

Cited by 23 publications

References 26 publications

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

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

Study on Tripping Risks in Fast Walking through Cadence-Controlled Gait Analysis

The Use of Rhythmic Auditory Stimulation to Optimize Treadmill Training for Stroke Patients: A Randomized Controlled Trial

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