Gait in Older People with Cognitive Impairments During Rhythmic Auditory Cueing: A Scoping Review.

IF 1.3 4区医学 Q4 GERIATRICS & GERONTOLOGY

Experimental Aging Research Pub Date : 2025-09-07 DOI:10.1080/0361073X.2025.2553072

Samwel Msigwa, Alty Jane, Rebecca J St George, Callisaya Michele L

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引用次数: 0

Abstract

Purpose: Rhythmic auditory cueing (RAC) can enhance gait performance. However, little is known about its effect in people with cognitive impairment. The aim of this review was to describe, in studies of people with cognitive impairment: 1) the medical conditions and cognitive stages studied; 2) the RAC protocols and gait variables measured; and 3) whether cognitive stage or RAC protocols have differing effects on gait.

Materials and methods: Search terms included older age, cognitive impairment, auditory cueing, and gait. Three databases (PubMed, Embase via Ovid, Web of Science) were searched.

Results: Eight studies (n = 204 participants) were included. The diagnoses were Alzheimer's dementia, unspecified dementia, Parkinson's disease and atypical parkinsonian disorders. Cognitive stages ranged from mild cognitive impairment to late-stage dementia. RAC was commonly by metronome or music, at a preferred cadence tempo. The most common gait variables were speed, step length and cadence. Electronic walkways, accelerometers, or stopwatches were the most common measurement tools. The effect of RAC on gait across cognitive stages and diagnoses was mixed, with most studies reporting worse, or no change, in gait.

Conclusion: Cognitive impairment may influence the effect of RAC on gait. Studies with larger samples and a range of cognitive stages are needed.

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节律性听觉提示对认知障碍老年人步态的影响。

目的：节律性听觉提示（RAC）可以提高步态性能。然而，人们对它对认知障碍患者的影响知之甚少。这篇综述的目的是描述在对认知障碍患者的研究中：1)所研究的医疗条件和认知阶段；2) RAC协议和测量的步态变量；3)认知阶段和RAC方案是否对步态有不同的影响。材料和方法：搜索词包括老年、认知障碍、听觉提示和步态。检索了三个数据库（PubMed, Embase via Ovid, Web of Science）。结果：纳入8项研究（n = 204名受试者）。诊断为阿尔茨海默氏痴呆症、未指明的痴呆症、帕金森病和非典型帕金森病。认知阶段从轻度认知障碍到晚期痴呆不等。RAC通常是通过节拍器或音乐，在一个首选的节奏。最常见的步态变量是速度、步长和节奏。电子步道、加速度计或秒表是最常见的测量工具。RAC在认知阶段和诊断阶段对步态的影响是混合的，大多数研究报告步态恶化或没有变化。结论：认知功能障碍可能影响RAC对步态的影响。需要更大的样本和一系列认知阶段的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Experimental Aging Research 医学-老年医学

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Experimental Aging Research is a life span developmental and aging journal dealing with research on the aging process from a psychological and psychobiological perspective. It meets the need for a scholarly journal with refereed scientific papers dealing with age differences and age changes at any point in the adult life span. Areas of major focus include experimental psychology, neuropsychology, psychobiology, work research, ergonomics, and behavioral medicine. Original research, book reviews, monographs, and papers covering special topics are published.