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

IF 1.3 4区医学 Q4 NEUROSCIENCES

Somatosensory and Motor Research Pub Date : 2021-06-01 Epub Date: 2020-12-28 DOI:10.1080/08990220.2020.1864314

Sena Çarıkcı, Nezehat Özgül Ünlüer, Şükrü Torun

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引用次数: 3

Abstract

Purpose: Progressive loss of dopaminergic neurons in basal ganglia is blamed as the main source of gait disturbance in Parkinson's disease (PD). It is known that the normal step pattern does not disappear in PD, but there is a problem in activating the correct step response. The aim of this study was to investigate the effect of Rhythmic Auditory Stimulation (RAS), which is an external stimulus, on gait in individuals with PD.

Materials and methods: Twenty-six individuals, 13 in the PD group and 13 in the control group, participated in the study. All individuals were asked to walk under four different RAS conditions configured with beat frequency and melodic variations. Time-distance parameters and gait performance of the individuals were evaluated.

Results: RAS significantly increased the gait speed of the individuals with PD compared to the control group. RAS set to 10% increase in the cadence of the patient with melody (10 M+) was found to be more effective than the RAS set to normal cadence of the patient without melody (0 M-) (p < 0.05). While all RAS implementations increased the stride length of the individuals with PD (p < 0.05), there was no change in the control group. RAS did not affect the return time in both groups.

Conclusions: Our study has shown that RAS implementation improves gait in individuals with PD both in terms of time-distance parameters and performance, especially when set to 10% more than the patient's gait cadence. It was concluded that cadence-compatible melodic RAS can be safely included in PD rehabilitation programs.

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节奏兼容的旋律节奏听觉刺激对帕金森病患者步态的影响。

目的:基底节区多巴胺能神经元的进行性丧失被认为是帕金森病(PD)步态障碍的主要来源。众所周知，PD中正常的阶跃模式不会消失，但在激活正确的阶跃响应方面存在问题。本研究的目的是探讨节律性听觉刺激(RAS)是一种外部刺激对PD患者步态的影响。材料与方法:共26例患者，PD组13例，对照组13例。所有人都被要求在四种不同的RAS条件下行走，这些条件配置了心跳频率和旋律变化。评估个体的时间-距离参数和步态表现。结果:与对照组相比，RAS显著提高了PD患者的步态速度。研究发现，将RAS设置为有旋律(10 M+)的患者的节奏增加10%比将RAS设置为无旋律(0 M-)的患者的正常节奏更有效(p p)。结论:我们的研究表明，在时间-距离参数和表现方面，实施RAS可以改善PD患者的步态，特别是当设置为比患者的步态节奏增加10%时。结论:节奏兼容的旋律性RAS可以安全地纳入PD康复计划。

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

Somatosensory and Motor Research 医学-神经科学

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.