Thanks for the information. May I know the authors of the re
Hi there!
Thanks for the information. May I know the authors of the research?
Thanks and regards,
Shan
________________________________
From: schild.m <[log in to unmask]>
To: [log in to unmask]
Sent: Saturday, February 14, 2009 4:42:03 PM
Subject: Does auditory rhythmical cueing improve gait in people with Parkinson’s
Does auditory rhythmical cueing improve gait in people with Parkinson’s
disease and cognitive impairment?
Gait and balance problems resulting from Parkinson’s disease (PD) are more
common in people with PD and dementia (PDD), yet, it is unknown whether the
benefits of cueing therapy for mobility generalize to them. We aimed to
determine the feasibility and effectiveness of auditory cues to improve gait
in PD and cognitive impairment (PD-CI). Nine participants with PD-CI walked
with and without auditory cues using two different strategies: (1) Cue with
temporal instruction to step in time to the beat, (2) Cue with spatiotemporal
instruction to take a big step in time to the beat. Cues were delivered with
a metronome at preferred stepping frequency while on medication during single
and dual-task gait. Gait was assessed using GAITRite and walking speed,
stride amplitude, step frequency, and variability (CV%) of step and double
limb support time were measured. Data were analyzed in SPSS version 16 using
fixed-effect linear mixed models. An adjusted, P value of 0.01 was considered
significant. Participants were men, aged 74.89 (±6.45) years with median MMSE
of 22 (range 20.5-25) and UPDRS III score of 44 (35.5-47.0). Participants
complied with testing and instructions. The cue that focused attention on
both temporal and spatial parameters of gait significantly improved single
and dual-task walking speed and stride amplitude. This study provides
evidence for the potential of cueing to improve gait in PD-CI. Only
individuals with mild CI were included, and the effect with increased CI and
different types of dementia requires further evaluation. © 2009 Movement
Disorder Society
from Movement Disorders
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