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Among the most apparent and adverse symptoms of Parkinsonu0027s disease (PD) are disturbances in gait. These include shuffling (small amplitude steps), instability (asymmetry and variability between steps), freezing of gait (cessation of movement and difficulty with initiation), and general disfluencies in walking movements and posture (Morris et al., 1996; Bloem et al., 2004; Grabli et al., 2012). Limitations of pharmacological interventions to alleviate gait disturbances (Lord et al., 2011), have led to interest in exploring non-pharmacological means of enhancing walking in PD, to complement drugs-based approaches. Sensory cueing, in which perceptual guides for movement are presented visually, acoustically, or haptically, is one such approach. While sensory cueing, in particular rhythmic auditory cueing, is a viable and promising approach to enhancing gait in PD, it is our opinion that this approach could be expanded by developing a more action-focussed framework for understanding the information available to patients in sound (cues) and how this information influences gait.

Beyond the Metronome: Auditory Events and Music May Afford More than Just Interval Durations as Gait Cues in Parkinson's Disease