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Individualization of music‐based rhythmic auditory cueing in Parkinson's disease
Author(s) -
Bella Simone Dalla,
Dotov Dobromir,
Bardy Benoît,
Cock Valérie Cochen
Publication year - 2018
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/nyas.13859
Subject(s) - metronome , rhythm , psychology , cadence , beat (acoustics) , stride , stimulus (psychology) , physical medicine and rehabilitation , gait , audiology , cognitive psychology , medicine , physics , acoustics
Gait dysfunctions in Parkinson's disease can be partly relieved by rhythmic auditory cueing. This consists in asking patients to walk with a rhythmic auditory stimulus such as a metronome or music. The effect on gait is visible immediately in terms of increased speed and stride length. Moreover, training programs based on rhythmic cueing can have long‐term benefits. The effect of rhythmic cueing, however, varies from one patient to the other. Patients’ response to the stimulation may depend on rhythmic abilities, often deteriorating with the disease. Relatively spared abilities to track the beat favor a positive response to rhythmic cueing. On the other hand, most patients with poor rhythmic abilities either do not respond to the cues or experience gait worsening when walking with cues. An individualized approach to rhythmic auditory cueing with music is proposed to cope with this variability in patients’ response. This approach calls for using assistive mobile technologies capable of delivering cues that adapt in real time to patients’ gait kinematics, thus affording step synchronization to the beat. Individualized rhythmic cueing can provide a safe and cost‐effective alternative to standard cueing that patients may want to use in their everyday lives.