Author ORCID Identifier

Dotov https://orcid.org/0000-0002-5543-360X

Document Type

Article

Publication Date

6-4-2018

Abstract

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.

Comments

"This is the peer reviewed version of the following article: Bella, S.D., Dotov, D., Bardy, B. and de Cock, V.C. (2018), Individualization of music-based rhythmic auditory cueing in Parkinson's disease. Ann. N.Y. Acad. Sci., 1423: 308-317, which has been published in final form at https://doi.org/10.1111/nyas.13859 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited."

DOI

https://doi.org/10.1111/nyas.13859

Journal Title

Annals of the New York Academy of Sciences

Volume

1423

Issue

1

First Page

308

Last Page

317

Included in

Biomechanics Commons

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