School of Health Professions, University of Texas Medical Branch, Galveston and Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX 77030, USA.
Clin Rehabil. 2009 Dec;23(12):1078-85. doi: 10.1177/0269215509337465.
To evaluate a self-administration of auditory cueing on gait difficulties in people with Parkinson's disease over a one-week period.
Single group pre and post test.
Research lab, community.
Twenty-one individuals with Parkinson's disease.
Self-application of an auditory pacer set at a rate 25% faster than preferred cadence.
Self-selected gait speed, cadence, stride length, and double support time with and without the pacer at the initial visit and after one week of pacer use.
During the initial visit, the auditory pacer improved gait speed (79.57 (18.13) cm/s vs. 94.02 (22.61) cm/s, P<0.0005), cadence (102.88 (11.34) step/min vs. 109.22 (10.23) steps/min, P=0.036) and stride length (94.33 (21.31) cm vs. 103.5 (22.65) cm, P =0.012). After one week, preferred gait speed was faster than the initial preferred speed (79.57 (18.13) vs. 95.20 (22.23) cm/s, P<0.0005). Stride length was significantly increased (94.33 (21.31) vs. 107.67 (20.01) cm, P =0.001). Double support time was decreased from 21.73 (5.23) to 18.94 (3.59)% gait cycle, P =0.016.
Gait performance in people with Parkinson's disease improved significantly after walking with the auditory pacer for one week.
评估在一周的时间内，帕金森病患者自我管理听觉提示对步态困难的影响。
单组前后测试。
研究实验室，社区。
21 名帕金森病患者。
自我应用比自身偏好步速快 25%的听觉节拍器。
初始就诊时和使用节拍器一周后，自我选择的步速、步频、步长和双支撑时间，有无节拍器。
在初始就诊时，听觉节拍器改善了步态速度（79.57（18.13）cm/s 比 94.02（22.61）cm/s，P<0.0005）、步频（102.88（11.34）步/min 比 109.22（10.23）步/min，P=0.036）和步长（94.33（21.31）cm 比 103.5（22.65）cm，P=0.012）。一周后，患者的自主喜好步速比初始时更快（79.57（18.13）比 95.20（22.23）cm/s，P<0.0005）。步长显著增加（94.33（21.31）比 107.67（20.01）cm，P=0.001）。双支撑时间从步态周期的 21.73（5.23）%下降到 18.94（3.59）%，P=0.016。
帕金森病患者使用听觉节拍器行走一周后，步态表现明显改善。
