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音乐提示步态训练对帕金森病的影响:超越运动益处。

Effects of musically cued gait training in Parkinson's disease: beyond a motor benefit.

作者信息

Bella Simone Dalla, Benoit Charles-Etienne, Farrugia Nicolas, Schwartze Michael, Kotz Sonja A

机构信息

Movement to Health Laboratory, EuroMov, University of Montpellier-1, Montpellier, France; Institut Universitaire de France, France; Department of Cognitive Psychology, WSFiZ, Warsaw, Poland.

出版信息

Ann N Y Acad Sci. 2015 Mar;1337:77-85. doi: 10.1111/nyas.12651.

Abstract

Auditory stimulation via rhythmic cues can be used successfully in the rehabilitation of motor function in patients with motor disorders. A prototypical example is provided by dysfunctional gait in patients with idiopathic Parkinson's disease (PD). Coupling steps to external rhythmic cues (the beat of music or the sounds of a metronome) leads to long-term motor improvements, such as increased walking speed and greater stride length. These effects are likely to be underpinned by compensatory brain mechanisms involving cerebellar-thalamocortical networks. Because these areas are also involved in perceptual and motor timing, parallel improvement in timing tasks is expected in PD beyond purely motor benefits. In keeping with this idea, we report here recent behavioral data showing beneficial effects of musically cued gait training (MCGT) on gait performance (i.e., increased stride length and speed), perceptual timing (e.g., discriminating stimulus durations), and sensorimotor timing abilities (i.e., in paced tapping tasks) in PD patients. Particular attention is paid to individual differences in timing abilities in PD, thus paving the ground for an individualized MCGT-based therapy.

摘要

通过节奏线索进行听觉刺激可成功用于运动障碍患者的运动功能康复。特发性帕金森病(PD)患者的步态功能障碍就是一个典型例子。将步伐与外部节奏线索(音乐节拍或节拍器声音)相耦合可带来长期的运动改善,如步行速度加快和步幅增大。这些效果可能由涉及小脑 - 丘脑皮质网络的代偿性脑机制所支撑。由于这些区域也参与感知和运动定时,预计PD患者在定时任务方面除了纯粹的运动益处外还会有平行改善。基于这一想法,我们在此报告近期行为学数据,显示音乐引导步态训练(MCGT)对PD患者的步态表现(即步幅和速度增加)、感知定时(如辨别刺激持续时间)以及感觉运动定时能力(即在节奏性敲击任务中)具有有益影响。特别关注PD患者定时能力的个体差异,从而为基于MCGT的个体化治疗奠定基础。

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