Institute of Sports Science, Leibniz University Hannover, Hannover, Germany.
School of Life Sciences, Jacobs University Bremen, Bremen, Germany.
Sci Rep. 2018 Jan 11;8(1):506. doi: 10.1038/s41598-017-16232-5.
The use of rhythmic auditory cueing to enhance gait performance in parkinsonian patients' is an emerging area of interest. Different theories and underlying neurophysiological mechanisms have been suggested for ascertaining the enhancement in motor performance. However, a consensus as to its effects based on characteristics of effective stimuli, and training dosage is still not reached. A systematic review and meta-analysis was carried out to analyze the effects of different auditory feedbacks on gait and postural performance in patients affected by Parkinson's disease. Systematic identification of published literature was performed adhering to PRISMA guidelines, from inception until May 2017, on online databases; Web of science, PEDro, EBSCO, MEDLINE, Cochrane, EMBASE and PROQUEST. Of 4204 records, 50 studies, involving 1892 participants met our inclusion criteria. The analysis revealed an overall positive effect on gait velocity, stride length, and a negative effect on cadence with application of auditory cueing. Neurophysiological mechanisms, training dosage, effects of higher information processing constraints, and use of cueing as an adjunct with medications are thoroughly discussed. This present review bridges the gaps in literature by suggesting application of rhythmic auditory cueing in conventional rehabilitation approaches to enhance motor performance and quality of life in the parkinsonian community.
使用节奏性听觉提示来增强帕金森病患者的步态表现是一个新兴的研究领域。已经提出了不同的理论和潜在的神经生理学机制来确定运动表现的增强。然而，基于有效刺激的特征和训练剂量，对于其效果仍然没有达成共识。进行了系统评价和荟萃分析，以分析不同听觉反馈对帕金森病患者步态和姿势表现的影响。根据 PRISMA 指南，从开始到 2017 年 5 月，在在线数据库中系统地识别已发表的文献; Web of science、PEDro、EBSCO、MEDLINE、Cochrane、EMBASE 和 PROQUEST。在 4204 条记录中，有 50 项研究，涉及 1892 名参与者符合我们的纳入标准。分析结果表明，听觉提示的应用对步态速度、步幅有整体积极影响，对步频有负面影响。深入讨论了神经生理学机制、训练剂量、更高信息处理约束的影响以及将提示作为药物辅助的应用。本综述通过建议将节奏性听觉提示应用于常规康复方法，来增强帕金森病患者的运动表现和生活质量，从而弥补了文献中的空白。
