Ghai Shashank, Ghai Ishan
Institute of Sports Science, Leibniz University Hannover, Hanover, Germany.
Consultation Division, Program Management Discovery Sciences, RSGBIOGEN, New Delhi, India.
Front Neurol. 2019 Jan 29;10:21. doi: 10.3389/fneur.2019.00021. eCollection 2019.
Patients undergoing chemotherapy, radiotherapy, and immunotherapy experience neurotoxic changes in the central and peripheral nervous system. These neurotoxic changes adversely affect functioning in the sensory, motor, and cognitive domains. Thereby, considerably affecting autonomic activities like gait and posture. Recent evidence from a range of systematic reviews and meta-analyses have suggested the beneficial influence of music-based external auditory stimulations i.e., rhythmic auditory cueing and real-time auditory feedback (sonification) on gait and postural stability in population groups will balance disorders. This perspective explores the conjunct implications of auditory stimulations during cancer treatment to simultaneously reduce gait and posture related deficits. Underlying neurophysiological mechanisms by which auditory stimulations might influence motor performance have been discussed. Prompt recognition of this sensorimotor training strategy in future studies can have a widespread impact on patient care in all areas of oncology.
接受化疗、放疗和免疫治疗的患者会经历中枢和外周神经系统的神经毒性变化。这些神经毒性变化会对感觉、运动和认知领域的功能产生不利影响。从而,对诸如步态和姿势等自主活动产生相当大的影响。一系列系统评价和荟萃分析的最新证据表明,基于音乐的外部听觉刺激,即节奏听觉提示和实时听觉反馈(可听化),对存在平衡障碍的人群的步态和姿势稳定性具有有益影响。本文探讨了癌症治疗期间听觉刺激的联合作用,以同时减少与步态和姿势相关的缺陷。文中还讨论了听觉刺激可能影响运动表现的潜在神经生理机制。在未来的研究中迅速认识到这种感觉运动训练策略,可能会对肿瘤学所有领域的患者护理产生广泛影响。