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通过节奏调制音乐增强步态节奏:一项针对健康成年人的研究。

Enhancing gait cadence through rhythm-modulated music: A study on healthy adults.

机构信息

Department of Biomedical Engineering, Faculty of Engineering, University of Isfahan, Isfahan, Iran.

Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

出版信息

Comput Biol Med. 2024 May;174:108465. doi: 10.1016/j.compbiomed.2024.108465. Epub 2024 Apr 10.

Abstract

BACKGROUND AND OBJECTIVE

Gait disorders stemming from brain lesions or chemical imbalances, pose significant challenges for patients. Proposed treatments encompass medication, deep brain stimulation, physiotherapy, and visual stimulation. Music, with its harmonious structures, serves as a continuous reference, synchronizing muscle activities through neural connections between hearing and motor functions, can show promise in gait disorder management. This study explores the influence of heightened music rhythm on young healthy participants' gait cadence in three conditions: FeedForward (independent rhythm), FeedBack (cadence-synced rhythm), and Adaptive (cadence-controlled musical experience). The objective is to increase gait cadence through rhythm modulation during walking.

METHOD

The study involved 18 young healthy participants (13 males and 5 females) who did not have any gait or hearing disorders. Each participant completed the gait task in the three aforementioned conditions. Each condition was comprised of three sessions: 1) Baseline, where participants walked while listening to the original music; 2) Intervention, changing the music rhythm to affect the gait cadence; and 3) Realign, replaying the original music and measuring the durability of the effect of the Intervention session. The measurement tool was a pair of footwear equipped with push-button switches that transmited the foot-to-ground contact to the LabVIEW® software, all designed by the research team. Repeated measures of ANOVA was employed to evaluate the impact of the sessions and conditions.

RESULTS

In all three conditions, there was a significant effect of music on increasing gait cadence during Intervention and Realign sessions (p < 0.001). Additionally, the immediate impact of music on gait cadence in the Adaptive condition was superior to the other conditions.

CONCLUSION

The study findings indicate that increasing the rhythm of music during walking has a significant impact on gait cadence among young healthy participants. This effect remained significant even after realigning the music to normal. It could be harnessed to support the rehabilitation of individuals with movement disorders characterized by a decrease in movement speed, such as Parkinson's disease. Moreover, the results indicate that the Adaptive method showed promising outcomes, suggesting its potential for further exploration as an effective means to control gait cadence.

摘要

背景与目的

由脑损伤或化学失衡引起的步态障碍对患者构成重大挑战。提出的治疗方法包括药物治疗、深部脑刺激、物理治疗和视觉刺激。音乐以其和谐的结构为连续参考,通过听觉和运动功能之间的神经连接同步肌肉活动,有望用于管理步态障碍。本研究探讨了在三种条件下(前馈(独立节奏)、反馈(与节奏同步的节奏)和自适应(节奏控制的音乐体验))增强音乐节奏对年轻健康参与者步态节奏的影响。目的是通过行走时的节奏调节增加步态节奏。

方法

该研究涉及 18 名年轻健康参与者(13 名男性和 5 名女性),他们没有任何步态或听力障碍。每个参与者都在上述三种条件下完成了步态任务。每种条件都由三个会话组成:1)基线,参与者在听原始音乐时行走;2)干预,改变音乐节奏以影响步态节奏;3)重新调整,重放原始音乐并测量干预会话效果的持久性。测量工具是一双带有按钮开关的鞋子,将脚与地面的接触传输到由研究团队设计的 LabVIEW®软件。采用重复测量方差分析评估会话和条件的影响。

结果

在所有三种条件下,音乐在干预和重新调整会话期间对增加步态节奏都有显著影响(p<0.001)。此外,自适应条件下音乐对步态节奏的即时影响优于其他条件。

结论

研究结果表明,行走时增加音乐节奏对年轻健康参与者的步态节奏有显著影响。即使将音乐重新调整为正常,这种影响仍然显著。它可以被利用来支持以运动速度下降为特征的运动障碍患者的康复,例如帕金森病。此外,结果表明自适应方法显示出有希望的结果,表明其作为控制步态节奏的有效手段具有进一步探索的潜力。

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