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一项关于自定节奏听觉提示和偏好音乐对帕金森病患者步态影响的初步研究。

A Pilot Study on the Influence of Self-Paced Auditory Cues and Preferred Music on Gait in Persons with Parkinson's Disease.

作者信息

Brant Maddie, Barrick Callan, Muno Lindsay, Stegemoller Elizabeth

机构信息

Department of Neuroscience, Iowa State University, Ames, IA 50011, USA.

Department of Kinesiology, Iowa State University, Ames, IA 50011, USA.

出版信息

Brain Sci. 2025 May 20;15(5):528. doi: 10.3390/brainsci15050528.

DOI:10.3390/brainsci15050528
PMID:40426699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12110284/
Abstract

: Gait disturbance in Parkinson's Disease (PD) significantly impacts quality of life and is not completely mitigated by dopaminergic treatment. Auditory cueing has been shown to help improve certain aspects of gait, but its effects when matched to individuals' preferred walking rate remain unexplored. : Nine individuals with PD walked at their preferred rate across a GAITRite mat under three separate conditions: self-paced, metronome-cued, and music-cued. Spatiotemporal gait measures were collected and analyzed using repeated measures ANOVAs and post-hoc paired-samples -tests. : A main effect of condition was revealed for step width (F = 3.533, = 0.054, η = 0.306), with reduced step width revealed during the music-cued condition. Post-hoc analysis revealed no significance ( > 0.063). : The trend in step width data suggests a potential benefit of music cueing for enhancing gait stability in persons with PD. Results of this pilot study provide valuable framework for future research and the development of therapeutic interventions to enhance gait stability, reduce fall risk, and improve overall quality of life.

摘要

帕金森病(PD)中的步态障碍会显著影响生活质量,且多巴胺能治疗并不能完全缓解这种情况。听觉提示已被证明有助于改善步态的某些方面,但与个体偏好步行速度相匹配时其效果仍未得到探索。:九名帕金森病患者在三种不同条件下以他们偏好的速度走过GAITRite垫子:自我节奏、节拍器提示和音乐提示。使用重复测量方差分析和事后配对样本检验收集并分析时空步态测量数据。:条件对步幅宽度有主效应(F = 3.533,P = 0.054,η² = 0.306),在音乐提示条件下步幅宽度减小。事后分析未显示出显著性(P > 0.063)。:步幅宽度数据的趋势表明音乐提示对增强帕金森病患者的步态稳定性有潜在益处。这项初步研究的结果为未来研究以及开发增强步态稳定性、降低跌倒风险和改善整体生活质量的治疗干预措施提供了有价值的框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee9/12110284/9fdce669104a/brainsci-15-00528-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee9/12110284/9fdce669104a/brainsci-15-00528-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee9/12110284/9fdce669104a/brainsci-15-00528-g001.jpg

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本文引用的文献

1
Neural representations of beat and rhythm in motor and association regions.运动和联合区域中节拍和节奏的神经表示。
Cereb Cortex. 2024 Oct 3;34(10). doi: 10.1093/cercor/bhae406.
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The influence of step width on balance control and response strategies during perturbed walking in healthy young adults.步宽对健康年轻成年人受扰行走时平衡控制和反应策略的影响。
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Improvement in gait stability in older adults after ten sessions of standing balance training.
老年人经过十次站立平衡训练后,步态稳定性得到改善。
PLoS One. 2022 Jul 27;17(7):e0242115. doi: 10.1371/journal.pone.0242115. eCollection 2022.
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Gait in younger and older adults during rhythmic auditory stimulation is influenced by groove, familiarity, beat perception, and synchronization demands.在有节奏的听觉刺激下,年轻人和老年人的步态受到凹槽、熟悉度、节拍感知和同步需求的影响。
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The Supplementary Motor Complex in Parkinson's Disease.帕金森病中的辅助运动复合体
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3D visual cueing shortens the double support phase of the gait cycle in patients with advanced Parkinson's disease treated with DBS of the STN.3D 视觉提示可缩短接受 STN-DBS 治疗的晚期帕金森病患者步态周期的双支撑相。
PLoS One. 2020 Dec 31;15(12):e0244676. doi: 10.1371/journal.pone.0244676. eCollection 2020.
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Individuals With Parkinson's Disease Retain Spatiotemporal Gait Control With Music and Metronome Cues.帕金森病患者在音乐和节拍器提示下保持时空步态控制。
Motor Control. 2020 Oct 19;25(1):33-43. doi: 10.1123/mc.2020-0038.
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Cueing Paradigms to Improve Gait and Posture in Parkinson's Disease: A Narrative Review.提示范式以改善帕金森病的步态和姿势:叙述性综述。
Sensors (Basel). 2019 Dec 11;19(24):5468. doi: 10.3390/s19245468.
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The Role of Perspective Taking on Attention: A Review of the Special Issue on the Reflexive Attentional Shift Phenomenon.观点采择对注意力的作用:关于反射性注意转移现象特刊的综述
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10
Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson's Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks.音乐和节拍器对帕金森病患者和非帕金森病患者的运动计时有不同影响:慢、中、快节奏对手指敲击、脚趾敲击和原地踏步任务中的夹带和同步表现的影响。
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