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可穿戴式节奏听觉刺激对帕金森病、多发性硬化症和中风的影响:一项系统评价和荟萃分析。

Influence of wearable rhythmic auditory stimulation on Parkinson's disease, multiple sclerosis, and stroke: a systematic review and meta-analysis.

作者信息

Scataglini Sofia, Van Bocxlaer Cas, Jansen Lynn, Van Es Laura, Van Laerhoven Charlotte, Truijen Steven

机构信息

4D4ALL Lab, Department of Rehabilitation Sciences and Physiotherapy, Center for Health and Technology (CHaT), Faculty of Medicine and Health Sciences, University of Antwerp, 2000, Antwerp, Belgium.

出版信息

Sci Rep. 2025 Jul 1;15(1):21432. doi: 10.1038/s41598-025-05952-8.


DOI:10.1038/s41598-025-05952-8
PMID:40595956
Abstract

Movement therapy using Rhythmic Auditory Stimulation (RAS) has been proven beneficial in Parkinson's disease (PD). However, research regarding RAS-therapy using wearable devices in all neurological disorders is needed. The aim of this study is to investigate the effectiveness of RAS-therapy using wearable devices on movement in individuals with neurological disorders. Systematic review and meta-analysis. Data sources June 27, 2024. PubMed, Web of Science, Medline, PEDro and ScienceDirect were searched. Following PRISMA-guidelines 2020. Inclusion criteria: all neurological disorders, Rhythmic auditory stimulation, wearable devices, movement parameters, studies written in Dutch or English. Exclusion criteria: non-neurological disorders, children, animals, healthy individuals, other interventions, EMG and EEG outcome parameters, patient reported outcome parameters, systematic reviews, meta-analyses, and other languages besides Dutch or English. Risk of bias was assessed using the QualSyst tool. 7993 articles after double-blind screening; thirty studies were included in the review and fifteen in the meta-analysis. Results showed improvements in stride length, step length, gait velocity, double support time, arm swing peak velocity and arm swing ROM. The meta-analysis confirmed significant improvements in gait velocity and stride length within a longitudinal design as well as when compared to a control group. Improvement in cadence was only significant in a longitudinal design but non-significant when compared to a control group (p = 0.247). RAS-therapy can be implemented for rehabilitation of PD, MS and stroke.

摘要

使用节律性听觉刺激(RAS)的运动疗法已被证明对帕金森病(PD)有益。然而,需要对在所有神经系统疾病中使用可穿戴设备进行RAS治疗的研究。本研究的目的是调查使用可穿戴设备进行RAS治疗对神经系统疾病患者运动的有效性。系统评价和荟萃分析。数据来源为2024年6月27日。检索了PubMed、科学网、Medline、PEDro和科学Direct。遵循2020年PRISMA指南。纳入标准:所有神经系统疾病、节律性听觉刺激、可穿戴设备、运动参数、用荷兰语或英语撰写的研究。排除标准:非神经系统疾病、儿童、动物、健康个体、其他干预措施、肌电图和脑电图结果参数、患者报告的结果参数、系统评价、荟萃分析以及荷兰语或英语以外的其他语言。使用QualSyst工具评估偏倚风险。双盲筛选后有7993篇文章;30项研究纳入综述,15项纳入荟萃分析。结果显示步幅、步长、步态速度、双支撑时间、手臂摆动峰值速度和手臂摆动活动范围有所改善。荟萃分析证实,在纵向设计中以及与对照组相比时,步态速度和步幅有显著改善。步频的改善仅在纵向设计中显著,但与对照组相比不显著(p = 0.247)。RAS治疗可用于帕金森病、多发性硬化症和中风的康复。

相似文献

[1]
Influence of wearable rhythmic auditory stimulation on Parkinson's disease, multiple sclerosis, and stroke: a systematic review and meta-analysis.

Sci Rep. 2025-7-1

[2]
Effect of Music Based Therapy Rhythmic Auditory Stimulation (RAS) Using Wearable Device in Rehabilitation of Neurological Patients: A Systematic Review.

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[3]
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Int J Environ Res Public Health. 2022-2-28

[4]
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[5]
Effects of Therapeutic Intervention on Spatiotemporal Gait Parameters in Adults With Neurologic Disorder: Systematic Review and Meta-analysis.

Arch Phys Med Rehabil. 2023-3

[6]
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[7]
Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performance in Healthy and Patient Populations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Gerontology. 2017-11-1

[8]
The effect of auditory cues on gait variability in people with Parkinson's disease and older adults: a systematic review.

Neurodegener Dis Manag. 2023-4

[9]
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Cochrane Database Syst Rev. 2016-12-21

[10]
The Efficacy of Wearable Cueing Devices on Gait and Motor Function in Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Arch Phys Med Rehabil. 2024-2

本文引用的文献

[1]
Model-based cueing-as-needed for walking in Parkinson's disease: A randomized cross-over study.

Rev Neurol (Paris). 2024-10

[2]
Detection of Rehabilitation Training Effect of Upper Limb Movement Disorder Based on MPL-CNN.

Sensors (Basel). 2024-2-8

[3]
Effect of Music Based Therapy Rhythmic Auditory Stimulation (RAS) Using Wearable Device in Rehabilitation of Neurological Patients: A Systematic Review.

Sensors (Basel). 2023-6-26

[4]
Rhythmic auditory stimulation as a potential neuromodulator for Parkinson's disease.

Parkinsonism Relat Disord. 2023-8

[5]
Autonomous Control of Music to Retrain Walking After Stroke.

Neurorehabil Neural Repair. 2023-5

[6]
Binaural acoustic stimulation in patients with Parkinson's disease.

Front Neurol. 2023-5-5

[7]
Effects of rhythmic auditory stimulation on motor function and balance ability in stroke: A systematic review and meta-analysis of clinical randomized controlled studies.

Front Neurosci. 2022-11-17

[8]
Effect of music-based movement therapy on the freezing of gait in patients with Parkinson's disease: A randomized controlled trial.

Front Aging Neurosci. 2022-10-19

[9]
Health-Related Indicators Measured Using Earable Devices: Systematic Review.

JMIR Mhealth Uhealth. 2022-11-15

[10]
Rhythmic auditory stimulation promotes gait recovery in Parkinson's patients: A systematic review and meta-analysis.

Front Neurol. 2022-7-28

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