Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson's disease.
Identifieur interne : 002108 ( Ncbi/Merge ); précédent : 002107; suivant : 002109Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson's disease.
Auteurs : D G Dotov [Mexique] ; S. Bayard [France] ; V. Cochen De Cock [France] ; C. Geny [France] ; V. Driss [France] ; G. Garrigue [France] ; B. Bardy [France] ; S. Dalla Bella [Pologne]Source :
- Gait & posture [ 1879-2219 ] ; 2017.
Abstract
Rhythmic auditory cueing improves certain gait symptoms of Parkinson's disease (PD). Cues are typically stimuli or beats with a fixed inter-beat interval. We show that isochronous cueing has an unwanted side-effect in that it exacerbates one of the motor symptoms characteristic of advanced PD. Whereas the parameters of the stride cycle of healthy walkers and early patients possess a persistent correlation in time, or long-range correlation (LRC), isochronous cueing renders stride-to-stride variability random. Random stride cycle variability is also associated with reduced gait stability and lack of flexibility.
DOI: 10.1016/j.gaitpost.2016.09.020
PubMed: 27710836
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Garrigue</name><affiliation wicri:level="3"><nlm:affiliation>Clinique du Parc, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinique du Parc, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Bardy, B" sort="Bardy, B" uniqKey="Bardy B" first="B" last="Bardy">B. Bardy</name><affiliation wicri:level="3"><nlm:affiliation>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Dalla Bella, S" sort="Dalla Bella, S" uniqKey="Dalla Bella S" first="S" last="Dalla Bella">S. Dalla Bella</name><affiliation wicri:level="1"><nlm:affiliation>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris, France; International Laboratory for Brain, Music, and Sound Research (BRAMS), Montreal, Canada; Department of Cognitive Psychology, WSFiZ, Warsaw, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris, France; International Laboratory for Brain, Music, and Sound Research (BRAMS), Montreal, Canada; Department of Cognitive Psychology, WSFiZ, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author></analytic><series><title level="j">Gait & posture</title><idno type="eISSN">1879-2219</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Rhythmic auditory cueing improves certain gait symptoms of Parkinson's disease (PD). Cues are typically stimuli or beats with a fixed inter-beat interval. We show that isochronous cueing has an unwanted side-effect in that it exacerbates one of the motor symptoms characteristic of advanced PD. Whereas the parameters of the stride cycle of healthy walkers and early patients possess a persistent correlation in time, or long-range correlation (LRC), isochronous cueing renders stride-to-stride variability random. Random stride cycle variability is also associated with reduced gait stability and lack of flexibility.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27710836</PMID><DateCreated><Year>2016</Year><Month>10</Month><Day>06</Day></DateCreated><DateRevised><Year>2016</Year><Month>12</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-2219</ISSN><JournalIssue CitedMedium="Internet"><Volume>51</Volume><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Gait & posture</Title><ISOAbbreviation>Gait Posture</ISOAbbreviation></Journal><ArticleTitle>Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>64-69</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0966-6362(16)30582-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gaitpost.2016.09.020</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Rhythmic auditory cueing improves certain gait symptoms of Parkinson's disease (PD). Cues are typically stimuli or beats with a fixed inter-beat interval. We show that isochronous cueing has an unwanted side-effect in that it exacerbates one of the motor symptoms characteristic of advanced PD. Whereas the parameters of the stride cycle of healthy walkers and early patients possess a persistent correlation in time, or long-range correlation (LRC), isochronous cueing renders stride-to-stride variability random. Random stride cycle variability is also associated with reduced gait stability and lack of flexibility.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">To investigate how to prevent patients from acquiring a random stride cycle pattern, we tested rhythmic cueing which mimics the properties of variability found in healthy gait (biological variability). PD patients (n=19) and age-matched healthy participants (n=19) walked with three rhythmic cueing stimuli: isochronous, with random variability, and with biological variability (LRC). Synchronization was not instructed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The persistent correlation in gait was preserved only with stimuli with biological variability, equally for patients and controls (p's<0.05). In contrast, cueing with isochronous or randomly varying inter-stimulus/beat intervals removed the LRC in the stride cycle. Notably, the individual's tendency to synchronize steps with beats determined the amount of negative effects of isochronous and random cues (p's<0.05) but not the positive effect of biological variability.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Stimulus variability and patients' propensity to synchronize play a critical role in fostering healthier gait dynamics during cueing. The beneficial effects of biological variability provide useful guidelines for improving existing cueing treatments.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dotov</LastName><ForeName>D G</ForeName><Initials>DG</Initials><AffiliationInfo><Affiliation>EuroMov, Université de Montpellier, Montpellier, France; Centro de Ciencias de la Complejidad (C3), Universidad Nacional Autónoma de México, Mexico. Electronic address: dobri.dotov@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bayard</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>EuroMov, Université de Montpellier, Montpellier, France; CHRU, Hôpital Gui-de-Chauliac, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cochen de Cock</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>CHRU, Hôpital Gui-de-Chauliac, Montpellier, France; Clinique Beau Soleil, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Geny</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>EuroMov, Université de Montpellier, Montpellier, France; CHRU, Hôpital Gui-de-Chauliac, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Driss</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>CHRU, Hôpital Gui-de-Chauliac, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garrigue</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Clinique du Parc, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bardy</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dalla Bella</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>EuroMov, Université de Montpellier, Montpellier, France; Institut Universitaire de France (IUF), Paris, France; International Laboratory for Brain, Music, and Sound Research (BRAMS), Montreal, Canada; Department of Cognitive Psychology, WSFiZ, Warsaw, Poland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Gait Posture</MedlineTA><NlmUniqueID>9416830</NlmUniqueID><ISSNLinking>0966-6362</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cueing</Keyword><Keyword MajorTopicYN="N">Gait</Keyword><Keyword MajorTopicYN="N">Motor variability</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">Rhythm</Keyword><Keyword MajorTopicYN="N">Synchronization</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>03</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>09</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27710836</ArticleId><ArticleId IdType="pii">S0966-6362(16)30582-3</ArticleId><ArticleId IdType="doi">10.1016/j.gaitpost.2016.09.020</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li><li>Mexique</li><li>Pologne</li></country><region><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li><li>Île-de-France</li></region><settlement><li>Montpellier</li><li>Paris</li></settlement></list><tree><country name="Mexique"><noRegion><name sortKey="Dotov, D G" sort="Dotov, D G" uniqKey="Dotov D" first="D G" last="Dotov">D G Dotov</name></noRegion></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Bayard, S" sort="Bayard, S" uniqKey="Bayard S" first="S" last="Bayard">S. Bayard</name></region><name sortKey="Bardy, B" sort="Bardy, B" uniqKey="Bardy B" first="B" last="Bardy">B. Bardy</name><name sortKey="Cochen De Cock, V" sort="Cochen De Cock, V" uniqKey="Cochen De Cock V" first="V" last="Cochen De Cock">V. Cochen De Cock</name><name sortKey="Driss, V" sort="Driss, V" uniqKey="Driss V" first="V" last="Driss">V. Driss</name><name sortKey="Garrigue, G" sort="Garrigue, G" uniqKey="Garrigue G" first="G" last="Garrigue">G. Garrigue</name><name sortKey="Geny, C" sort="Geny, C" uniqKey="Geny C" first="C" last="Geny">C. Geny</name></country><country name="Pologne"><noRegion><name sortKey="Dalla Bella, S" sort="Dalla Bella, S" uniqKey="Dalla Bella S" first="S" last="Dalla Bella">S. Dalla Bella</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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