Effect of external cueing on gait in Huntington's disease
Identifieur interne : 000290 ( France/Analysis ); précédent : 000289; suivant : 000291Effect of external cueing on gait in Huntington's disease
Auteurs : Arnaud Delval [France] ; Pierre Krystkowiak [France] ; Marie Delliaux [France] ; Jean-Louis Blatt [France] ; Philippe Derambure [France] ; Alain Destée [France] ; Luc Defebvre [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-07-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Acoustic Stimulation, Adult, Ataxia (etiology), Ataxia (physiopathology), Ataxia (psychology), Attention, Basal ganglion, Cognition, Cues, Female, Gait Disorders, Neurologic (etiology), Gait Disorders, Neurologic (physiopathology), Gait Disorders, Neurologic (psychology), Gait Disorders, Neurologic (rehabilitation), Humans, Huntington Disease (complications), Huntington Disease (physiopathology), Huntington Disease (psychology), Huntington disease, Huntington's disease, Male, Middle Aged, Nervous system diseases, Periodicity, Psychomotor Performance, Walking, attentional resources, basal ganglia, dual tasks, gait, metronome.
- MESH :
- complications : Huntington Disease.
- etiology : Ataxia, Gait Disorders, Neurologic.
- physiopathology : Ataxia, Gait Disorders, Neurologic, Huntington Disease.
- psychology : Ataxia, Gait Disorders, Neurologic, Huntington Disease.
- rehabilitation : Gait Disorders, Neurologic.
- Acoustic Stimulation, Adult, Attention, Cognition, Cues, Female, Humans, Male, Middle Aged, Periodicity, Psychomotor Performance, Walking.
Abstract
In Huntington's disease (HD) patients, gait is characterized by a timing disorder with marked intraindividual variability in temporal gait parameters (caused by the presence of both hyperkinetic and hypokinetic features). We sought to determine the influence of use of a metronome on gait parameters in patients simultaneously performing motor or cognitive tasks that required attentional resources. The objective is to evaluate the influence of rhythmic cues on gait interference during self‐regulated walking and a dual task paradigm in HD. Fifteen HD patients and 15 paired controls were asked to walk and simultaneously perform another motor task (carrying a tray with four full glasses) or a cognitive task (counting backwards). We evaluated the effect of a metronome (set at 100% and 120% of the subject's self‐determined cadence) in three different task conditions (gait alone, gait + motor task, gait + cognitive task). The use of auditory cues during free gait and dual tasks did not improve kinematic parameters in HD patients, in contrast to the situation for control subjects (improvement in gait speed and cadence but not stride length when the metronome was set at 120% in all conditions). HD patients have difficulty in synchronizing their footsteps with a metronome, mainly due to attentional deficits. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22125
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-07-30">2008-07-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1446">1446</biblScope><biblScope unit="page" to="1452">1452</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">3A2FCDEDC9CCCD9E37F3191059CBC7990F9E601F</idno><idno type="DOI">10.1002/mds.22125</idno><idno type="ArticleID">MDS22125</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation</term><term>Adult</term><term>Ataxia (etiology)</term><term>Ataxia (physiopathology)</term><term>Ataxia (psychology)</term><term>Attention</term><term>Basal ganglion</term><term>Cognition</term><term>Cues</term><term>Female</term><term>Gait Disorders, Neurologic (etiology)</term><term>Gait Disorders, Neurologic (physiopathology)</term><term>Gait Disorders, Neurologic (psychology)</term><term>Gait Disorders, Neurologic (rehabilitation)</term><term>Humans</term><term>Huntington Disease (complications)</term><term>Huntington Disease (physiopathology)</term><term>Huntington Disease (psychology)</term><term>Huntington disease</term><term>Huntington's disease</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Periodicity</term><term>Psychomotor Performance</term><term>Walking</term><term>attentional resources</term><term>basal ganglia</term><term>dual tasks</term><term>gait</term><term>metronome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ataxia</term><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Ataxia</term><term>Gait Disorders, Neurologic</term><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Ataxia</term><term>Gait Disorders, Neurologic</term><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acoustic Stimulation</term><term>Adult</term><term>Attention</term><term>Cognition</term><term>Cues</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Periodicity</term><term>Psychomotor Performance</term><term>Walking</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chorée de Huntington</term><term>Noyau gris central</term><term>Pathologie du système nerveux</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In Huntington's disease (HD) patients, gait is characterized by a timing disorder with marked intraindividual variability in temporal gait parameters (caused by the presence of both hyperkinetic and hypokinetic features). We sought to determine the influence of use of a metronome on gait parameters in patients simultaneously performing motor or cognitive tasks that required attentional resources. The objective is to evaluate the influence of rhythmic cues on gait interference during self‐regulated walking and a dual task paradigm in HD. Fifteen HD patients and 15 paired controls were asked to walk and simultaneously perform another motor task (carrying a tray with four full glasses) or a cognitive task (counting backwards). We evaluated the effect of a metronome (set at 100% and 120% of the subject's self‐determined cadence) in three different task conditions (gait alone, gait + motor task, gait + cognitive task). The use of auditory cues during free gait and dual tasks did not improve kinematic parameters in HD patients, in contrast to the situation for control subjects (improvement in gait speed and cadence but not stride length when the metronome was set at 120% in all conditions). HD patients have difficulty in synchronizing their footsteps with a metronome, mainly due to attentional deficits. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Nord-Pas-de-Calais</li></region><settlement><li>Lille</li></settlement><orgName><li>Université Lille 2</li><li>Université Lille Nord de France</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name></noRegion><name sortKey="Blatt, Jean Ouis" sort="Blatt, Jean Ouis" uniqKey="Blatt J" first="Jean-Louis" last="Blatt">Jean-Louis Blatt</name><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name><name sortKey="Delliaux, Marie" sort="Delliaux, Marie" uniqKey="Delliaux M" first="Marie" last="Delliaux">Marie Delliaux</name><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name><name sortKey="Derambure, Philippe" sort="Derambure, Philippe" uniqKey="Derambure P" first="Philippe" last="Derambure">Philippe Derambure</name><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name><name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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