The Possible Price of Auditory Cueing: Influence on Obstacle Avoidance in Parkinson's Disease
Identifieur interne : 000F49 ( Main/Exploration ); précédent : 000F48; suivant : 000F50The Possible Price of Auditory Cueing: Influence on Obstacle Avoidance in Parkinson's Disease
Auteurs : Wandana Nanhoe-Mahabier [Pays-Bas] ; Arnaud Delval [France] ; Anke H. Snijders [Pays-Bas] ; Vivian Weerdesteyn [Pays-Bas] ; Sebastiaan Overeem [Pays-Bas] ; Bastiaan R. Bloem [Pays-Bas]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Congélation.
English descriptors
Abstract
Background: Under carefully controlled conditions, rhythmic auditory cueing can improve gait in patients with Parkinson's disease (PD). In complex environments, attention paid to cueing might adversely affect gait, for example when a simultaneous task-such as avoiding obstacles-has to be executed. We primarily examined whether concurrent auditory cueing interferes with an obstacle avoidance task in patients with PD. The secondary aim was to study differences between patients with and without freezing of gait. Methods: Nineteen patients with PD (8 with freezing) were examined on a treadmill in 4 conditions: normal walking ; walking with auditory cueing; walking with an obstacle avoidance task; and walking with auditory cueing and obstacle avoidance. Outcome measures included kinematic gait parameters and obstacle crossing parameters. Results: Auditory cueing improved gait in PD, without negative effects on concurrent obstacle avoidance. Additionally, freezers avoided obstacles less efficiently than non-freezers. Conclusions: PD patients are able to successfully execute an obstacle avoidance task, when auditory cueing is administered simultaneously. The different obstacle avoidance behavior in freezers may contribute to their higher fall risk.
Affiliations:
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Snijders</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre</s1><s2>Nijmegen</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Weerdesteyn, Vivian" sort="Weerdesteyn, Vivian" uniqKey="Weerdesteyn V" first="Vivian" last="Weerdesteyn">Vivian Weerdesteyn</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre</s1><s2>Nijmegen</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Overeem, Sebastiaan" sort="Overeem, Sebastiaan" uniqKey="Overeem S" first="Sebastiaan" last="Overeem">Sebastiaan Overeem</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre</s1><s2>Nijmegen</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre</s1><s2>Nijmegen</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Avoidance</term><term>Freezing</term><term>Nervous system diseases</term><term>Parkinson disease</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Evitement</term><term>Congélation</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Congélation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Under carefully controlled conditions, rhythmic auditory cueing can improve gait in patients with Parkinson's disease (PD). In complex environments, attention paid to cueing might adversely affect gait, for example when a simultaneous task-such as avoiding obstacles-has to be executed. We primarily examined whether concurrent auditory cueing interferes with an obstacle avoidance task in patients with PD. The secondary aim was to study differences between patients with and without freezing of gait. Methods: Nineteen patients with PD (8 with freezing) were examined on a treadmill in 4 conditions: normal walking ; walking with auditory cueing; walking with an obstacle avoidance task; and walking with auditory cueing and obstacle avoidance. Outcome measures included kinematic gait parameters and obstacle crossing parameters. Results: Auditory cueing improved gait in PD, without negative effects on concurrent obstacle avoidance. Additionally, freezers avoided obstacles less efficiently than non-freezers. Conclusions: PD patients are able to successfully execute an obstacle avoidance task, when auditory cueing is administered simultaneously. The different obstacle avoidance behavior in freezers may contribute to their higher fall risk.</div></front></TEI><affiliations><list><country><li>France</li><li>Pays-Bas</li></country><region><li>Gueldre</li></region><settlement><li>Lille</li><li>Nimègue</li></settlement></list><tree><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Nanhoe Mahabier, Wandana" sort="Nanhoe Mahabier, Wandana" uniqKey="Nanhoe Mahabier W" first="Wandana" last="Nanhoe-Mahabier">Wandana Nanhoe-Mahabier</name></region><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name><name sortKey="Overeem, Sebastiaan" sort="Overeem, Sebastiaan" uniqKey="Overeem S" first="Sebastiaan" last="Overeem">Sebastiaan Overeem</name><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H." last="Snijders">Anke H. Snijders</name><name sortKey="Weerdesteyn, Vivian" sort="Weerdesteyn, Vivian" uniqKey="Weerdesteyn V" first="Vivian" last="Weerdesteyn">Vivian Weerdesteyn</name></country><country name="France"><noRegion><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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