Effect of External Cueing on Gait in Huntington's Disease
Identifieur interne : 001280 ( PascalFrancis/Checkpoint ); précédent : 001279; suivant : 001281Effect 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.
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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.
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France</orgName></affiliation></author><author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion><placeName><settlement type="city">Lille</settlement><region type="region" nuts="2">Nord-Pas-de-Calais</region></placeName><orgName type="university" n="3">Université Lille 2</orgName><orgName type="institution" wicri:auto="newGroup">Université Lille Nord de France</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0417076</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0417076 INIST</idno><idno type="RBID">Pascal:08-0417076</idno><idno type="wicri:Area/PascalFrancis/Corpus">001169</idno><idno type="wicri:Area/PascalFrancis/Curation">001B50</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001280</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Effect of External Cueing on Gait in Huntington's Disease</title><author><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Delliaux, Marie" sort="Delliaux, Marie" uniqKey="Delliaux M" first="Marie" last="Delliaux">Marie Delliaux</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Blatt, Jean Louis" sort="Blatt, Jean Louis" uniqKey="Blatt J" first="Jean-Louis" last="Blatt">Jean-Louis Blatt</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Derambure, Philippe" sort="Derambure, Philippe" uniqKey="Derambure P" first="Philippe" last="Derambure">Philippe Derambure</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destee">Alain Destée</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion><placeName><settlement type="city">Lille</settlement><region type="region" nuts="2">Nord-Pas-de-Calais</region></placeName><orgName type="university" n="3">Université Lille 2</orgName><orgName type="institution" wicri:auto="newGroup">Université Lille Nord de France</orgName></affiliation></author><author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Lille Regional University Hospital</wicri:noRegion><wicri:noRegion>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</wicri:noRegion><placeName><settlement type="city">Lille</settlement><region type="region" nuts="2">Nord-Pas-de-Calais</region></placeName><orgName type="university" n="3">Université Lille 2</orgName><orgName type="institution" wicri:auto="newGroup">Université Lille Nord de France</orgName></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="2008">2008</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>Basal ganglion</term><term>Huntington disease</term><term>Nervous system diseases</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chorée de Huntington</term><term>Pathologie du système nerveux</term><term>Noyau gris central</term></keywords></textClass></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.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>23</s2></fA05><fA06><s2>10</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Effect of External Cueing on Gait in Huntington's Disease</s1></fA08><fA11 i1="01" i2="1"><s1>DELVAL (Arnaud)</s1></fA11><fA11 i1="02" i2="1"><s1>KRYSTKOWIAK (Pierre)</s1></fA11><fA11 i1="03" i2="1"><s1>DELLIAUX (Marie)</s1></fA11><fA11 i1="04" i2="1"><s1>BLATT (Jean-Louis)</s1></fA11><fA11 i1="05" i2="1"><s1>DERAMBURE (Philippe)</s1></fA11><fA11 i1="06" i2="1"><s1>DESTEE (Alain)</s1></fA11><fA11 i1="07" i2="1"><s1>DEFEBVRE (Luc)</s1></fA11><fA14 i1="01"><s1>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Clinical Neurophysiology, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA20><s1>1446-1452</s1></fA20><fA21><s1>2008</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000196364640140</s5></fA43><fA44><s0>0000</s0><s1>© 2008 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>19 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>08-0417076</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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). 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