MovDisordV3, PubMed, Corpus, bibRecord, 002218

Effect of external cueing on gait in Huntington's disease.

Identifieur interne : 002218 ( PubMed/Corpus ); précédent : 002217; suivant : 002219

Effect of external cueing on gait in Huntington's disease.

Auteurs : Arnaud Delval ; Pierre Krystkowiak ; Marie Delliaux ; Jean-Louis Blatt ; Philippe Derambure ; Alain Destée ; Luc Defebvre

Source :

Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.

RBID : pubmed:18512747

English descriptors

KwdEn :
- Acoustic Stimulation, Adult, Ataxia (etiology), Ataxia (physiopathology), Ataxia (psychology), Attention, 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), Male, Middle Aged, Periodicity, Psychomotor Performance, Walking.
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.

DOI: 10.1002/mds.22125
PubMed: 18512747

Links to Exploration step

pubmed:18512747

Le document en format XML

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<author><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name>
<affiliation><nlm:affiliation>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital, France. a-delval@chru-lille.fr</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name>
</author>
<author><name sortKey="Delliaux, Marie" sort="Delliaux, Marie" uniqKey="Delliaux M" first="Marie" last="Delliaux">Marie Delliaux</name>
</author>
<author><name sortKey="Blatt, Jean Louis" sort="Blatt, Jean Louis" uniqKey="Blatt J" first="Jean-Louis" last="Blatt">Jean-Louis Blatt</name>
</author>
<author><name sortKey="Derambure, Philippe" sort="Derambure, Philippe" uniqKey="Derambure P" first="Philippe" last="Derambure">Philippe Derambure</name>
</author>
<author><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name>
</author>
<author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">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><nlm:affiliation>Department of Neurology and Movement Disorders, EA 2683, IFR 114, Salengro Hospital, Lille Regional University Hospital, France. a-delval@chru-lille.fr</nlm:affiliation>
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<term>Ataxia (psychology)</term>
<term>Attention</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>Male</term>
<term>Middle Aged</term>
<term>Periodicity</term>
<term>Psychomotor Performance</term>
<term>Walking</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Huntington Disease</term>
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<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>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>Copyright 2008 Movement Disorder Society.</CopyrightInformation>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Effect of external cueing on gait in Huntington's disease.

Effect of external cueing on gait in Huntington's disease.

Source :

English descriptors

Abstract

Links to Exploration step

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