Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson's disease.
Identifieur interne : 000428 ( Main/Exploration ); précédent : 000427; suivant : 000429Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson's disease.
Auteurs : Rocco Salvatore Calabr [Italie] ; Antonino Naro [Italie] ; Serena Filoni [Italie] ; Massimo Pullia [Italie] ; Luana Billeri [Italie] ; Provvidenza Tomasello [Italie] ; Simona Portaro [Italie] ; Giuseppe Di Lorenzo [Italie] ; Concetta Tomaino [États-Unis] ; Placido Bramanti [Italie]Source :
- Journal of neuroengineering and rehabilitation [ 1743-0003 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Démarche (physiologie), Encéphale (physiopathologie), Femelle (MeSH), Humains (MeSH), Maladie de Parkinson (physiopathologie), Maladie de Parkinson (rééducation et réadaptation), Marche à pied (physiologie), Musique (MeSH), Mâle (MeSH), Phénomènes biomécaniques (MeSH), Signaux (MeSH), Stimulation acoustique (méthodes), Sujet âgé (MeSH), Techniques de physiothérapie (MeSH), Traitement par les exercices physiques (méthodes).
- MESH :
- méthodes : Stimulation acoustique, Traitement par les exercices physiques.
- physiologie : Démarche, Marche à pied.
- physiopathologie : Encéphale, Maladie de Parkinson.
- rééducation et réadaptation : Maladie de Parkinson.
- Adulte d'âge moyen, Femelle, Humains, Musique, Mâle, Phénomènes biomécaniques, Signaux, Sujet âgé, Techniques de physiothérapie.
English descriptors
- KwdEn :
- Acoustic Stimulation (methods), Aged (MeSH), Biomechanical Phenomena (MeSH), Brain (physiopathology), Cues (MeSH), Exercise Therapy (methods), Female (MeSH), Gait (physiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Music (MeSH), Parkinson Disease (physiopathology), Parkinson Disease (rehabilitation), Physical Therapy Modalities (MeSH), Walking (physiology).
- MESH :
- methods : Acoustic Stimulation, Exercise Therapy.
- physiology : Gait, Walking.
- physiopathology : Brain, Parkinson Disease.
- rehabilitation : Parkinson Disease.
- Aged, Biomechanical Phenomena, Cues, Female, Humans, Male, Middle Aged, Music, Physical Therapy Modalities.
Abstract
BACKGROUND
Rhythmic Auditory Stimulation (RAS) can compensate for the loss of automatic and rhythmic movements in patients with idiopathic Parkinson's disease (PD). However, the neurophysiological mechanisms underlying the effects of RAS are still poorly understood. We aimed at identifying which mechanisms sustain gait improvement in a cohort of patients with PD who practiced RAS gait training.
METHODS
We enrolled 50 patients with PD who were randomly assigned to two different modalities of treadmill gait training using GaitTrainer3 with and without RAS (non_RAS) during an 8-week training program. We measured clinical, kinematic, and electrophysiological effects of both the gait trainings.
RESULTS
We found a greater improvement in Functional Gait Assessment (p < 0.001), Tinetti Falls Efficacy Scale (p < 0.001), Unified Parkinson Disease Rating Scale (p = 0.001), and overall gait quality index (p < 0.001) following RAS than non_RAS training. In addition, the RAS gait training induced a stronger EEG power increase within the sensorimotor rhythms related to specific periods of the gait cycle, and a greater improvement of fronto-centroparietal/temporal electrode connectivity than the non_RAS gait training.
CONCLUSIONS
The findings of our study suggest that the usefulness of cueing strategies during gait training consists of a reshape of sensorimotor rhythms and fronto-centroparietal/temporal connectivity. Restoring the internal timing mechanisms that generate and control motor rhythmicity, thus improving gait performance, likely depends on a contribution of the cerebellum. Finally, identifying these mechanisms is crucial to create patient-tailored, RAS-based rehabilitative approaches in PD.
TRIAL REGISTRATION
NCT03434496 . Registered 15 February 2018, retrospectively registered.
DOI: 10.1186/s12984-019-0533-9
PubMed: 31174570
PubMed Central: PMC6555981
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Lorenzo, Giuseppe" sort="Di Lorenzo, Giuseppe" uniqKey="Di Lorenzo G" first="Giuseppe" last="Di Lorenzo">Giuseppe Di Lorenzo</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Tomaino, Concetta" sort="Tomaino, Concetta" uniqKey="Tomaino C" first="Concetta" last="Tomaino">Concetta Tomaino</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Music and Neurologic Function, Mount Vernon, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Music and Neurologic Function, Mount Vernon, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Bramanti, Placido" sort="Bramanti, Placido" uniqKey="Bramanti P" first="Placido" last="Bramanti">Placido Bramanti</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31174570</idno><idno type="pmid">31174570</idno><idno type="doi">10.1186/s12984-019-0533-9</idno><idno type="pmc">PMC6555981</idno><idno type="wicri:Area/Main/Corpus">000493</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000493</idno><idno 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Antonino" sort="Naro, Antonino" uniqKey="Naro A" first="Antonino" last="Naro">Antonino Naro</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Filoni, Serena" sort="Filoni, Serena" uniqKey="Filoni S" first="Serena" last="Filoni">Serena Filoni</name><affiliation wicri:level="1"><nlm:affiliation>Fondazione Centri di Riabilitazione Padre Pio Onlus, San Giovanni Rotondo, FG, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Fondazione Centri di Riabilitazione Padre Pio Onlus, San Giovanni Rotondo, FG</wicri:regionArea><wicri:noRegion>FG</wicri:noRegion></affiliation></author><author><name sortKey="Pullia, Massimo" sort="Pullia, Massimo" uniqKey="Pullia M" first="Massimo" last="Pullia">Massimo Pullia</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Billeri, Luana" sort="Billeri, Luana" uniqKey="Billeri L" first="Luana" last="Billeri">Luana Billeri</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Tomasello, Provvidenza" sort="Tomasello, Provvidenza" uniqKey="Tomasello P" first="Provvidenza" last="Tomasello">Provvidenza Tomasello</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Portaro, Simona" sort="Portaro, Simona" uniqKey="Portaro S" first="Simona" last="Portaro">Simona Portaro</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Di Lorenzo, Giuseppe" sort="Di Lorenzo, Giuseppe" uniqKey="Di Lorenzo G" first="Giuseppe" last="Di Lorenzo">Giuseppe Di Lorenzo</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Tomaino, Concetta" sort="Tomaino, Concetta" uniqKey="Tomaino C" first="Concetta" last="Tomaino">Concetta Tomaino</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Music and Neurologic Function, Mount Vernon, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Music and Neurologic Function, Mount Vernon, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Bramanti, Placido" sort="Bramanti, Placido" uniqKey="Bramanti P" first="Placido" last="Bramanti">Placido Bramanti</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of neuroengineering and rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation (methods)</term><term>Aged (MeSH)</term><term>Biomechanical Phenomena (MeSH)</term><term>Brain (physiopathology)</term><term>Cues (MeSH)</term><term>Exercise Therapy (methods)</term><term>Female (MeSH)</term><term>Gait (physiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Music (MeSH)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (rehabilitation)</term><term>Physical Therapy Modalities (MeSH)</term><term>Walking (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Démarche (physiologie)</term><term>Encéphale (physiopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladie de Parkinson (physiopathologie)</term><term>Maladie de Parkinson (rééducation et réadaptation)</term><term>Marche à pied (physiologie)</term><term>Musique (MeSH)</term><term>Mâle (MeSH)</term><term>Phénomènes biomécaniques (MeSH)</term><term>Signaux (MeSH)</term><term>Stimulation acoustique (méthodes)</term><term>Sujet âgé (MeSH)</term><term>Techniques de physiothérapie (MeSH)</term><term>Traitement par les exercices physiques (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Acoustic Stimulation</term><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Stimulation acoustique</term><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Démarche</term><term>Marche à pied</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Encéphale</term><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Biomechanical Phenomena</term><term>Cues</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Musique</term><term>Mâle</term><term>Phénomènes biomécaniques</term><term>Signaux</term><term>Sujet âgé</term><term>Techniques de physiothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Rhythmic Auditory Stimulation (RAS) can compensate for the loss of automatic and rhythmic movements in patients with idiopathic Parkinson's disease (PD). However, the neurophysiological mechanisms underlying the effects of RAS are still poorly understood. We aimed at identifying which mechanisms sustain gait improvement in a cohort of patients with PD who practiced RAS gait training.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We enrolled 50 patients with PD who were randomly assigned to two different modalities of treadmill gait training using GaitTrainer3 with and without RAS (non_RAS) during an 8-week training program. We measured clinical, kinematic, and electrophysiological effects of both the gait trainings.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We found a greater improvement in Functional Gait Assessment (p < 0.001), Tinetti Falls Efficacy Scale (p < 0.001), Unified Parkinson Disease Rating Scale (p = 0.001), and overall gait quality index (p < 0.001) following RAS than non_RAS training. In addition, the RAS gait training induced a stronger EEG power increase within the sensorimotor rhythms related to specific periods of the gait cycle, and a greater improvement of fronto-centroparietal/temporal electrode connectivity than the non_RAS gait training.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The findings of our study suggest that the usefulness of cueing strategies during gait training consists of a reshape of sensorimotor rhythms and fronto-centroparietal/temporal connectivity. Restoring the internal timing mechanisms that generate and control motor rhythmicity, thus improving gait performance, likely depends on a contribution of the cerebellum. Finally, identifying these mechanisms is crucial to create patient-tailored, RAS-based rehabilitative approaches in PD.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>NCT03434496 . Registered 15 February 2018, retrospectively registered.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31174570</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1743-0003</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>06</Month><Day>07</Day></PubDate></JournalIssue><Title>Journal of neuroengineering and rehabilitation</Title><ISOAbbreviation>J Neuroeng Rehabil</ISOAbbreviation></Journal><ArticleTitle>Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>68</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12984-019-0533-9</ELocationID><Abstract><AbstractText Label="BACKGROUND">Rhythmic Auditory Stimulation (RAS) can compensate for the loss of automatic and rhythmic movements in patients with idiopathic Parkinson's disease (PD). However, the neurophysiological mechanisms underlying the effects of RAS are still poorly understood. We aimed at identifying which mechanisms sustain gait improvement in a cohort of patients with PD who practiced RAS gait training.</AbstractText><AbstractText Label="METHODS">We enrolled 50 patients with PD who were randomly assigned to two different modalities of treadmill gait training using GaitTrainer3 with and without RAS (non_RAS) during an 8-week training program. We measured clinical, kinematic, and electrophysiological effects of both the gait trainings.</AbstractText><AbstractText Label="RESULTS">We found a greater improvement in Functional Gait Assessment (p < 0.001), Tinetti Falls Efficacy Scale (p < 0.001), Unified Parkinson Disease Rating Scale (p = 0.001), and overall gait quality index (p < 0.001) following RAS than non_RAS training. In addition, the RAS gait training induced a stronger EEG power increase within the sensorimotor rhythms related to specific periods of the gait cycle, and a greater improvement of fronto-centroparietal/temporal electrode connectivity than the non_RAS gait training.</AbstractText><AbstractText Label="CONCLUSIONS">The findings of our study suggest that the usefulness of cueing strategies during gait training consists of a reshape of sensorimotor rhythms and fronto-centroparietal/temporal connectivity. Restoring the internal timing mechanisms that generate and control motor rhythmicity, thus improving gait performance, likely depends on a contribution of the cerebellum. Finally, identifying these mechanisms is crucial to create patient-tailored, RAS-based rehabilitative approaches in PD.</AbstractText><AbstractText Label="TRIAL REGISTRATION">NCT03434496 . Registered 15 February 2018, retrospectively registered.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Calabrò</LastName><ForeName>Rocco Salvatore</ForeName><Initials>RS</Initials><Identifier Source="ORCID">0000-0002-8566-3166</Identifier><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy. salbro77@tiscali.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naro</LastName><ForeName>Antonino</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Filoni</LastName><ForeName>Serena</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Fondazione Centri di Riabilitazione Padre Pio Onlus, San Giovanni Rotondo, FG, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pullia</LastName><ForeName>Massimo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Billeri</LastName><ForeName>Luana</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tomasello</LastName><ForeName>Provvidenza</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, S.S. 113, 98124, Messina, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Portaro</LastName><ForeName>Simona</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>IRCCS Centro Neurolesi Bonino Pulejo, via Palermo, Contrada Casazza, 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