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Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease

INTRODUCTION: Much research has examined the relationship between bradykinesia and gait impairment in persons with Parkinson’s disease (PD). Specifically, impairments in repetitive movements of the upper extremity have been associated with freezing of gait. Studies examining lower extremity repetiti...

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Autores principales: Stegemöller, Elizabeth L., Berg, Riley, Warnecke, Alison, Hammer, Mollie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505663/
https://www.ncbi.nlm.nih.gov/pubmed/37727863
http://dx.doi.org/10.3389/fnhum.2023.1197247
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author Stegemöller, Elizabeth L.
Berg, Riley
Warnecke, Alison
Hammer, Mollie
author_facet Stegemöller, Elizabeth L.
Berg, Riley
Warnecke, Alison
Hammer, Mollie
author_sort Stegemöller, Elizabeth L.
collection PubMed
description INTRODUCTION: Much research has examined the relationship between bradykinesia and gait impairment in persons with Parkinson’s disease (PD). Specifically, impairments in repetitive movements of the upper extremity have been associated with freezing of gait. Studies examining lower extremity repetitive movements are limited. Moreover, the use of external cueing has been a treatment strategy for both bradykinesia and gait, but information on how cues should be used is lacking. The purpose of this study was to compare the effects of auditory cueing on one side versus both sides for bilateral repetitive toe tapping and gait, and to determine if there was a relationship between toe tapping and gait. We hypothesize that there will be no difference between the cueing conditions, but that there will be a significant association between repetitive toe tapping performance and gait performance. METHODS: Twenty-seven persons with PD completed a toe tapping task in which the more affected side was cued at 70 beats per minute (BPM), the less affected side was cued at 70 BPM, and both sides were cued at 140 BPM. The same cueing conditions were completed for the gait task. Inter movement interval and amplitude data was collected and analyzed for the toe tapping task. Stance time, swing time, step length, and step width were collected and analyzed for the gait task. RESULTS: Results revealed a significant difference in movement performance between the single side cueing conditions and both sides cued condition for inter movement interval (toe tapping), stance time (gait), step length (gait), and step width (gait). Moreover, results revealed a significant association between inter movement interval and stance time and step length. DISCUSSION: These results would suggest that cueing both sides is better than only one side and that there is a relationship between toe tapping and gait performance when both sides are cued in persons with PD. This study adds to the literature exploring possible shared mechanisms between bradykinesia and gait in persons with PD.
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spelling pubmed-105056632023-09-19 Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease Stegemöller, Elizabeth L. Berg, Riley Warnecke, Alison Hammer, Mollie Front Hum Neurosci Human Neuroscience INTRODUCTION: Much research has examined the relationship between bradykinesia and gait impairment in persons with Parkinson’s disease (PD). Specifically, impairments in repetitive movements of the upper extremity have been associated with freezing of gait. Studies examining lower extremity repetitive movements are limited. Moreover, the use of external cueing has been a treatment strategy for both bradykinesia and gait, but information on how cues should be used is lacking. The purpose of this study was to compare the effects of auditory cueing on one side versus both sides for bilateral repetitive toe tapping and gait, and to determine if there was a relationship between toe tapping and gait. We hypothesize that there will be no difference between the cueing conditions, but that there will be a significant association between repetitive toe tapping performance and gait performance. METHODS: Twenty-seven persons with PD completed a toe tapping task in which the more affected side was cued at 70 beats per minute (BPM), the less affected side was cued at 70 BPM, and both sides were cued at 140 BPM. The same cueing conditions were completed for the gait task. Inter movement interval and amplitude data was collected and analyzed for the toe tapping task. Stance time, swing time, step length, and step width were collected and analyzed for the gait task. RESULTS: Results revealed a significant difference in movement performance between the single side cueing conditions and both sides cued condition for inter movement interval (toe tapping), stance time (gait), step length (gait), and step width (gait). Moreover, results revealed a significant association between inter movement interval and stance time and step length. DISCUSSION: These results would suggest that cueing both sides is better than only one side and that there is a relationship between toe tapping and gait performance when both sides are cued in persons with PD. This study adds to the literature exploring possible shared mechanisms between bradykinesia and gait in persons with PD. Frontiers Media S.A. 2023-09-01 /pmc/articles/PMC10505663/ /pubmed/37727863 http://dx.doi.org/10.3389/fnhum.2023.1197247 Text en Copyright © 2023 Stegemöller, Berg, Warnecke and Hammer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Human Neuroscience
Stegemöller, Elizabeth L.
Berg, Riley
Warnecke, Alison
Hammer, Mollie
Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title_full Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title_fullStr Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title_full_unstemmed Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title_short Comparison of auditory cueing in toe tapping and gait in persons with Parkinson’s disease
title_sort comparison of auditory cueing in toe tapping and gait in persons with parkinson’s disease
topic Human Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505663/
https://www.ncbi.nlm.nih.gov/pubmed/37727863
http://dx.doi.org/10.3389/fnhum.2023.1197247
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