The Effects of Rhythmic Auditory Stimulation Training According to Auditory Perceptual Ability on Gait Variables in Patients with Stroke

Background: Rhythmic auditory stimulation and body weight supported treadmill training both are standardized gait rehabilitation techniques. However there is limited literature evaluating the effect of rhythmic auditory stimulation and its combination with gait training in spinal cord injury. Aim of this study is to determine the short term effectiveness of rhythmic auditory stimulation with body weight supported treadmill training on gait and balance in individuals with incomplete Spinal Cord Injury. Method: A randomized control study design. 8 subjects with incomplete spinal cord injury who met the inclusion criteria were randomly allocated into two groups: Experimental and Control. Subjects in experimental group were given body weight supported treadmill training with rhythmic auditory stimulation. Subjects in Control Group were given Body weight supported treadmill training alone. Both the groups received conventional rehabilitation as well. Both groups received training for 30 minutes, five times a week for two weeks (10 sessions). Outcome Measures: Gait parameters i.e. cadence, velocity, step length were measured using the Biodex Gait Trainer 2TM, level of walking performance measured using Walking Index for Spinal Cord Injury II, and balance was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Results: No significant improvement was found on gait parameters i.e. cadence, velocity, step length which were measured using the Gait Trainer, level of walking performance measured using WISCI II, and balance which was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Conclusion: Rhythmic auditory stimulation didn’t have any positive effect on gait training in incomplete spinal cord injured patients. Further studies are warranted to explore the entrainment effects of rhythmic auditory stimulation in spinal cord injured individuals on gait rehabilitation. Keywords: Rhythmic Auditory Stimulation (RAS), Body Weight Supported Treadmill Training (BWSTT), Metronome, Incomplete spinal cord injury, Biodex Gait Trainer 2.0, Prokin 252N

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Effect of rhythmic auditory stimulation on gait and balance in hemiplegic stroke patients

Neurorehabilitation ◽

10.3233/nre-131008 ◽

2014 ◽

Vol 34 (1) ◽

pp. 193-199 ◽

Cited By ~ 19

Author(s):

Jee Hyun Suh ◽

Soo Jeong Han ◽

Seo Young Jeon ◽

Ho Jeong Kim ◽

Jeong Eun Lee ◽

...

Keyword(s):

Auditory Stimulation ◽

Stroke Patients ◽

Rhythmic Auditory Stimulation

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Electromyographical Gait Characteristics in Parkinson’s Disease: Effects of Combined Physical Therapy and Rhythmic Auditory Stimulation

Frontiers in Neurology ◽

10.3389/fneur.2018.00211 ◽

2018 ◽

Vol 9 ◽

Cited By ~ 12

Author(s):

Christopher A. Bailey ◽

Federica Corona ◽

Mauro Murgia ◽

Roberta Pili ◽

Massimiliano Pau ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Physical Therapy ◽

Auditory Stimulation ◽

Gait Characteristics ◽

Rhythmic Auditory Stimulation

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Gait Training Methods and ChangesiIn Gait Parameters in Parkinson`s Disease (Literature Review)

Reabilitacijos mokslai slauga kineziterapija ergoterapija ◽

10.33607/rmske.v2i7.857 ◽

2020 ◽

Vol 2 (7) ◽

Author(s):

Aušra Stuopelytė ◽

Rasa Šakalienė

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Step Length ◽

Gait Training ◽

Auditory Stimulation ◽

Training Methods ◽

Dual Tasking ◽

Gait Parameters ◽

Rhythmic Auditory Stimulation ◽

Walking Velocity

Parkinson’s disease is a chronic progressive neurological disorder that can impact function to a variable degree. Changes in gait parameters are the most common signs of Parkinson’s disease. Patients with Parkinson’s disease walk with a reduced step length, step time, walking velocity and walking cadence, increased stride cycle time, coefficient of variation of the step amplitude and step time and increased risk to fall. So, various gait training methods are applied. The effect of rhythmic auditory stimulation on gait in Parkinson’s disease patients is analysed. We can use various kinds of music, metronome, scansion and clapping as a rhythmic auditory stimulation.One of gait training methods in Parkinson’s disease patients is treadmill training. There are attempts to combine treadmill training with transcranial magnetic stimulation and virtual reality. We can use Nordic walking method and because walking technique requires straight posture, trunk rotation, bigger step and heel stride. More often robot–assisted gait training is used in patients with Parkinson’s disease gait training. The effect of dual–tasking and walking with music methods for gait and balance training in patients with Parkinson’s disease is also analysed. This method requires participants to perform primary and secondary tasks at the same time. The secondary task can be cognitive or motor. Dual–tasking is widely analysed because opinions about applying this method are very controversial. Walking with music method is more often analysed in scientific literature. This method could not be compared to rhythmic auditory stimulation method because the latter requires precise walking to rhythm and walking with music method is oriented to emotional component (music is chosen according patients’ music taste). As these methods are applied, we can see an increase in chosen walking and maximal walking velocities, step length and time, distance covered, and decrease in the coefficient of variation of the step time and turning time.Keywords: Gait impairments, walking velocity, rhythmic auditory stimulation.

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