scholarly journals The Ronnie Gardiner Method: An Innovative Music-Based Intervention for Neurological Rehabilitation - Theoretical Background and Contemporary Research with Focus on Parkinson’s Disease

2018 ◽  
pp. 32-37
Author(s):  
Petra Pohl
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Healthy Aging ◽  
Sensory Stimulation ◽  
Body Awareness ◽  
Theoretical Background ◽  
Cognitive Integration ◽  
Standing Up ◽  
Potential Benefits ◽  
Multisensory Input

The Ronnie Gardiner Method (RGM) is an innovative, practitioner-led, music-based intervention using sensorimotor and cognitive integration. RGM was originally developed by the Swedish musician Ronnie Gardiner. Since 2010, RGM has been successfully implemented within neurorehabilitation in many countries. The purpose of this article is to outline some of the theoretical assumptions underpinning the potential benefits from this intervention, using Parkinson’s disease as an example. RGM is based on principles of neuroplasticity, motor learning, and postural control, and uses energizing, beat-based music to provide multisensory input (visual, audio, kinetic, and tactile) in order to stimulate experience-dependent neuroplastic processes. It aims at stimulating cognitive and motor function (e.g., memory, concentration, executive function, multitasking, coordination, mobility, balance, and motor skills). In addition, it may aid body awareness, self-esteem, and social skills. RGM has been scientifically evaluated as a means of multimodal sensory stimulation after stroke and as a means of improving mobility and cognitive function in Parkinson’s disease. RGM is a complex multi-task intervention with the potential to be beneficial in different settings and in different neurological conditions. It can be performed either while standing up or sitting down and can be practiced with the advantages gained as a group activity or individually, which makes it very flexible. It is currently being used as rehabilitation activity for people with stroke, Parkinson’s disease, multiple sclerosis, dementia, and depression. Furthermore, RGM is used in programs targeting healthy aging, ADHD, autism, and dyslexia, and in ordinary school environments.

scholarly journals Sex Differences in Cognitive Changes in De Novo Parkinson’s Disease

2019 ◽  
Vol 26 (2) ◽  
pp. 241-249 ◽  
Author(s):  
Ece Bayram ◽  
Sarah J. Banks ◽  
Guogen Shan ◽  
Nikki Kaplan ◽  
Jessica Z.K. Caldwell
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Sex Differences ◽  
Verbal Memory ◽  
Healthy Aging ◽  
De Novo ◽  
Cognitive Changes ◽  
Progression Markers ◽  
Cognitively Intact

AbstractObjective:To evaluate the sex differences in cognitive course over 4 years in Parkinson’s disease (PD) patients with and without mild cognitive impairment (MCI) compared to controls.Methods:Four-year longitudinal cognitive scores of 257 cognitively intact PD, 167 PD-MCI, and 140 controls from the Parkinson’s Progression Markers Initiative were included. Longitudinal scores of men and women, and PD with and without MCI were compared.Results:Women had better verbal memory, men had better visuospatial function. There was no interaction between sex, diagnostic group, and/or time (4-year follow-up period).Conclusions:Sex differences in cognitive course in de novo PD are similar to healthy aging. Cognitive decline rates in PD with and without MCI are similar for the first 4 years of PD.

scholarly journals Towards understanding neural network signatures of motor skill learning in Parkinson’s disease and healthy aging

2019 ◽  
Vol 92 (1101) ◽  
pp. 20190071 ◽  
Author(s):  
Evelien Nackaerts ◽  
Nicholas D'Cruz ◽  
Bauke W Dijkstra ◽  
Moran Gilat ◽  
Thomas Kramer ◽  
...  
Keyword(s):  
Neural Network ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Learning ◽  
Healthy Aging ◽  
Network Connectivity ◽  
Cognitive Networks ◽  
Skill Learning ◽  
Point Of View ◽  
Detailed Knowledge

In the past decade, neurorehabilitation has been shown to be an effective therapeutic supplement for patients with Parkinson’s disease (PD). However, patients still experience severe problems with the consolidation of learned motor skills. Knowledge on the neural correlates underlying this process is thus essential to optimize rehabilitation for PD. This review investigates the existing studies on neural network connectivity changes in relation to motor learning in healthy aging and PD and critically evaluates the imaging methods used from a methodological point of view. The results indicate that despite neurodegeneration there is still potential to modify connectivity within and between motor and cognitive networks in response to motor training, although these alterations largely bypass the most affected regions in PD. However, so far training-related changes are inferred and possible relationships are not substantiated by brain–behavior correlations. Furthermore, the studies included suffer from many methodological drawbacks. This review also highlights the potential for using neural network measures as predictors for the response to rehabilitation, mainly based on work in young healthy adults. We speculate that future approaches, including graph theory and multimodal neuroimaging, may be more sensitive than brain activation patterns and model-based connectivity maps to capture the effects of motor learning. Overall, this review suggests that methodological developments in neuroimaging will eventually provide more detailed knowledge on how neural networks are modified by training, thereby paving the way for optimized neurorehabilitation for patients.

scholarly journals The val158met COMT polymorphism's effect on atrophy in healthy aging and Parkinson's disease

2010 ◽  
Vol 31 (6) ◽  
pp. 1064-1068 ◽  
Author(s):  
J.B. Rowe ◽  
L. Hughes ◽  
C.H. Williams-Gray ◽  
S. Bishop ◽  
S. Fallon ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Healthy Aging

Serum Noradrenaline Response to Standing Up in Patients with Parkinson’s Disease1

1986 ◽  
Vol 25 (5) ◽  
pp. 355-361 ◽  
Author(s):  
J.T. Turkka ◽  
K.K. Juujärvi ◽  
T.O. Lapinlampi ◽  
V.V. Myllylä
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Standing Up

IC-P-023: Associations between regional brain atrophy, executive control, and saccadic latency in Parkinson's disease and healthy aging

2010 ◽  
Vol 6 ◽  
pp. S14-S14
Author(s):  
Robert Perneczky ◽  
Boyd C.P. Gosh ◽  
Laura Hughes ◽  
Roger H.S. Carpenter ◽  
Roger A. Barker ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Executive Control ◽  
Brain Atrophy ◽  
Healthy Aging ◽  
Saccadic Latency ◽  
Regional Brain ◽  
Regional Brain Atrophy

scholarly journals Association between MAPT haplotype and memory function in patients with Parkinson's disease and healthy aging individuals

2015 ◽  
Vol 36 (3) ◽  
pp. 1519-1528 ◽  
Author(s):  
Sophie E. Winder-Rhodes ◽  
Adam Hampshire ◽  
James B. Rowe ◽  
Jonathan E. Peelle ◽  
Trevor W. Robbins ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Healthy Aging ◽  
Memory Function

scholarly journals The Impact of Sex on the Neurocognitive Functions of Patients with Parkinson’s Disease

2021 ◽  
Vol 11 (10) ◽  
pp. 1331
Author(s):  
Mei-Ling Chen ◽  
Chun-Hsiang Tan ◽  
Hui-Chen Su ◽  
Pi-Shan Sung ◽  
Chia-Yi Chien ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Sex Differences ◽  
Healthy Aging ◽  
Neuroprotective Effect ◽  
Wisconsin Card Sorting Test ◽  
Neurocognitive Function ◽  
Card Sorting ◽  
Yahr Stage ◽  
The Impact

This study aimed to understand the impact of sex on the neurocognitive function of patients with Parkinson’s disease (PD). Ninety-four participants with idiopathic PD and 167 age-matched healthy individuals as normal controls (NCs) were recruited and underwent comprehensive neuropsychological assessments. Sex differences were found in NCs, but not in patients with PD. Among male participants, patients with PD showed worse performance on the Digit Symbol Substitution (DSS) (p < 0.001) test and Symbol Search (SS) (p < 0.001) than NCs. Among female participants, patients with PD showed worse performance on the category score of the Modified Wisconsin Card Sorting Test (p < 0.001), SS (p < 0.001), and pentagon copying (p < 0.001) than NCs. After controlling for the effects of age and years of education, Hoehn and Yahr stage was found to predict the performance of the Color Trails Test part A (βA = 0.241, pA = 0.036), Stroop Color and Word Test (β = −0.245, p = 0.036), and DSS (β = −0.258, p = 0.035) in men with PD. These results indicate the differential effect of sex on the neurocognitive function among healthy aging and PD populations. The disappearance of sex differences, which is present in healthy aging, in patients with PD suggests a gradual loss of the neuroprotective effect of estrogen after the initiation of the neurodegenerative process. This study also found mental flexibility and visuospatial function to be the susceptible cognitive domains in women with PD, while the disease severity could predict the working memory and processing speed in men with PD.

scholarly journals Effect of Acute Levodopa Up-Titration on Blood Pressure in Patients With Early Stage Parkinson’s Disease: Results of a Levodopa Challenge Test

2022 ◽  
Vol 13 ◽  
Author(s):  
Xiaoqin He ◽  
Chengjun Mo ◽  
Yi Zhang ◽  
Ying Cai ◽  
Xiaodong Yang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Early Stage ◽  
Challenge Test ◽  
Drug Uptake ◽  
Induced Hypotension ◽  
Before And After ◽  
Standing Up ◽  
At Home

Objective: Levodopa up-titration is the primary therapeutic strategy as the Parkinson’s disease (PD) progresses. However, the effects of levodopa up-titration on blood pressure (BP) are inconclusive. This study aimed to investigate the effect of acute levodopa up-titration simulated by levodopa challenge test (LCT) on BP in patients with early stage PD.Methods: We monitored BP in 52 patients with early stage PD using a standardized standing test. BP was assessed in supine position after 10 min of rest and at 1 and 3 min after standing up. BP was measured in the “off-state” and the best “on-state” during LCT in the morning at hospital. In another day, “off-state” and the best “on-state” BP was measured before and after anti-PD drug uptake in the morning at home. Demographic and clinical features of the patients were evaluated and analyzed.Results: In the LCT, the prevalence of OH in the “off-state” and the best “on-state” was 11.5 and 13.5%, respectively. Additionally, the OH in the best “on-state” was associated with OH in the “off-state” and monoamine oxidase B inhibitor use. Although 38 (73.1%) patients experienced levodopa-induced hypotension during the LCT, no risk factors were identified. While BP reductions were observed after taking anti-PD drugs at home, no further reduction was seen during acute levodopa up-titration simulated by the LCT.Conclusion: Our results demonstrate that acute levodopa up-titration does not exacerbate BP reduction induced by anti-PD drugs at home. BP monitoring is critical for the management of patients with PD.

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