Document Type : Research Paper
Authors
1 Assistant Professor of Motor Behavior, University of Mazandaran
2 Assistant Professor of Motor Behavior, Zabol University
Abstract
The aim of this study was to investigate the effect of rhythmic auditory stimulation during gait training on some kinematics parameters of gait in patients with multiple sclerosis. 18 patients with MS (4 males and 14 females) with Expanded Disability Status Scale scores of 3 to 6 were selected by accessible and purposive sampling method. Patients were randomly assigned to two experimental and control groups. Training was performed for three weeks, three times a week and each session 30 minutes. These Trainings for the experimental group included gait with rhythmic auditory stimulus and for the control group included gait without stimulus. Before and after training, step length, step time, duration of stance and duration of swing were measured by motion analysis device. data were analyzed using covariance analysis model and boot strap non-parametric method in covariance analysis model. Findings showed rhythmic auditory stimulation has significant effect on improvement of step length and duration of stance. Nevertheless gait training with rhythmic auditory stimulus leads to 27% improvement in step time and 10% in duration of swing, but there was no significant difference between the experimental and control groups in improvement of step time and duration of swing. Therefore, gait training with rhythmic auditory stimulation supposed as a complementary rehabilitation method to improve gait function in patients with multiple sclerosis.
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Main Subjects
- Heesen C, Bohm J, Reich C, Kasper J, Goebel M, Gold SM. Patient perception of bodily functions in multiple sclerosis: Gait and visual function are the most valuable. Mult Scler. 2008;14(7):988–91.
- Yildiz M. The impact of slower walking speed on activities of daily living in patients with multiple sclerosis. Int J Clin Pract. 2012;66(11):1088–94.
- Giannì C, Prosperini L, Jonsdottir J, Cattaneo D. A systematic review of factors associated with accidental falls in people with multiple sclerosis: A meta-analytic approach.Clin Rehabil n. 2014;28(7):704-16.
- Horak FB. Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(2):11-7.
- van Emmerik RE, Jones SL, Busa MA, Remelius JG, Averill JL. Enhancing postural stability and adaptability in multiple sclerosis. Progress in motor control. New York: Springer. 2014. p. 251-76.
- Peterson EW, Cho CC, von Koch L, Finlayson ML. Injurious falls among middle aged and older adults with multiple sclerosis. Arch Phys Med Rehabil. 2008;89(6):1031-7.
- Matsuda PN, Shumway-Cook A, Ciol MA, Bombardier CH, Kartin DA. Understanding Falls in Multiple Sclerosis: association of mobility status, concerns about falling, and accumulated impairments. Phys Ther. 2012;92(3):407-15.
- Coote S, Hogan N, Franklin S. Falls in people with multiple sclerosis who use a walking aid: prevalence, factors, and effect of strength and balance interventions. Arch Phys Med Rehabil. 2013;94(4):616-21.
- Huisinga JM, Filipi ML, Schmid KK, Stergiou N. IS there a relationship between fatigue questionnaires and gait mechanics in persons with multiple sclerosis? Arch Phys Med Rehabil. 2011;92(10):1594–601.
- Sacco R, Bussman R, Oesch P, Kesselring J, Beer S. Assessment of gait parameters and fatigue in MS patients during inpatient rehabilitation: a pilot trial. J Neurol. 2011;258(5):889-94.
- Thoumie P, Lamotte D, Cantalloube S, Faucher M, Amarenco G. Motor determinants of gait in 100 ambulatory patients with multiple sclerosis. Mult Scler. 2005;11(4):485-91.
- Yahia A, Ghroubi S, Mhiri C, Elleuch MH. Relationship between muscular strength, gait and postural parameters in multiple sclerosis. Ann Phys Rehabil Med. 2011;54(3):144-55.
- Sosnoff JJ, Gappmaier E, Frame A, Motl RW. Influence of spasticity on mobility and balance in persons with multiple sclerosis. J Neurol Phys Ther. 2011;35(3):129-32.
- Pearson OR, Busse ME, Van Deursen RW, Wiles CM. Quantification of walking mobility in neurological disorders. QJM 2004;97(8):463–75.
- Vitkovich M. Stroop interference and negative priming in patients with multiple sclerosis. Neuropsychologia. 2002;40(9):1570-6.
- Conklyn D, Stough D, Novak E, Paczak S, Chemali K, Bethoux F. A home-based walking program using rhythmic auditory stimulation improves gait performance in patients with multiple sclerosis: A pilot study. Neurorehabil Neural Repair. 2010;24(9):835-42.
- Suh JH, Han SJ, Jeon SY, Kim HJ, Lee JE, Yoon TS, eat al. Effect of rhythmic auditory Stimulation on gait and balance in hemiplegic stroke patients. NeuroRehabilitation. 2014;34(1):193-9.
- Kobinata N, Ueno M, Imanishi Y, Yoshikawa H. Immediate effects of rhythmic auditory stimulation on gait in stroke patients in relation to the lesion site. J Phys Ther Sci. 2016;28(9):2441-2444.
- Thaut MH. Neural basis of rhythmic timing networks in the human brain. Ann N Y Acad Sci. 2003;999:364-73.
- Bengtsson SL, Ullén F, Ehrsson HH, Hashimoto T, Kito T, Naito E, et al. Listening to rhythms activates motor and premotorcortices. Cortex. 2009;45(1):62-71.
- Chen JL, Penhune VB, Zatorre RJ. Listening to musical rhythms recruits motor regions of the brain. Cereb Cortex. 2008;18(12):2844-54.
- Grahn JA, Brett M. Rhythm and beat perception in motor areas of the brain. J Cogn Neurosci. 2007;9(5):893-906.
- Grahn JA, Rowe JB. Feeling the beat: Premotor and striatal interactions in musicians and nonmusicians during beat perception. J Neurosci. 2009;29(23): 7540-48.
- Thaut MH, McIntosh GC, Rice RR. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. J Neurol Sci. 1997;151(2):207-12.
- Thaut MH, McIntosh GC, Prassas SG, Rice RR. Effect of rhythmic auditory cuing on temporal stride parameters and EMG patterns in normal gait. J Neruo Rehab. 1992;6185-90.
- Thaut MH, Leins AK, Rice RR, Argstatter H, Kenyon GP, McIntosh GC, et al. Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patient early poststroke:a single-blind, randomizedtrial .Neurorehabil Neural Repair. 2007;21(5):455-9.
- Wulf G, McNevin N, Shea CH. The automaticity of complex motor skill learning as a function of attentional focus.Q J Exp Psychol A. 2001;54(4):1143-54.
- Wulf G, Shea C, Park JH. Attention and motor performance: preferences for and advantages of an external focus. Res Q Exercise Sport. 2001;72(4):335-44.
- Wulf G, Dufek JS, Lozano L, Pettigrew C. Increased jump height and reduced EMG activity with an external focus. Hum Mov Sci. 2010;29(3):440-8.
- Vance J, Wulf G, Töllner T, McNevin N, Mercer J. EMG activity as a function of the performer’s focus of attention. J Motor Behav. 2004;36(4):450-9.
- Rochester L, Hetherington V, Jones D, Nieuwboer A, Willem A, Kwakkel G, et al. The effect of external rhythmic cues (auditory and visual) on walking during a functional task in homes of people with Parkinson's disease. Arch Phys Med Rehabil. 2005;86(5):999–1006.
- McNevin NH, Wulf G, Carlson C. Effects of attention focus, self-control, and dyad training on motor learning: implications for physical rehabilitation. Phys Ther. 2000;80(4):373-85.
- Maxwell JP, Masters RSW. External versus internal focus instructions: Is the learner paying attention? Int J Sports. 2002;14(2):70-88.
- Shumway-Cook A, Woolacott MH. Motor control: Translating research into clinical practice. 3rd ed. Philadelphia: Lippincott Williams &Wilkins; 2007.
- Shafizadeh M, Pltt GK, Mohammadi B. Effects of different focus of attention rehabilitative training on gait performance in Multiple Sclerosis patients. J Body work Mov Ther. 2013;17(1):28-34.
- Shahraki M, Sohrabi M, Taheri Torbati HR, Nikkhah K, Naeimikia M. Effect of rhythmic auditory stimulation on gait kinematic parameters of patients with multiple sclerosis. J Med Life. 2017;10(1):33-7.
- Kim SJ, Kwak EE, Park ES, Cho SR. Differential effects of rhythmic auditory stimulation and neurodevelopmental treatment/Bobath on gait patterns in adults with cerebral palsy:a randomized controlled trial. Clin Rehabil. 2012;26(10):904-14.
- Rochester L, Nieuwboer A, Baker K, Hetherington V, Willems AM, Chavret F, et al. The attentional cost of external rhythmical cues and their impact on gait in Parkinson's disease: Effect of cue modality and task complexity. J Neural Transm. 2007;114(10):1243–8.
- Rochester L, Baker K, Hetherington V, Jones D, Willems AM, Kwakkel G, et al. Evidence for motor learning in Parkinson's disease: acquisition, automaticity and retention of cued gait performance after training with external rhythmical cues. Brain Res. 2010;1319:103–11.
- Davis RB, Õunpuu S, Tyburki D, Cage JR. A gait analysis data collection and reduction technique. Hum Mov Sci. 1991;10(5):575–87.
- Horak FB. Clinical measurement of postural control in adults. Phys Ther. 1987;67(12):1881-5.
- Schaefer RS. Auditory rhythmic cueing in movement rehabilitation: findings and possible mechanisms. Philos Trans R Soc Lond B Biol Sci. 2014 19;369(1658):20130402.
- Peine G, Isaacs L. The growth of human movement, an approach in a lifetime. Trans Khalaji H, Khajavi D. Arak: Arak University Press; 2006.
- Jancke L, Loose R, Lutz K, Specht K, Shah NJ. Cortical activations during paced finger-tapping applying visual and auditory pacing stimuli. Brain Res Cogn Brain Res. 2000;10(1-2):51-66.
- Mostert S, Kesselring J. Effects of as short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler. 2002;8(2):161-8.