Gait training for adults with cerebral palsy following harmonic modification in rhythmic auditory stimulation,Annals of the New York Academy of Sciences

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Gait training for adults with cerebral palsy following harmonic modification in rhythmic auditory stimulation
Annals of the New York Academy of Sciences ( IF 4.1 ) Pub Date : 2020-04-30 , DOI: 10.1111/nyas.14306
Soo Ji Kim ₁ , Ga Eul Yoo ₂ , Yoon-Kyum Shin _{3,

4} , Sung-Rae Cho _{3,

4,

5}

Affiliation

This study aimed to investigate the differences in gait outcomes of young adults with cerebral palsy (CP) following rhythmic auditory stimulation (RAS) with different types of cueing. A total of 13 ambulatory adults with CP were recruited. The participants were assigned to receive either RAS with simple chords or RAS with complex chords. Each participant received 30-min individual sessions three times per week for 4 weeks. In the simple RAS group, basic chords were used for cueing. In the complex RAS group, the diversified chords were adopted from patients' preferred music. At pre- and posttest, spatiotemporal and kinematic parameters and the range of motion (ROM) for each joint during a gait cycle were collected. After RAS, cadence, velocity, and stride length significantly increased, but no significant group effect was found. Meanwhile, regarding kinematic parameters, a significant interaction effect between time and group was observed with the angle of plantar flexion in the preswing phase and ROM in the ankle. The complex RAS group showed increased maximal ankle plantar flexion in the preswing phase. These results demonstrated that the primary agent for gait control is rhythm, while perception of music facilitates patient engagement in walking differently depending on the level of musical elements.

中文翻译：

节律性听觉刺激谐波修正后成人脑瘫的步态训练

本研究旨在调查不同类型提示的有节奏的听觉刺激 (RAS) 后脑瘫 (CP) 青年人步态结果的差异。总共招募了 13 名患有 CP 的非卧床成人。参与者被分配接受带有简单和弦的 RAS 或带有复杂和弦的 RAS。每个参与者每周接受 3 次 30 分钟的单独会议，持续 4 周。在简单 RAS 组中，基本和弦用于提示。在复杂的 RAS 组中，多样化的和弦来自患者喜欢的音乐。在前测和后测中，收集了步态周期中每个关节的时空和运动学参数以及运动范围 (ROM)。RAS 后，踏频、速度和步幅显着增加，但未发现显着的群体效应。同时，关于运动学参数，观察到时间和组之间显着的交互作用与预摆动阶段的跖屈角度和脚踝的 ROM 相关。复杂 RAS 组在预摆动阶段显示最大踝关节跖屈增加。这些结果表明，步态控制的主要因素是节奏，而对音乐的感知会根据音乐元素的水平以不同方式促进患者参与步行。

更新日期：2020-04-30

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