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Effect of Rhythmic Auditory Stimulation on Gait in Parkinsonian Patients with and without Freezing of Gait

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  • Pablo Arias
  • Javier Cudeiro

Abstract

Freezing of gait (FOG) in Parkinson's disease (PD) rises in prevalence when the effect of medications decays. It is known that auditory rhythmic stimulation improves gait in patients without FOG (PD-FOG), but its putative effect on patients with FOG (PD+FOG) at the end of dose has not been evaluated yet. This work evaluates the effect of auditory rhythmic stimulation on PD+FOG at the end of dose. 10 PD+FOG and 9 PD-FOG patients both at the end of dose periods, and 10 healthy controls were asked to perform several walking tasks. Tasks were performed in the presence and absence of auditory sensory stimulation. All PD+FOG suffered FOG during the task. The presence of auditory rhythmic stimulation (10% above preferred walking cadence) led PD+FOG to significantly reduce FOG. Velocity and cadence were increased, and turn time reduced in all groups. We conclude that auditory stimulation at the frequency proposed may be useful to avoid freezing episodes in PD+FOG.

Suggested Citation

  • Pablo Arias & Javier Cudeiro, 2010. "Effect of Rhythmic Auditory Stimulation on Gait in Parkinsonian Patients with and without Freezing of Gait," PLOS ONE, Public Library of Science, vol. 5(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0009675
    DOI: 10.1371/journal.pone.0009675
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    References listed on IDEAS

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    1. Hausdorff, Jeffrey M & Balash, Y & Giladi, Nir, 2003. "Time series analysis of leg movements during freezing of gait in Parkinson's disease: akinesia, rhyme or reason?," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 321(3), pages 565-570.
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