A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy
Objectives: To understand the benefits and feasibility of using supervised, home-based, music-cued training to improve gait speed and stability in community-dwelling people with Progressive Supranuclear Palsy.Design: Feasibility trial incorporating a single group repeated-measures design.Setting: Hu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2019-02-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00116/full |
| _version_ | 1819116559166078976 |
|---|---|
| author | Joanne E. Wittwer Margaret Winbolt Meg E. Morris |
| author_facet | Joanne E. Wittwer Margaret Winbolt Meg E. Morris |
| author_sort | Joanne E. Wittwer |
| collection | DOAJ |
| description | Objectives: To understand the benefits and feasibility of using supervised, home-based, music-cued training to improve gait speed and stability in community-dwelling people with Progressive Supranuclear Palsy.Design: Feasibility trial incorporating a single group repeated-measures design.Setting: Human movement laboratory and participants' homes.Interventions:Two training sessions per week, conducted by experienced physiotherapists over 4 weeks. Each home training session consisted of a range of activities in standing or walking, with, and without auditory cues. Rhythmic auditory cues were played via a portable digital music player and consisted of metronome beats and individually chosen, commercially available rhythmic music tracks.Main Outcome Measures: Spatiotemporal gait measures were recorded using an 8 m long GAITRite® mat. Participants walked without cues at self-selected comfortable pace. The Progressive Supranuclear Palsy and Unified Parkinson's Disease Rating Scales were administered at baseline. Addenbrooke's Cognitive Examination-III, Geriatric Depression Scale, Assessment of Personal Music Preference Scale, and Physiological Profile Assessment were administered at baseline and retest.Results: At baseline, two of the five community-dwelling participants with Progressive Supranuclear Palsy walked with normal speed and low gait variability. Of the remainder who walked with slower, more variable patterns, two walked faster at retest, one by a clinically meaningful amount. Four participants reduced their timing variability at retest and three reduced step length variability. All participants reported high satisfaction levels with the program.Conclusions: When delivered at home with the support of caregivers, music-cued gait training can provide a feasible approach to improving disorders of gait stability in people with this rare, degenerative condition. Movement to music is engaging and enjoyable which can facilitate adherence to therapy.Clinical Trial Registration : ANZCTR 12616000851460. http://www.anzctr.org.au/ |
| first_indexed | 2024-12-22T05:19:01Z |
| format | Article |
| id | doaj.art-cf8d1450f60e41de9860efc8a108d448 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-22T05:19:01Z |
| publishDate | 2019-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-cf8d1450f60e41de9860efc8a108d4482022-12-21T18:37:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-02-011010.3389/fneur.2019.00116423257A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear PalsyJoanne E. Wittwer0Margaret Winbolt1Meg E. Morris2Physiotherapy Discipline, La Trobe Centre for Sport and Exercise Medicine Research, School of Allied Health, La Trobe University, Melbourne, VIC, AustraliaAustralian Institute for Primary Care and Ageing, La Trobe University, Melbourne, VIC, AustraliaHealthscope and La Trobe Centre for Sport and Exercise Medicine Research, School of Allied Health, La Trobe University, Melbourne, VIC, AustraliaObjectives: To understand the benefits and feasibility of using supervised, home-based, music-cued training to improve gait speed and stability in community-dwelling people with Progressive Supranuclear Palsy.Design: Feasibility trial incorporating a single group repeated-measures design.Setting: Human movement laboratory and participants' homes.Interventions:Two training sessions per week, conducted by experienced physiotherapists over 4 weeks. Each home training session consisted of a range of activities in standing or walking, with, and without auditory cues. Rhythmic auditory cues were played via a portable digital music player and consisted of metronome beats and individually chosen, commercially available rhythmic music tracks.Main Outcome Measures: Spatiotemporal gait measures were recorded using an 8 m long GAITRite® mat. Participants walked without cues at self-selected comfortable pace. The Progressive Supranuclear Palsy and Unified Parkinson's Disease Rating Scales were administered at baseline. Addenbrooke's Cognitive Examination-III, Geriatric Depression Scale, Assessment of Personal Music Preference Scale, and Physiological Profile Assessment were administered at baseline and retest.Results: At baseline, two of the five community-dwelling participants with Progressive Supranuclear Palsy walked with normal speed and low gait variability. Of the remainder who walked with slower, more variable patterns, two walked faster at retest, one by a clinically meaningful amount. Four participants reduced their timing variability at retest and three reduced step length variability. All participants reported high satisfaction levels with the program.Conclusions: When delivered at home with the support of caregivers, music-cued gait training can provide a feasible approach to improving disorders of gait stability in people with this rare, degenerative condition. Movement to music is engaging and enjoyable which can facilitate adherence to therapy.Clinical Trial Registration : ANZCTR 12616000851460. http://www.anzctr.org.au/https://www.frontiersin.org/article/10.3389/fneur.2019.00116/fullacoustic simulationsupranuclear palsy—progressivewalking speedneurological rehabilitationgait rehabilitation |
| spellingShingle | Joanne E. Wittwer Margaret Winbolt Meg E. Morris A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy Frontiers in Neurology acoustic simulation supranuclear palsy—progressive walking speed neurological rehabilitation gait rehabilitation |
| title | A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy |
| title_full | A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy |
| title_fullStr | A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy |
| title_full_unstemmed | A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy |
| title_short | A Home-Based, Music-Cued Movement Program Is Feasible and May Improve Gait in Progressive Supranuclear Palsy |
| title_sort | home based music cued movement program is feasible and may improve gait in progressive supranuclear palsy |
| topic | acoustic simulation supranuclear palsy—progressive walking speed neurological rehabilitation gait rehabilitation |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00116/full |
| work_keys_str_mv | AT joanneewittwer ahomebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy AT margaretwinbolt ahomebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy AT megemorris ahomebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy AT joanneewittwer homebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy AT margaretwinbolt homebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy AT megemorris homebasedmusiccuedmovementprogramisfeasibleandmayimprovegaitinprogressivesupranuclearpalsy |