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Effect of Rhythmic Auditory Stimulation on Hemiplegic Gait Patterns.
| Content Provider | Europe PMC |
|---|---|
| Author | Shin, Yoon-Kyum Chong, Hyun Ju Kim, Soo Ji Cho, Sung-Rae |
| Copyright Year | 2015 |
| Abstract | PurposeThe purpose of our study was to investigate the effect of gait training with rhythmic auditory stimulation (RAS) on both kinematic and temporospatial gait patterns in patients with hemiplegia.Materials and MethodsEighteen hemiplegic patients diagnosed with either cerebral palsy or stroke participated in this study. All participants underwent the 4-week gait training with RAS. The treatment was performed for 30 minutes per each session, three sessions per week. RAS was provided with rhythmic beats using a chord progression on a keyboard. Kinematic and temporospatial data were collected and analyzed using a three-dimensional motion analysis system.ResultsGait training with RAS significantly improved both proximal and distal joint kinematic patterns in hip adduction, knee flexion, and ankle plantar flexion, enhancing the gait deviation index (GDI) as well as ameliorating temporal asymmetry of the stance and swing phases in patients with hemiplegia. Stroke patients with previous walking experience demonstrated significant kinematic improvement in knee flexion in mid-swing and ankle dorsiflexion in terminal stance. Among stroke patients, subacute patients showed a significantly increased GDI score compared with chronic patients. In addition, household ambulators showed a significant effect on reducing anterior tilt of the pelvis with an enhanced GDI score, while community ambulators significantly increased knee flexion in mid-swing phase and ankle dorsiflexion in terminal stance phase.ConclusionGait training with RAS has beneficial effects on both kinematic and temporospatial patterns in patients with hemiplegia, providing not only clinical implications of locomotor rehabilitation with goal-oriented external feedback using RAS but also differential effects according to ambulatory function. |
| ISSN | 05135796 |
| Volume Number | 56 |
| PubMed Central reference number | PMC4630063 |
| Issue Number | 6 |
| PubMed reference number | 26446657 |
| Journal | Yonsei Medical Journal [Yonsei Med. J] |
| e-ISSN | 19762437 |
| DOI | 10.3349/ymj.2015.56.6.1703 |
| Language | English |
| Publisher | Yonsei University College of Medicine |
| Publisher Date | 2015-11-01 |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. © Copyright: Yonsei University College of Medicine 2015 |
| Subject Keyword | Gait rhythmic auditory stimulation hemiplegia |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
