Gait training for adults with cerebral palsy following harmonic modification in rhythmic auditory stimulation
- 주제(키워드) rhythmic cueing , cerebral palsy , harmonic complexity , gait function
- 주제(기타) Multidisciplinary Sciences
- 설명문(일반) [Kim, Soo Ji] Ewha Womans Univ, Grad Sch Educ, Mus Therapy Educ, Ewhayeodae Gil 52, Seoul 03760, South Korea; [Yoo, Ga Eul] Ewha Womans Univ, Grad Sch, Dept Mus Therapy, Seoul, South Korea; [Shin, Yoon-Kyum; Cho, Sung-Rae] Yonsei Univ, Coll Med, Dept & Res Inst Rehabil Med, 50-1 Yonseiro, Seoul 03722, South Korea; [Shin, Yoon-Kyum; Cho, Sung-Rae] Yonsei Univ, Brain Korea 21 PLUS Project Med Sci, Coll Med, Seoul, South Korea; [Cho, Sung-Rae] Yonsei Univ, Rehabil Inst Neuromuscular Dis, Coll Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 WILEY
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000174961
- 본문언어 영어
- Published As http://dx.doi.org/10.1111/nyas.14306
- PubMed https://pubmed.ncbi.nlm.nih.gov/32356332
초록/요약
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.
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